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Previewing a House GOP Leaders’ Health Plan, #5: Market Rules and Consumer Protections

May 11, 2016

Any health plan from House GOP leaders would likely scrap much, if not all, of the Affordable Care Act’s (ACA) most popular feature: the market reforms that allow a broad array of people — including those with pre-existing conditions — to buy insurance that meets minimum coverage standards in the individual and small-group...

Health Insurance Form

Health Reform’s Innovation Waivers Can’t Raise Deficit

April 28, 2016

Ever since health reform (the Affordable Care Act or ACA) became law in 2010, some state officials and policy experts have continued suggesting that its “state innovation waivers” will let states make sweeping changes to health reform and Medicaid beginning in 2017.  But let’s be clear: the law...

health reform american flag

Insurers’ Claims About Special Enrollment Periods Deserve Tougher Scrutiny

February 25, 2016

For months, insurers have claimed that people are abusing special enrollment periods (SEPs), which allow people to newly enroll in a marketplace health plan (or change plans) outside the regular open enrollment period if they experience a major life change such as having a child, getting married, moving, or losing other coverage.  Insurers won a major victory this week when the Department of...

Health Reform - Health Form and Stethoscope

To Make Marketplaces Work Best, Enroll More People — Not Fewer

January 21, 2016

January 25, 2016: This post has been updated to reflect that the current open enrollment period is for 2016 coverage.

Health insurers...

Baby at Doctor's Appointment

Open Enrollment for Small Businesses Eases Path to Covering Workers

October 26, 2015

While the next open enrollment period for individuals and families to buy marketplace coverage for 2016 will get significant focus, health reform has another open enrollment period that also deserves attention...

Ending Subsidies for New Enrollees Would Drive Up Premiums, Threaten Health Marketplaces

June 19, 2015

Congressional Republican health plans, developed in case the Supreme Court invalidates health insurance subsidies in states with federal marketplaces, purport to help the 6.4 million people now receiving subsidies.  But they do nothing for new enrollees who would otherwise be eligible for subsidies.  That’s a big problem for millions of potential enrollees and for the marketplaces’ future....

Health Reform - Health Form and Pencil

New Republican Proposal Would Leave Millions Uninsured or Underinsured

June 11, 2015

With the Supreme Court decision in King v. Burwell looming, another Republican legislative proposal seeks to use that decision to undo most of health reform, likely leaving millions of low- and moderate-income enrollees in federal marketplaces uninsured or substantially underinsured.


Doctor Holding Hands

Critics’ Portrayal of Health Reform Doesn’t Match Reality

March 5, 2015

As we explained yesterday, many of the benefits that three key House Republican committee chairs claim their health plan will offer are things that health reform already...

Fewer People Having Trouble Paying Medical Bills

January 20, 2015

Fewer people skipped needed health care due to its cost or reported trouble paying medical bills in 2014, a new survey finds.  These improvements, the first since the Commonwealth Fund began asking these questions roughly a decade ago, came as health reform’s...

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Another Health Reform Attack Falls Flat

October 2, 2014

Many health reform opponents warned that people buying health insurance in the individual market would face a sharp, pervasive spike in premiums.  The Manhattan Institute predicted that “Obamacare” would bring double-digit...