If the ARPA subsidy schedule expires, increases for subsidized enrollees will be higher than KFF forecasted| xpostfactoid
Mitigation, the game we have to play| xpostfactoid.substack.com
Suit alleges orders are arbitrary and capricious, coercive, and unconstitutional| xpostfactoid
For RFK Jr. and Pam Bondi, deterring "illegal immigration" trumps all other public policy goals| xpostfactoid.substack.com
The enactment of the Republicans’ monstrous budget bill in one sense sets politics and policy at odds, at least for Democrats.| xpostfactoid.substack.com
Republican legislators who wrote the Medicaid provisions of their monstrous megabill are acting on a simple belief: low-income nonelderly adults who lack access to affordable employer-sponsored health insurance should not have access to affordable health coverage.| xpostfactoid
Third and probably last in a series at nj.com.| xpostfactoid
It's always back to the future with them...| xpostfactoid.substack.com
More than halving, actually| xpostfactoid
The legislative aggression goes beyond barring coverage for the undocumented| xpostfactoid.substack.com
In the ARPA enhanced subsidy era, off-exchange enrollment in New Jersey dropped 30%| xpostfactoid
In both Medicaid and the ACA marketplace, enrollees with income modestly above 100% FPL will see costs increase| xpostfactoid
Estimate "seems low" -- KFF's Larry Levitt, Brookings' Matt Fiedler, and Georgetown's Edwin Park agree| xpostfactoid.substack.com
Will the formerly Democratic South Jersey House rep abandon his promise to protect Medicaid?| xpostfactoid
Republicans are hiding the ball -- and fooling reporters -- by suggesting that states are free to pick up the offloaded cost.| xpostfactoid
Their letter vows to protect coverage for "vulnerable populations" -- from which low-income adults are pointedly excluded| xpostfactoid.substack.com
Forgive me for slipping into Ancient Mariner mode here, but I must again voice my obsessive plea to elected Democrats, healthcare advocates, and all those who don’t won’t to see 15-20 million Americans uninsured: Defend the ACA Medicaid Expansion!| xpostfactoid
Republicans are likely to attack benefits for low-income adults, not the elderly, children or the disabled| xpostfactoid.substack.com
Kean signaled in code that he's on board with defunding the ACA Medicaid expansion. His two Republican colleagues in NJ's House delegation, in the same code, signaled that they would prefer not to.| xpostfactoid
Auto re-enrollment almost doubled year-over-year in states using HealthCare.gov| xpostfactoid.substack.com
The funding may not be entrenched, but maybe the benefit is| xpostfactoid.substack.com
JD Vance sketched out an extension of Trump's past actions to, um, "build on" the ACA| xpostfactoid.substack.com
The amended complaint in a putative class action suit alleges that dozens of health insurance agencies were involved in unauthorized plan-switching| xpostfactoid.substack.com
Unauthorized plan-switching in the ACA marketplace, whereby health insurance agents access an existing enrollee’s account, list themselves as the agent of record (AOR), and switch the enrollee into a different plan without the enrollee’s knowledge or consent (or with nominal, uncomprehending consent), obviously hurts enrollees who try to use their health insurance and find that they’re no longer enrolled because they’ve been switched to a different (often inferior) plan.| xpostfactoid.substack.com
The marketplace's role as an escape valve for some in the "coverage gap" in nonexpansion states continues to expand| xpostfactoid.substack.com
A response to Brian Blase| xpostfactoid.substack.com
Well, not 50. But there are varying degrees of sloppy practice and fraud| xpostfactoid.substack.com
The marketplace necessarily invests a lot of trust in brokers and agents. But HealthCare.gov needs new fraud controls.| xpostfactoid.substack.com
A May 2023 CMS presentation to health insurance agents and brokers selling ACA marketplace plans opens on a celebratory note.| xpostfactoid.substack.com
CMS has published its 2024 Marketplace Open Enrollment Period Public Use Files, providing detailed breakouts of enrollment by income, metal level selection, demographics, etc.| xpostfactoid.substack.com
CMS does not want to kill the golden goose enabling enrollment growth| xpostfactoid.substack.com
The suit sheds apparent light on several questions about how unauthorized plan-switching appears to have been executed at scale| xpostfactoid.substack.com
Enrollment gains 100-138% FPL in nonexpansion states in 2023-24 exceed KFF's 2022 estimates of the uninsured in this income bracket| xpostfactoid.substack.com
But the enrollment "growth gap" between nonexpansion states and expansion states narrowed this year| xpostfactoid.substack.com
More or less simultaneously with CMS’s announcement that 15.3 million people had enrolled in health plans via HealthCare.gov through December 15, HealthSherpa announced that 6.1 million of those enrollments were effected through its platform.| xpostfactoid.substack.com
During the pandemic, have SBMs been drawing new enrollees from a (relatively) smaller pool than other states?| xpostfactoid.substack.com
Enrollment in Texas and Florida combined has increased by 2.4 million in those years| xpostfactoid.substack.com
Most enrollments on HealthCare.gov...aren't on HealthCare.gov| xpostfactoid.substack.com
Going forward, individual market insurers in NJ will *not* be allowed to presume that enrollees over age 65 are eligible for Medicare| xpostfactoid.substack.com
You're not eligible for Medicare? Prove it.| xpostfactoid.substack.com
Silver plan selection drops among enrollees with income up to 200% FPL| xpostfactoid.substack.com
Will a push or a nudge into silver change much?| xpostfactoid.substack.com
Proposed rule would reduce chaos in a market now replete with near-meaningless choices| xpostfactoid.substack.com
When narrow-network health plans dominate the lowest price offerings in an ACA marketplace, some low-income enrollees may select bronze plans to gain access to needed doctors and hospitals| xpostfactoid.substack.com
Update, 5/1/23: Please see the next post, which details how SBMs provide early information to enrollees that makes auto re-enrollment more commonly feasible and less risky than in the FFM.| xpostfactoid.substack.com