Literature Review | Sep 18, 2018

The Effects of Medicaid Expansion under the ACA: Select Articles Published Between January 1, 2018 and August 31, 2018

Deborah Bachrach, Patricia Boozang, Arielle Traub, and Olivia Floto, Manatt Health

Thirty-three states and the District of Columbia have expanded Medicaid since 2014. As experience with Medicaid expansion grows, states and independent researchers are generating studies that evaluate its impacts at both the state and national levels. This resource highlights articles published since January 2018 that report on those impacts, organized by health access and outcomes, economic impacts, and coverage impacts.


Expert Perspectives

October 13, 2021

ACA Marketplaces Well-Positioned for Strong 2022 Open Enrollment Season

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.