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.
Data Needs and Requirements Related to State-Based Marketplaces: Small Group Convening
The State Health Access Data Assistance Center hosted a Small Group Convening on May 30-31, 2013 in Minneapolis, Minnesota.
The State Health Access Data Assistance Center (SHADAC) hosted a Small Group Convening on May 30-31, 2013 in Minneapolis, Minnesota, bringing together state and federal officials as well as technical experts to discuss the varying data needs and reporting requirements related to state-based marketplaces (SBMs). The discussion highlighted data strategies for evaluation, federal reporting, operational decision-making and quality monitoring. The agenda, select presentations, and resources from the meeting can be found here.