A new issue brief from the Commonwealth Fund addresses health insurance company’s profitability under the ACA. The issue brief is entitled “How Has the Affordable Care Act Affected Health Insurers’ Financial Performance?” Some of the main takeaways show that insurance companies that lost money under the ACA had not been profitable prior to the ACA […] Read More »

Yesterday, the Centers for Medicare and Medicaid Services (CMS) released the enrollment manual for the Small Business Health Options Program (SHOP). The manual applies to the upcoming open enrollment period for 2017 (OE4) and applies to any of the SHOPs in states where the SHOP is federally facilitated. The manual also addresses some issues in the individual marketplace including […] Read More »

Today, the Centers for Medicare & Medicaid Services (CMS) released the Eligibility Determinations and Enrollment Report from April 2016. To read the report from CMS, click here. CMS also reported the effectuated enrollment numbers for the Marketplace as of March 31, 2016. To read the CMS fact sheet on these enrollment numbers, click here. Both of these reports […] Read More »

A new study by the Commonwealth Fund looks at the financial cost to consumers in states who have not expanded Medicaid. The study entitled “How Much Financial Protection Do Marketplace Plans Provide in States Not Expanding Medicaid?” points out that lack of Medicaid expansion hurts not only those below the federal poverty level (FPL) but those who […] Read More »

There has been a lot of discussion on a few health insurance carriers leaving the marketplace and how that will affect consumers who are enrolled in plans offered by these companies. On Friday, CMS released guidance in the form of FAQs on what will occur with these consumers when re-enrollment occurs this fall. To download […] Read More »