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.
State Milestones for ACA Implementation
Manatt Health Solutions
This State Milestones document, prepared by Manatt Health Solutions, identifies critical Affordable Care Act (ACA) implementation milestones states are striving to achieve by the end of 2012. Organized under the major areas of Health Insurance Exchange, Private Insurance Market Reforms and Medicaid Expansion, these milestones are key checkpoints for states to stay on track towards obtaining federal approval for state-based exchanges and meeting 2014 implementation deadlines. This document may be used to inform and educate various audiences, including public officials and health care stakeholders, regarding the priorities for state health care reform through the end of the year.