Federal Health Insurance Marketplace

5 States With Highest SEP Enrollment Rejected Medicaid Expansion

by Kelsey Waddill

CMS has released special enrollment period enrollment levels data, which has seen more than 500,000 new enrollees and will last another four months. “Access to quality, affordable health care is...

HHS Will Spend $50M on Outreach for Special Enrollment Period

by Kelsey Waddill

The US Department of Health and Human Services (HHS) and CMS announced that the Biden Administration would spend $50 million to advertise the special enrollment period. “We’re...

Biden Administration Extends Federal Special Enrollment Period

by Kelsey Waddill

The Biden administration has extended the federal special enrollment period on the Affordable Care Act marketplace until August 15, US Department of Health and Human Services...

Special Enrollment Period Boosts ACA Enrollment by 200k Enrollees

by Kelsey Waddill

The Affordable Care Act’s federal marketplace has gained 200,000 new enrollees since the beginning of the special enrollment period, the Biden administration announced. “These numbers are...

CMS Puts $2.3M Toward Navigator Funding for Special Enrollment

by Kelsey Waddill

CMS will be offering $2.3 million in additional navigator funding for grantees in light of the special enrollment period, the agency announced by email. “President Biden has made clear that...

Payer Orgs Outline Steps Toward Achieving Universal Coverage

by Kelsey Waddill

All Americans should have healthcare coverage and six steps can make universal coverage a reality, according to several significant healthcare organizations and entities including America’s...

White House Sets Up Federal Marketplace Special Enrollment Period

by Kelsey Waddill

The Biden administration has signed an executive order that sought to strengthen Medicaid and Affordable Care Act marketplace coverage and opened a special enrollment period on the Affordable Care...

Patient Navigators Call For Funding To Promote Marketplace Care Access

by Hannah Nelson

Patient navigators in charge of helping consumers on the Affordable Care Act (ACA) marketplaces have a number of recommendations for successful enrollment periods during the pandemic and beyond,...

ACA Federal Marketplace Sees 7% Enrollment Increase in 2021

by Kelsey Waddill

CMS has released its final snapshot for Affordable Care Act enrollment on the federal platform for the 2021 open enrollment period. This year’s open enrollment was unique in part due to the...

6 Strategies to Evolve the Affordable Care Act Marketplaces

by Kelsey Waddill

The Affordable Care Act marketplace presents many opportunities for developing new strategies and technological solutions, particularly for states that are transitioning to state-based marketplaces,...

CMS Says 8.2M Americans Enrolled on ACA Federal Exchange for 2021

by Kelsey Waddill

CMS has released preliminary data on the 2021 federal open enrollment season, which saw 8.2 million people select health plans on the Affordable Care Act federal exchange. “Annual enrollment...

CMS Proposes Reduced Exchange User Fees To Lower ACA Premiums

by Kelsey Waddill

CMS has proposed diminishing federal exchange fees in order to lower Affordable Care Act premiums on the federal exchange platform. This proposal comes as part of the 2022 payment...

Market Concentration Escalated in Small Group, Individual Markets

by Kelsey Waddill

The Government Accountability Office (GAO) has released a report finding high market concentration across the payer industry and that having increased health plan options does not necessarily reduce...

CMS Releases Final 2021 Payment Notice, Extends QHP Timeline

by Kelsey Waddill

CMS has released the final 2021 payment notice along with news that it will extend the qualified health plan timeline by one week to account for coronavirus uncertainties in premium rate...

14M Workers In Vulnerable Industries Are Medicaid, ACA Eligible

by Kelsey Waddill

Over 14 million workers in industries hit hard by coronavirus are eligible for Medicaid or subsidized healthcare insurance on the ACA marketplace if they become unemployed, regardless of whether they...

How Payers Use Special Enrollment Periods To Boost Coverage

by Kelsey Waddill

Health Care Service Corporation (HCSC) will be offering a special enrollment period for members of their group health insurance plans as many seek coverage in light of the growing pandemic. For more...

COVID-19 to Impact Employer-Sponsored Health Plans for 3.5M

by Kyle Murphy, PhD

New analysis paints a bleak picture for millions of workers covered by employer-sponsor health plans due to coronavirus-related layoffs. For more coronavirus updates, visit our resource page,...

Challenges in Adopting a State-Based Health Insurance Marketplace

by Samantha McGrail

As several states look to launch a state-based health insurance marketplace (SBM), experts warn that policymakers should weigh the decision carefully and pursue a marketplace only as part of a...

Despite Early Low Enrollment, Federal Exchange Enrollment Steady

by Kelsey Waddill

The 2020 federal exchange enrollment remained steady at around 8.4 million enrollees, CMS announced. However, CMS Administrator Seema Verma expressed dissatisfaction with enrollment. Her...

VC-Funded Payer Bright Health Secures $635M in Series D Round

by Kelsey Waddill

Bright Health Plan today announced that it has secured $635 million in Series D funding from the NEA, as VC-funded payers look to 2020. The funding was an oversubscription, exceeding the amount of...