Affordable Care Act

Community First Expands into TX Affordable Care Act Marketplace

by Victoria Bailey

Community First Health Plans (Community First) is joining the Affordable Care Act (ACA) marketplace with the help of a member engagement technology company. The payer’s move to join the...

How the American Rescue Plan Act Impact NY ACA Enrollee Costs

by Kelsey Waddill

The American Rescue Plan Act (ARPA) successfully lowered costs for some enrollee populations in New York, but it failed to address the family glitch and costs may remain high for some individuals, the...

AHIP: Set Lasting Affordable Care Act Subsidies for Low Premiums

by Victoria Bailey

AHIP is urging Congress to extend the American Rescue Plan Act (ARPA) tax credits beyond the current deadline to prevent increased premiums for consumers under the Affordable Care Act (ACA) and to...

CMS 2022 Payment Parameters Look to Boost Access to ACA Coverage

by Kelsey Waddill

In its latest proposed update to the 2022 Payment Parameters, CMS has suggested steps to expanding access to coverage through the Affordable Care Act marketplace, steps which would impact the Navigator...

SCOTUS Denies Petition on Cost-Sharing Reduction Reimbursements

by Kelsey Waddill

The Supreme Court has denied a petition to hear a case brought against the US by Maine Community Health Options and Community Health Choice on cost-sharing reduction reimbursements. According to the...

Two Critical Impacts of 2021 Special Enrollment Period Gains

by Kelsey Waddill

The 2021 special enrollment period gains on the Affordable Care Act (ACA) marketplaces could have downstream impacts on enrollment-related factors such as customer service investments and risk...

CMS Supports Modernizing Enrollment on State-Based Exchanges

by Kelsey Waddill

CMS is offering $20 million in grants to states in order to update their state-based exchanges in light of the spike in Affordable Care Act marketplace enrollment. “Our State-based Marketplaces...

Experts Consider Impacts of SCOTUS Affordable Care Act Decision

by Kelsey Waddill

Since the Supreme Court dismissed California v Texas on June 17, payers and healthcare leaders have vocalized their support for the decision, their readiness to continue building on the Affordable Care...

Supreme Court Dismisses Case Against Affordable Care Act

by Kelsey Waddill

The case against the Affordable Care Act has come to a close and the law remains unscathed, according to the Supreme Court which dismissed the case against the law by a vote of seven to two. There...

Costs Continue to Drop on Federal Health Insurance Marketplace

by Kelsey Waddill

Enrollees are taking advantage of the opportunity to secure lower out-of-pocket healthcare costs on the federal health insurance marketplace during the special enrollment period, a recent CMS report...

CMS Raises Awareness of ACA Marketplace Coverage for Gig Workers

by Victoria Bailey

The Centers for Medicare and Medicaid Services (CMS) is asking online platform companies to bring awareness to their gig workers’ ability to obtain Affordable Care Act marketplace coverage during...

PAHCF Opposes Medicare Expansion, Suggests Extending ACA Policies

by Victoria Bailey

The Partnership for America’s Health Care Future (PAHCF) has voiced their opposition to Medicare expansion, which would open up Medicare coverage to younger Americans in a recent statement which...

Trends Emerge Among Payers on Affordable Care Act Marketplace

by Kelsey Waddill

Affordable Care Act marketplace premiums have dropped for the third consecutive year and themes are emerging as the marketplace becomes more stable, a recent Urban Institute report found. “In...

Expanding Medicare Could Increase Coverage but Raise Premiums

by Victoria Bailey

Expanding access to Medicare could help provide coverage for millions of Americans, but the premiums could increase compared to some individuals’ current subsidized exchange plans, according to...

ACHP Urges Policymakers to Solidify Affordable Care Act Changes

by Victoria Bailey

The Alliance of Community Health Plans (ACHP) released recommended steps to build on the success of the Affordable Care Act (ACA) and enhance and expand coverage in the...

How Extending ACA Premium Tax Credits May Fix the Family Glitch

by Kelsey Waddill

By making all family members eligible for marketplace premium tax credits with the exception of those who have access to affordable coverage individual health insurance marketplace premiums may decline...

HHS Expands Interpretation of Sex Discrimination in Section 1557

by Kelsey Waddill

Updated 5/11/2021: This article has been updated to include a statement from David Brown, legal director at TLDEF. HHS has announced that it will enforce its interpretation of the Affordable...

HHS: ACA Premiums Drop 25% for New Enrollees on HealthCare.gov

by Kelsey Waddill

HHS announced that the federal health insurance market, HealthCare.gov, has gained nearly 940,000 new enrollees as a result of the Affordable Care Act premium tax credits and the special enrollment...

How Messaging Steers ACA Enrollees to Enhanced Silver Plans

by Kelsey Waddill

Email and postal mail communications can help guide low-income Affordable Care Act enrollees to less expensive, enhanced silver plans, a recent study published in Health Affairs discovered. Sometimes...

CMS Finalizes Second 2022 Payment Notice with Cost-Sharing Limits

by Kelsey Waddill

The second 2022 Notice of Benefit and Payment Parameters final rule (“2022 payment notice”) finalized changes that made cost-sharing limits $400 lower than what CMS had proposed in...