Marketplace Issues/Stability

Jan 17, 2018
A report released today by the AHA offers state-level strategies to help stabilize the Health Insurance Marketplaces. “Given the unique characteristics of each state, there is no single option that would work for all states, and all of the options come with implementation hurdles,” the report…
Feb 14, 2018
The House Energy and Commerce Subcommittee on Oversight and Investigations today held a hearing examining the impact of health care consolidation, which featured academic witnesses. In a letter submitted to the committee, AHA Executive Vice President Tom Nickels said, “If there was ever any…
Feb 8, 2018
The Centers for Medicare & Medicaid Services yesterday announced funding for states to plan and implement certain health insurance market reforms under the Affordable Care Act. The agency’s Center for Consumer Information and Insurance Oversight expects to award a total of about $8.1 million in…
Jan 26, 2018
AHA response to HHS' request for information regarding barriers to choice and competition and proposed solutions to facilitate the development and operation of a health care system that provides high-quality care at affordable prices for the American people.
Jan 17, 2018
The Health Insurance Marketplaces established by the Affordable Care Act (ACA) have become an important source of coverage for more than 10 million Americans, many of whom receive federal subsidies to reduce the cost of coverage. However, many of the Marketplaces are exhibiting signs of instability, including volatility in plan participation and significant year-over-year premium rate increases. If instability is not addressed, insurers may choose not to sell in a Marketplace, leaving consumers without options for coverage and without the ability to access federal premium and cost-sharing…
Jan 17, 2018
Throughout 2017, Congress has debated repeal and replace (or repair) of the Affordable Care Act. While flawed, the ACA has expanded coverage to more than 20 million individuals. Yet, it is unclear whether these gains will be maintained given uncertainty in the health insurance market.
Dec 18, 2017
House Republicans Friday reached an agreement with the current administration and certain states in their lawsuit challenging the Obama administration for reimbursing insurers for cost-sharing reductions provided through the Health Insurance Marketplace. Under the agreement, the parties would ask…
Nov 27, 2017
AHA expresses concerns that several of the proposals would reduce patient access to care, including some that could result in health plans that cover fewer benefits and expose patients to greater cost sharing.
Nov 9, 2017
Today's dynamic health care marketplace has created an environment in which some hospitals and health care systems are operating a health plan - either on their own or in partnership - as part of their strategy to advance health in their communities.
Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors. There are increasing examples of health care systems and hospitals partnering with provider and commercial health…