Implications of the Enhanced PTC Expiration on the Rate Review Process
On Friday, April 18, State Health and Value Strategies hosted a webinar to discuss the Affordable Care Act enhanced premium tax credits (PTCs) which are currently set to expire at the end of 2025 without Congressional action, and the implications on states’ rate review process. If the enhancements expire, Marketplace premiums will increase and enrollment could substantially decrease. During the webinar, experts from Manatt Health brought together state departments of insurance and Marketplace officials to discuss ways to handle this uncertainty in the rate filing season and help states make sure their constituents understand how the loss of enhanced PTCs will impact various groups.
New CMS Proposed Rule: ACA Marketplace Integrity
On Tuesday, April 1, State Health and Value Strategies hosted a webinar on the Centers for Medicare & Medicaid Services’ (CMS) recently proposed regulation that would require several policy and operational changes for the Affordable Care Act Marketplaces and insurance rules. Many of the provisions would extend to State-Based Marketplaces and mandate adjustments to state insurance standards. During the webinar, experts from the Urban Institute and Georgetown University’s Center on Health Insurance Reforms (CHIR) provided a detailed overview of CMS’ proposed rule and discussed key operational and policy considerations for states.
Potential Impact of Federal Changes on State Healthcare Programs
On Wednesday, February 26, State Health and Value Strategies hosted a webinar discussing the Medicaid and Marketplace reforms under consideration by the new administration and the 119th Congress, including adjustments to program financing, eligibility, and other policy requirements, with potential broad implications for state Medicaid and Marketplace programs. During the webinar, experts from Manatt Health provided an overview of potential federal policy changes to Medicaid and Marketplace coverage programs, vehicles for advancing and anticipated timing of such changes, and implications for states.
Regulating Financialization in the Healthcare System: A Toolkit for States
This toolkit is intended to support states in understanding the landscape of financial activity in the healthcare sector. It identifies opportunities to strengthen a state’s regulatory framework to protect residents from the potential harms associated with financialization. The toolkit provides an overview of trends and a summary of the literature on the impact of financialization on the healthcare delivery system.
The Expiration of the PTC Enhancements: State-Specific Impacts
On Tuesday, October 29, State Health and Value Strategies hosted a webinar discussing the expiration of the enhanced premium tax credits (PTCs) under the American Rescue Plan Act of 2021, extended by the Inflation Reduction Act of 2022 and currently set to expire at the end of 2025. During the webinar, experts from the Urban Institute presented recent research to estimate the impact of the enhancements and examined key timing considerations for states related to the expiration or possible extension of the enhanced PTCs.
Protected: Convening: Affordable Health Coverage for Non-Citizen Populations
Resources related to our convening, Affordable Health Coverage for Non-Citizen Populations, held on June 27 and 28, 2024 in Denver, Colorado.
State Spotlight: New York’s Essential Plan Expansion: A Novel Use of Section 1332 Waiver Authority
On April 1, 2024, New York began covering residents in a new affordable coverage program made possible with a first-of-its-kind section 1332 waiver, reshaping the insurance market and allowing the state flexibility to design a program with people at the center.
Protected: Affordable Health Coverage for Non-Citizen Populations
Password protected resource page for members of the Affordable Health Coverage for Non-Citizen Populations affinity group.
State Facilitated Enrollment Resources
Many states have implemented policies that take advantage of existing consumer-state interactions to help individuals enroll in healthcare coverage more easily. To assist states in their efforts, SHVS and the Urban Institute have compiled materials that states have created for their facilitated enrollment programs.
Sample Social Media Messages for Open Enrollment
The open enrollment period (OEP) for health insurance Marketplaces will run from November 2023 to January 2024. This OEP will take place while most states are also conducting Medicaid renewals during the unwinding of the Medicaid continuous coverage requirement. State Health and Value Strategies has created sample messages and accompanying social media graphics to support states during the simultaneous Medicaid unwinding and open enrollment period.