Marketplace
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Marketplace Enrollment Among Those Losing Medicaid Coverage During Unwinding Increased by Nearly One-Third in the Second Month of Open Enrollment
As readers of Say Ahhh! know, I have been tracking monthly data (here, here, here, here, here, here, here and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination during unwinding who then selected a…
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Child Enrollment in the Marketplaces Rose by Nearly 40 Percent During 2024 Open Enrollment but Increase Offsets Only Modest Share of Child Medicaid Unwinding Enrollment Losses
On March 22, 2024, the Centers for Consumer Information and Insurance Oversight (CCIIO) at the Centers for Medicare and Medicaid Services (CMS) released more detailed information on the nearly 21.5 million people — a historic high by far — who enrolled in the Affordable Care Act’s marketplaces during the 2024 Open Enrollment Period. According to…
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Marketplace Enrollment Surges Among Those Losing Medicaid Coverage During Unwinding
As readers of Say Ahhh! know, I have been tracking monthly data (here, here, here, here, here and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination during unwinding who then selected a marketplace plan. …
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Latest Data Show Marketplace Enrollment Rate Up Slightly Among Those Losing Medicaid Coverage During Unwinding
As readers of Say Ahhh! know, I have been tracking monthly data (here, here, here, here and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination who then selected a marketplace plan. At the end…
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In August, Marketplace Enrollment Slowed Among Those Losing Medicaid Coverage During Unwinding
As readers of Say Ahhh! know, I have been tracking monthly data (here, here, here, and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination who then selected a marketplace plan. CMS has just issued…
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Marketplace Enrollment Rises Again in July But Still Represents Only Small Share of Those Losing Medicaid Coverage During Unwinding
As readers of Say Ahhh! know, I have been tracking monthly data (here, here, and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination who then selected a marketplace plan. CMS has just issued new…
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What’s New for 2024 Marketplace Enrollment?
By Emma Walsh-Alker, Georgetown University Center on Health Insurance Reforms The annual open enrollment period for Affordable Care Act (ACA) Marketplace coverage kicks off November 1 in most states. A number of new and ongoing policy changes will impact the Marketplace in 2024, including special enrollment opportunities tied to the Medicaid “unwinding,” continuing enhanced financial…
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Marketplace Enrollment During Medicaid Unwinding Ticked Up in June but Remained Modest
I have been regularly reporting on monthly data (here and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination who then selected a marketplace plan. At the end of September, CMS issued new data for…
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Update on Medicaid Unwinding and Marketplace Enrollment
I previously reported that according to data from the Centers for Medicare and Medicaid Services (CMS), of the 715,000 Medicaid beneficiaries who lost Medicaid coverage in April due to unwinding of the Medicaid continuous coverage protection, a total of about 54,000 people or 7.5 percent — who were either previously enrolled in Medicaid in March…
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Biden Administration Takes Step to Improve DACA Grantees’ Access to Health Coverage, Congress and States Should Do More
Following up on President Biden’s announcement earlier this month, HHS released a proposed rule that would make DACA grantees eligible for Marketplace coverage and some Medicaid/CHIP coverage. This is an important step in the right direction – removing unnecessary and unjustified barriers to health coverage for DACA grantees – but there is more work to…
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Children’s Marketplace Enrollment Increases Again, but Most Children Will Still be Eligible for Medicaid After Unwinding
When it comes to recent trends in children’s coverage, much attention has rightly focused on the significant child enrollment increases in Medicaid over the past few years due in large part to the Medicaid continuous coverage requirement. Although the Marketplaces cover far fewer children by comparison, child enrollment in Marketplace plans has increased substantially for…
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A World Without The ACA’s Preventive Services Protections: The Impact Of The Braidwood Decision
[Editor’s Note: On April 13, the U.S. Department of Justice requested a stay while it pursues an appeal of the Braidwood decision.) By Sabrina Corlette On March 30, 2023, a federal district court judge issued a sweeping ruling, enjoining the government from enforcing Affordable Care Act (ACA) requirements that health plans cover and waive cost-sharing for…
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DACA Grantees Move Step Closer to Affordable Health Coverage
The Biden Administration made an important announcement today – the Department of Health and Human Services (HHS) will soon release a proposed rule that would finally give Deferred Action for Childhood Arrivals (DACA) grantees access to health care coverage. Under current law, DACA grantees are ineligible for Medicaid, CHIP, and Marketplace coverage even though other,…
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Celebrating Health Care Gains Ushered in by Affordable Care Act
It’s been 13 years since the Affordable Care Act (ACA) was signed into law. At the time my daughter was in elementary school and I didn’t much think about what would happen to her health insurance – but now as she seems very grown up and is about to graduate from college and search for…
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The ACA’s Preventive Services Benefit Is in Jeopardy: What Can States Do to Preserve Access?
By Justin Giovannelli, Sabrina Corlette, and Madeline O’Brien, Georgetown University Center on Health Insurance Reforms A federal judge is poised to gut one of the most popular provisions of the Affordable Care Act (ACA). The ACA requires that most private health plans cover preventive services, such as certain cancer screenings and immunizations, without imposing cost sharing on…
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States Leading the Way on Connecting All Children with Health Coverage – Will Congress Follow?
According to the Urban Institute, over half of the remaining uninsured children are eligible for Medicaid or the Children’s Health Insurance Program (CHIP) but unenrolled. About a third of uninsured children are ineligible for Medicaid or CHIP because their family income exceeds the eligibility thresholds. Another 10% are ineligible for Medicaid/CHIP because of their immigration…
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What’s New for 2023 Marketplace Enrollment?
By Emma Walsh-Alker, Georgetown University Center on Health Insurance Reforms The annual open enrollment period for marketplace coverage is right around the corner. There are many new policies impacting the marketplace in 2023, including an extension of enhanced financial assistance through the Inflation Reduction Act; a federal fix to the “family glitch” that will create…
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Standards for Provider Network Adequacy in Medicaid and the Marketplaces
The Centers for Medicare & Medicaid Services (CMS) has issued final rules for provider network adequacy in Qualified Health Plans (QHPs) offering coverage in the Marketplaces that the federal government operates through HealthCare.gov. Under these rules, which come with the snappy title, “Notice of Benefit and Payment Parameters” and the even snappier initialism (NBPP), CMS…
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Updated Breast Pump Coverage Guidelines Provide Important Protections for Families But More Guidance May Be Needed to Increase Access
By Christine Monahan As a new mom to a seven-month old (hi Baxter!), I’ve been on a crash course in breastfeeding since he was born. I’ve quickly learned that breastfeeding isn’t easy and, despite the claims, it isn’t free. And I better understand why so few families meet the American Academy of Pediatrics (AAP) recommendation to feed infants only breastmilk for their…
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More Children Enrolled in ACA Marketplace Coverage in 2022, But Marketplaces Still Remain Modest Source of Health Coverage for Children
Medicaid and the Children’s Health Insurance Program (CHIP) currently cover more than 40 million children. In comparison, relatively few children rely on the marketplaces for their health coverage. But new data released by the Centers for Medicare & Medicaid Services (CMS) show 1.3 million children were enrolled in marketplace plans during the 2022 Marketplace Open…
