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.
NGA Medicaid Expansion Analysis Tool Webinar
State Health Reform Assistance Network- Heather Howard; State Health Access Data Assistance Center- Elizabeth Lukanen; Center for Health Care Strategies- Shannon McMahon; Manatt Health Solutions- Deborah Bachrach
On September 27th, 2012, the National Governors Association (NGA) partnered with the State Network to host a webinar for state officials highlighting the Medicaid Expansion Analysis Tool in order to aid officials in their own state analyses. During the webinar, State Network experts from State Health Access Data Assistance Center, Center for Health Care Strategies, and Manatt Health Solutions walked through the cost and savings elements for Medicaid expansion financial analyses and state-specific assumption considerations. Additional financial impacts outside the table shell (e.g. disproportionate share hospital payments), as well as a list of state and national resources (with embedded hyperlinks), were included to help further guide states in conducting Medicaid expansion analyses.