The Commonwealth Fund Finds SBMs Outperform FFM States in Many Important Ways

The Affordable Care Act (ACA) has certainly seen its share of ups and downs since its inception, but one thing has become clear—states operating their own marketplaces weather these changes much better than their federally facilitated (FFM) counterparts – the states that chose to use for both software and operations. In fact, The Commonwealth… Read More

Hoodsport, WA

Enrollment Up in Washington State

The Washington State health insurance exchange, Washington Healthplanfinder, announced yesterday that in the first week of open enrollment they’ve seen a 24 percent increase in site traffic and a more than 50 percent increase in new enrollees year over year. With federal advertising dollars cut and the enrollment period itself shortened, it’s great to see… Read More

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  • Categories: Consumer, Decision Support, Industry news

Senate Health Care Bill Revealed

On Thursday, the Senate revealed the 142-page Better Care Reconciliation Act (BCRA) -– their answer to the House’s American Health Care Act. It provides the answers stakeholders have been waiting for. Certainly, not everyone will like the answers, but it does make clear what the Republican vision for the future of health care in the… Read More

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  • Categories: Consumerization of health care, Industry news, States
US Capitol

The Month Ahead in Health Care Reform

With Memorial Day 2017 behind us, June is fast approaching. Here’s what to watch for in the coming month: Senate health care bill drafting – In the wake of the CBO report released in late May that predicts 23 million more uninsured people within a decade if the House plan as drafted were passed, the… Read More

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Removing a Barrier to Individual Coverage Enrollment

CMS announced last week that it would take a further step to help stabilize the market by eliminating the so-called “double redirect” process (click here for more on this from GetInsured last year:  Before Direct Enrollment Improves, QHP Sales Still Easier for 2017 | Array Health). What is the Double Redirect? The current process to… Read More

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  • Categories: Consumer, Industry news, Private exchange technology
US Capitol

High-Risk Pools: The Past, Present, and Future

Under the Affordable Care Act (ACA), insurers can’t raise individual premiums based on factors such as health status, gender, or previous medical claims. But some of the more recent discussions by Congressional Republicans have centered around the possibility of allowing states to request waivers for this portion of the law. To get such a waiver,… Read More

US Capitol

Just what is a 1332 waiver under the Affordable Care Act?

As the Trump administration pushes for more flexibility and innovation at the state level, Section 1332 (State Innovation Waivers) of the Affordable Care Act (ACA) is now uniquely relevant. The waivers, with a first potential initial effective date of January 1, 2017, enable each state to adapt ACA requirements for their residents’ specific needs. But… Read More

US Capitol

Market stabilization update

Back in mid-February – which already seems like a long time ago – with newly appointed HHS secretary Tom Price only a few days into his new position, CMS released its first Trump-era notice of proposed rulemaking. Meant to shore up the individual insurance market while the longer-term fate of the Affordable Care Act (ACA)… Read More

US Capitol

Healthcare Reform Post-AHCA Webinar Summary

If you missed this week’s webinar “Healthcare Reform Post-AHCA — What Happens Now?” you can find a summary of key questions below. For the full Q & A, you can listen to the recorded version of the discussion. At a high level, the talk centered around three central ideas: The consensus seems to be that… Read More

US Capitol

Repeal and replace week in review: March 24, 2017

Late Monday, House leadership announced changes to the American Health Care Act to help sway those still-undecided voters. The House was scheduled to vote on the bill Thursday but was pushed to Friday,  the seven-year anniversary of President Barack Obama signing the Affordable Care Act. At 3p.m. Friday afternoon, after not being able to garner the… Read More

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