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.
Operationalizing Oversight of ACA Insurance Market Reforms
Joel Ario, Managing Director, Manatt Health Solutions Sally McCarty, Senior Research Faculty and Project Director, Georgetown University Health Policy Institute
The Operationalizing Oversight of ACA Insurance Market Reforms webinar took place on January 28, 2013. Click the “download” box below to retrieve the slides. A recording of the webinar can be found here. Below is the write-up that promoted the webinar:
The State Health Reform Assistance Network is hosting a webinar to help states operationalize oversight of ACA insurance market reforms. The Affordable Care Act (ACA) requires states to undertake multiple reforms of their insurance market, including implementation of community rating, guarantee issue, and meaningful rate review. States must obtain legal authority to enforce the new market rules and develop the regulatory infrastructure to monitor compliance. The State Network webinar “Operationalizing Oversight of ACA Insurance Market Reforms” will review the responsibilities of states under the ACA, make practical recommendations on how regulators can gain needed authority for enforcement, and outline the process for federal enforcement if states are unable to meet their legal responsibilities under the ACA. Faculty for the Faculty for the webinar will include Joel Ario, Managing Director of Manatt Health Solutions and former director of the HHS Office of Health Insurance Exchanges, and Sally McCarty, Senior Research Faculty at the Georgetown University Health Policy Institute and former Indiana Insurance Commissioner and CCIIO staffer.