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Tag Archives: ACA Marketplace

The Trump Administration Side-Stepped Rulemaking Processes on the ACA’s State Innovation Waivers— And it Could Make Their New Section 1332 Guidance Invalid

If the 2018 guidance is in fact a legislative, rather than interpretative, rule, then the agencies’ attempt to adopt it without notice and comment is impermissible, and that may have significant implications for future litigation. (more…)

States Have Already tried Trump’s Healthcare Order. It went Badly.

Like many appealing ideas, this one, proposed by Sen. Rand Paul (R-Ky.), has hidden land mines that are already well-mapped out based on previous failed attempts to enact them, even in Paul’s home state of Kentucky. (more…)

How Would the Revised Senate Health Care Bill Affect Individual Market Premiums in 2026 and Over the Long Run?

We find that the current population of individual market enrollees would pay more for the same level of coverage under the BCRA than under current law, before accounting for any premium tax credits for which individuals may be eligible. (more…)

New Data on Sign-ups Through the ACA’s Marketplaces Should Lay “Death Spiral” Claims to Rest

Comparing enrollment changes across states implies that Marketplace premium increases had little if any impact on Marketplace sign-ups, providing strong evidence against claims that these increases would send the individual market into a “death spiral.” (more…)

Why Risk Adjustment is a Crucial Component of Individual Market Reform

In order to mitigate incentives for insurance companies to avoid sicker patients, policymakers will need to include a risk adjustment program in any replacement reforms that require insurers to issue insurance to any applicant and set limits on adjusting premiums to fully reflect an enrollee’s health status. (more…)

Affordable Care Act Premiums are Lower Than You Think

Though news stories have focused on premium increases, analysis shows the ACA marketplaces have been successful in lowering premiums for consumers while simultaneously providing better insurance. This blog post is part of the Schaeffer Initiative for Innovation in Health Policy, a collaboration between the Brookings Institution and the USC Schaeffer Center for Health Policy & Economics. (more…)

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