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.
Preparing for 2014: Findings from Research with Lower-Income Adults in Three States
GMMB and Lake Research Partners
In 2014, millions of Americans will be eligible to enroll in Medicaid for the first time. To help states develop effective strategies and messages to promote enrollment when the program expands, GMMB in coordination with Lake Research Partners conducted in-depth qualitative and quantitative research through the State Network with people who will be newly eligible in 2014 in Alabama, Maryland, and Michigan.
“Preparing for 2014: Findings from Medicaid Research with Lower-Income Adults in Three States” highlights findings on perceptions of Medicaid, motivations and barriers to enrollment, views of the Exchange, desired enrollment experiences, and effective messages. “Preparing for 2014: Methods & Instruments for the Survey Research in Three States” overviews the survey methodology and questionnaire items utilized to conduct this survey.