Affordable Care Act

4 Categories of Preventive Care Services Covered Under the ACA

by Kelsey Waddill

There are four types of services that private payers and employers are required to cover under the Affordable Care Act (ACA) preventive care services provision, which include screenings and...

Court Upholds ACA Preventive Care Compliance Amid Legal Proceedings

by Kelsey Waddill

The US Court of Appeals for the Fifth Circuit determined that employers and health insurers must maintain compliance with Affordable Care Act (ACA) preventive care services provision while the law...

22% of Employers Waver on Adhering to ACA Preventive Care Rules

by Kelsey Waddill

The coronavirus pandemic brought underscored the role of preventive care services in employee health, but in light of recent litigation, 28 percent of employers were either unsure of whether they would...

Uninsured Immigrants Face Significant Regulatory Barriers to Coverage

by Kelsey Waddill

Regulatory barriers present significant hurdles for uninsured immigrants seeking healthcare coverage, a report from the Urban Institute and the Robert Wood Johnson Foundation (RWJF) found. The...

Potential Outcomes of Basic Health Programs for States, Consumers

by Kelsey Waddill

Basic Health Programs (BHPs) can streamline coverage and increase coverage continuity for certain populations, but the cost to states will vary, a report from the Urban Institute shared. “The...

HHS Proposal Could Boost Health Insurance Coverage for DACA Recipients

by Victoria Bailey

The US Department of Health and Human Services (HHS) has released a proposal that would expand access to health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients. The...

DACA Recipients Might Gain Access to ACA, Public Payer Coverage

by Kelsey Waddill

The US Department of Health and Human Services (HHS) has announced plans to improve health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients, offering access to Affordable...

Personalized Outreach Impacts ACA Enrollment Among Low Income Households

by Kelsey Waddill

Personalized outreach could improve enrollment in the lowest-cost Affordable Care Act plans among low-income households, a study published in Health Affairs found. Using the Covered California...

Insurer Competition Contributes to Affordable Care Act Benchmark Premiums

by Kelsey Waddill

The benchmark premium on the Affordable Care Act marketplace rose between 2022 and 2023 after years of decreasing, a study from the Urban Institute found. Observing Affordable Care Act health...

Medicaid Eligibility Status Remains Elusive as Continuous Coverage Ends

by Kelsey Waddill

As the era of continuous coverage under the coronavirus public health emergency draws to a close, Medicaid beneficiaries remain unsure about the future of their Medicaid eligibility. “Medicaid...

Judge Rules That Employers Do Not Have to Cover Certain Preventive Care Services

by Kelsey Waddill

A US district judge ruled in Braidwood Management vs Becerra that employers do not have to cover preventive care services based on recommendations from US Preventive Services Task Force (USPSTF). Six...

60% of Privately Insured Patients Utilized Some ACA Preventive Care

by Sarai Rodriguez

Researchers from the Peterson-Kaiser Family Foundation (KFF) Health System Tracker discovered that in 2018, nearly 100 million privately insured Americans, or 6 out of 10, utilized some of the...

Why Employers Prefer Employer-Sponsored Health Plans Over Exchanges

by Kelsey Waddill

Large employers find that employer-sponsored health plans allow them to maintain control over employee health plan choice and healthcare spending in order to streamline coverage for their workforces,...

How to Fix ERISA Waivers to Pursue Employer Sponsored Health Plan Reform

by Kelsey Waddill

Preemptions in the Employee Retirement Income Security Act (ERISA) present barriers to healthcare reform in employer-sponsored health plans, but Congress can take steps to rectify these barriers, a...

Trends in Deductibles Among Affordable Care Act Marketplace Plans

by Kelsey Waddill

Updated 2/17/2023: This article has been updated to reflect a correction to the original data. The previous version of this article said that 26 percent of ACA plans had deductibles between $4,501...

ACA Marketplace Plans Denied Nearly 17% of In-Network Claims in 2021

by Victoria Bailey

Non-group qualified health plans (QHPs) on the Affordable Care Act (ACA) marketplace denied, on average, almost 17 percent of in-network claims in 2021, according to an issue brief from the Kaiser...

How States Can Prepare for 2023 Medicaid Redeterminations

by Kelsey Waddill

On April 1, 2023, states will begin the Medicaid redetermination process as part of the public health emergency unwinding. After anticipating this moment for the last two years, states finally received an official start date in the...

Proposed Rule Adds Contraceptive Coverage Pathway, Cuts Moral Exemption

by Kelsey Waddill

Under a newly proposed rule, the Biden administration would remove the moral exemption for health plan coverage of birth control while keeping the religious exemption intact, a fact sheet from the US...

CMS Announces ACA Special Enrollment Period during PHE Unwinding

by Kelsey Waddill

CMS announced that there will be a special enrollment period on the Affordable Care Act marketplace for individuals who lose their Medicaid coverage due to the public health emergency...

2023 Affordable Care Act Marketplace Enrollment Breaks Historic Records

by Kelsey Waddill

Affordable Care Act marketplace enrollment broke the previous all-time high by surpassing 16.3 million signups for the 2023 plan year, CMS and the Department of Health and Human Services (HHS)...