Affordable Care Act

The Role of Affordable Care Act Premium Tax Credits in the Payer Industry

by Kelsey Waddill

The Affordable Care Act marketplace premium tax credits were introduced in 2010 and continue to play an integral role in US health insurance. A Google search on premium tax credits will demonstrate...

ACA Improved Access to Health Insurance for People with Schizophrenia

by Victoria Bailey

The Patient Protection and Affordable Care Act (ACA) helped boost health insurance coverage for individuals with schizophrenia, according to data published in JAMA Psychiatry. Between 0.25 percent and...

CMS: 15.9M Enrollees Have Selected ACA Marketplace Plans for 2023

by Victoria Bailey

Nearly 16 million people have enrolled in Affordable Care Act (ACA) marketplace plans since the 2023 marketplace open enrollment period began, including 3.1 million new enrollees and 12.8 million...

High Perceived Healthcare Costs Limit Coverage Access for Uninsured

by Victoria Bailey

High perceived healthcare costs are the biggest barrier to health insurance for the uninsured population, according to a survey conducted on behalf of Florida Blue. The online survey polled uninsured...

Affordable Care Act Marketplace Enrollment Up by 1.8M From Last Year

by Victoria Bailey

Affordable Care Act (ACA) marketplace enrollment has grown 18 percent from last year, with 11.5 million people signing up for coverage as of December 15, 2022, HHS announced. “Unprecedented...

Understanding the Different Metal Plans in the ACA Marketplace

by Victoria Bailey

The Affordable Care Act (ACA) marketplace allows individuals to purchase health plans through the federal insurance marketplace or state-based marketplaces, depending on the state. HealthCare.gov offers four categories of health plans...

7 Key Changes to ACA Enrollment, Plan Selection in 2024 Proposed Rule

by Kelsey Waddill

The Biden administration has released its 2024 Notice of Benefit and Payment Parameters Proposed Rule which focused on streamlining Affordable Care Act health plan selection, simplifying Affordable...

High Deductibles Create Barriers to Screening Mammograms, Follow-Up Tests

by Victoria Bailey

High deductibles may discourage women from receiving follow-up testing after an abnormal mammogram, with one in five saying they would skip additional imaging if they knew they had to pay a deductible,...

Plan Value, Expected Care Use Drove ACA Consumers into Uninsurance More than Cost

by Kelsey Waddill

Among Californians enrolled in the Affordable Care Act marketplace, perceptions about plan value and expectations about how often they would need healthcare services were more likely to motivate them...

AMA Defends Affordable Care Act’s Preventive Care Coverage Requirement

by Kelsey Waddill

The American Medical Association (AMA) defended the Affordable Care Act’s preventive care coverage requirement in an amicus brief in the case of Braidwood Management Inc, et al v Becerra. The...

How Health Insurance Coverage Varies Across, Within Families

by Victoria Bailey

The Affordable Care Act (ACA) increased access to Medicaid and group health insurance, but the family glitch created a barrier to non-group coverage, leading to variations in health insurance coverage...

Early 2023 Affordable Care Act Marketplace Enrollment Exceeds 2022 Trends

by Kelsey Waddill

Since enrollment season began on November 1, the number of signups on the Affordable Care Act marketplace for the 2023 plan year has significantly outpaced the enrollment levels from the same timeframe...

Top 5 States with the Highest Levels of Healthcare Spending

by Kelsey Waddill

In the top five states with the highest healthcare costs, residents may struggle to cover children’s medical bills, face burdensome premiums, or forego care due to high out-of-pocket healthcare...

Better Access to Health Insurance Coverage Boosted Healthcare Use

by Victoria Bailey

One in five Americans received regular healthcare during the COVID-19 pandemic due to increased access to health insurance coverage resulting from enhanced marketplace subsidies and Medicaid...

2022 Marketplace Enrollment Grew Significantly for Black, Latino Enrollees

by Victoria Bailey

Marketplace enrollment through HealthCare.gov grew significantly between 2020 and 2022, with Latino and Black enrollees seeing the highest respective increases of 53 percent and 49 percent, according...

CMS Expects More Americans Will Qualify for Affordable Care Act Coverage in 2023

by Kelsey Waddill

Consumers can start checking out Affordable Care Act marketplace health plans ahead of the 2023 open enrollment season, the Biden Administration announced. “All families have the right to...

Outreach from State-Based Marketplaces Increased 2022 ACA Enrollment

by Victoria Bailey

State-based marketplaces employed several outreach methods during the 2022 open enrollment period to boost health plan enrollment among uninsured individuals, including data-based efforts and...

Personalized Phone Calls, Emails Boosted ACA Enrollment Rate in CA

by Victoria Bailey

Personalized phone calls combined with email reminders were an effective outreach method for former Medicaid beneficiaries transitioning to Affordable Care Act (ACA) coverage, as the approach led to a...

Brokers, Assisters Share Affordable Care Act Marketplace Consumer Trends

by Kelsey Waddill

Assister programs and brokers found that consumers lacked awareness about Marketplace subsidies and rules and experienced delays in receiving their final eligibility determination, according to a...

Subsidies Drive Individual Health Insurance Marketplace Enrollment

by Kelsey Waddill

Enrollment on the individual health insurance marketplace has grown with most enrollees finding their health plan through the Affordable Care Act marketplace, according to enrollment data compiled by...