Webinars | Nov 19, 2015

1332 State Innovation Waivers: Lessons Learned from the Basic Health Program

Manatt Health Solutions

The State Network 1332 Waivers Affinity Group webinar series continued with a new presentation from the team at Manatt Health Solutions. This webinar focused on funding issues, and dove into the mechanics of repurposing existing federal subsidies under a different coverage affordability model.  This ongoing series has included presentations providing an overview of the basics around these waivers, including statutory guardrails, discussions on what can and cannot be waived, potential opportunities available to states through the waiver process, and potential coordination between 1332 and 1115 waivers.  Prior installments of this webinar series are available in the State Network 1332 Waivers Resource Library.


Expert Perspectives

October 13, 2021

ACA Marketplaces Well-Positioned for Strong 2022 Open Enrollment Season

With the Patient Protection and Affordable Care Act’s (ACA’s) ninth open enrollment period (OEP) set to launch in less than a month, the ACA Marketplaces are seeing record enrollment numbers with more generous subsidies, new carrier competition, and a relatively stable rating environment. At the same time, there is uncertainty with the trajectory of the COVID-19 pandemic and medical costs trending upward as the economy recovers, albeit at an uneven pace. These trends have made for a challenging rate review process in the 47 states plus the District of Columbia (D.C.) that conduct their own ACA rate reviews of carrier-proposed rates using federal review standards. State announcements of 2022 rates have trickled out at a slower pace than in prior years, and it is likely that many states will not publish their approved rates until the beginning of open enrollment. As always, state rate results vary widely and, even within states, there often are substantial variations among carriers and across different regions in geographically diverse states. With these caveats, this expert perspective highlights some observations about the factors that are impacting rate changes this year and the kind of variations that exist among states.