The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021 as a signature effort to assist in the recovery from the COVID-19 pandemic and the related economic downturn. Included as part of the sweeping legislation is a program to fully subsidize COBRA coverage for six months starting in April of 2021. This expert perspective provides a short overview of COBRA and mini-COBRA, the major elements of the ARPA COBRA Assistance program, and considerations for state policymakers related to the program.
Ten Considerations for States in Linking Medicaid and the Health Benefit Exchanges
Center for Health Care Strategies – Carolyn Ingram, Suzanne Gore and Shannon McMahon
An estimated 27 million people will gain coverage through Medicaid or private qualified health plans via the new health insurance exchanges once the Affordable Care Act (ACA) is fully implemented in 2014. It is estimated that a significant percentage of those obtaining coverage will have income fluctuations that will change their eligibility status between public and private coverage options offered through the exchanges. This brief, authored by the Center for Health Care Strategies, analyzes opportunities for linkages between public and private coverage, explaining that linkages should seek to streamline administration across programs and facilitate seamless transitions between programs. Continuity of benefits, providers and health plans is critical to ensuring seamless affordable coverage for exchange consumers. This brief outline an approach for states and continuity issues that should be considered while implementing ACA’s exchange and Medicaid expansion requirements.