Impact of National Health Reform and State-Based Exchanges on the Level of Competition in the Nongroup Market
Wakely Consulting Group – Jon Kingsdale and Jason Aurori
This brief, prepared by Wakely Consulting Group, analyzes health plan participation in 10 state-based exchanges to provide an early indicator of the level of competition that market reforms and state-based exchanges are generating. In sum, carrier participation increased by 35 percent (52 to 70 issuers) when comparing the number of issuers applying to nongroup exchanges versus the number in the pre-reform base year. One of the objectives of the Affordable Care Act (ACA) is to enhance competition through reform of the nongroup insurance market, including new market and rating rules and reliance on public health insurance exchanges. More health plans increases consumer choice, and encourages carriers to compete on both quality and cost of care.
The Robert Wood Johnson Foundation issued a press release on June 17, 2013 regarding this brief.
On September 8, the Department of Homeland Security (DHS) issued a final rule on the “Public Charge Ground of Inadmissibility,” regarding DHS’ authority to refuse a noncitizen’s application for admission or application for visa adjustment (including receipt of a green card) on grounds that they are “likely at any time to become a public charge.” This expert perspective provides an overview of the final rule.
This expert perspective provides an overview of the eligibility and enrollment proposed rule released by CMS on August 31 and details how the proposed rule seeks to strengthen existing eligibility, enrollment, and renewal operational processes in an effort to close gaps in coverage and extend best practices identified by CMS and states in the course of preparing for unwinding the federal public health emergency (PHE). Comments on the proposed rule are due no later than November 7, 2022.