Federal Health Insurance Marketplace

Employer-Sponsored Insurance Still Cost-Prohibitive for Workers

by Kelsey Waddill

Even the promise of employer-sponsored insurance could not increase healthcare coverage for individuals facing increasingly high premiums, according to a Kaiser Family Foundation study. The...

ACA Enrollment Has New Star Ratings, Enhanced Direct Enrollment

by Kelsey Waddill

In 2020, the Affordable Care Act (ACA) enrollment process will feature quality star ratings, Enhanced Direct Enrollment (EDE), health reimbursement accounts (HRAs) resources, and a more...

Healthcare Coverage Informs Job Decisions For 50% of Americans

by Kelsey Waddill

The fear of having no healthcare coverage drives Americans’ decisions regarding employment, according to a recent study by the TransAmerica Center for Health Studies. The study surveyed 3,760...

NJ Prepares for Consumer Activity on State-Based Exchanges

by Kelsey Waddill

The New Jersey Department of Banking and Insurance announced that it will offer $2 million for health navigators to help enrollees and re-enrollees with the transition from a federal-facilitated...

Members with Pre-Existing Conditions May Be Impacted by ACA Debate

by Kelsey Waddill

If the Affordable Care Act (ACA) was not in effect in 2018, 45 percent of families would have one non-elderly adult with a pre-existing condition for which they might be declined from healthcare...

More Payers Will Join ACA Health Insurance Marketplace In 2020

by Kelsey Waddill

After seven years of instability and decreasing involvement from payers, the Affordable Care Act exchanges, or the federal health insurance marketplace, will expand in 2020, the Robert Wood Johnson...

Off-Exchange Individual Health Plans Have Highest Disenrollment

by Kelsey Waddill

The individual health insurance market decreased another five percent in the beginning of 2019 following the individual mandate repeal, the Kaiser Family Foundation (KFF) reported. After the enactment...

CMS Adds Star Ratings System to Show Plan Quality on ACA Exchanges

by Kelsey Waddill

Plans on the federal health insurance exchange will publicly display quality ratings on a five-star system in plan year (PY) 2020, CMS announced. The quality ratings will be available for the 2020 open...

IN 1115 Waiver Amendment Helps Members Transition to Commercial Plans

by Kelsey Waddill

Indiana submitted an application for an amendment to the state’s Healthy Indiana Plan Section 1115 Demonstration that would help transition members off of the HIP and into commercial coverage....

AMA: Fix ACA Premium Tax Credits and CSR to Cover Uninsured

by Kelsey Waddill

The annual meeting of the AMA House of Delegates reaffirmed the organization’s commitment to decreasing the number of uninsured individuals through the Affordable Care Act’s (ACA) premium...

Humana Squashes Proposed Merger with Centene, WellCare

by Kyle Murphy, PhD

In a rare move for the health payer, Humana has brought an end to the rumors of a merger with competitor Centene. Humana broke with company policy to not comment on potential merger and acquisition...

Eligibility, Cost Sharing Key Factors for Single-Payer Health Insurance

by Jessica Kent

Eligibility, cost sharing, and the role of private health insurance will be among the primary concerns for policymakers if they choose to design a single-payer health insurance system in the US,...

GAO: 3 Largest Payers Hold 80% of Private Health Insurance Market

by Jessica Kent

The private health insurance market remains concentrated among a small number of payers, with the three largest companies holding 80 percent or more of the market, a recent GAO report found. Three or...

11.4M Consumers Selected ACA Health Insurance Exchange Plans in 2019

by Jessica Kent

Approximately 11.4 million consumers either selected or were automatically re-enrolled in Affordable Care Act (ACA) health insurance exchange plans during the open enrollment period in 2019, according...

Trump Administration Backs Scrapping Entire Affordable Care Act

by Jennifer Bresnick

The Trump Administration is leaving no more ambiguity about its opposition to the entirety of the Affordable Care Act.  In a brief legal memo released this week, three Department of Justice...

New Jersey to Establish State Health Insurance Exchange

by Jennifer Bresnick

New Jersey will move away from the federal insurance marketplace and transition to a state health insurance exchange in 2021, Governor Phil Murphy announced last week. The Democratic governor...

Revised Tax Policies Needed to Reduce Individual Market Premiums

by Jessica Kent

Policymakers should revise current tax policies and work to eliminate financial barriers to health insurance in order to reduce individual market premiums, says a new brief from the Blue Cross Blue...

CMS Seeks Comment on Purchasing Health Insurance Across State Lines

by Jennifer Bresnick

CMS is soliciting public comments on strategies that would allow enrollees to purchase health insurance across state lines in an effort to increase competition and improve affordability for...

House Joins Senate in Urging Delay of Health Insurance Tax

by Jennifer Bresnick

Democrats and Republicans from the House of Representatives have joined their Senate colleagues in introducing legislation to delay the ACA Health Insurance Tax for several years. Representatives...

Payers, Trade Groups Defend Silver-Loading in Comments to CMS

by Jennifer Bresnick

Major health payers and representative trade groups are urging CMS not to eliminate the practice of silver-loading, which has been used to stabilize premiums in a volatile and unpredictable market. In...