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Trending on kff Enrollment Marketplaces Medicare Advantage

Created by the Affordable Care Act, Health Insurance Marketplaces, also known as Exchanges, will be set up to facilitate a more organized and competitive market for buying health insurance. Beginning in 2014, Marketplaces will serve primarily individuals buying insurance on their own and small businesses. Federal subsidies in the form of premium tax credits will be available to consumers meeting incomes requirements to make the coverage more affordable. States are expected to establish Marketplaces–which can be a government agency or a non-profit organization–with the federal government stepping in if a state does not set one up. This page highlights some key resources examining Marketplaces and provides you with the standard search result page for a site-wide search on the Marketplaces tag.

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Sizing Up Exchange Market Competition

This issue brief offers an early look into how competitive the health insurance exchanges (also called marketplaces) are under the Affordable Care Act in selected states. Through analysis of enrollment data released by seven states (California, Connecticut, Minnesota, New York, Nevada, Rhode Island, and Washington) this brief finds that exchange markets in California and New York are shaping up to be more competitive than their individual markets were in 2012 while those of Connecticut and Washington show less competition. In several states, market shares of individual insurers have shifted significantly compared to the individual market prior to the ACA, pointing to the potential for greater price competition in the future and the influence of new entrants to the market.

How Much Financial Assistance Are People Receiving Under the Affordable Care Act?

This analysis examines the amount of financial assistance that people have qualified for through premium tax credits in the new health insurance marketplaces (also known as exchanges) under the Affordable Care Act through the end of February 2014. Nationally, the study estimates that 3.5 million people have qualified for a total of $10 billion in tax credits, with total and average subsidies received varying significantly by state depending on the share of eligible people who have enrolled in the marketplaces. The brief highlights states with the largest and smallest shares of potential tax credit enrollees and examines the implications that the enrollment variation carries for the potential tax benefits the Affordable Care Act offers to state residents.

Medicaid Expansion Through Premium Assistance: Arkansas, Iowa, and Pennsylvania’s Proposals Compared

Arkansas, Iowa, and Pennsylvania have proposed implementing the Affordable Care Act’s (ACA’s) Medicaid expansion by using Medicaid funds as premium assistance to purchase coverage for some or all newly eligible Medicaid beneficiaries in Marketplace (formerly called Exchange) Qualified Health Plans (QHPs). Arkansas and Iowa’s § 1115 demonstration waivers have been approved by the Centers for Medicare and Medicaid Services (CMS), and Pennsylvania’s application is pending with CMS. This fact sheet compares the states’ proposals.

Establishing Health Insurance Marketplaces: An Overview of State Efforts

Figure 1: State Decisions for Creating Health Insurance Marketplaces State-based health insurance marketplaces, or exchanges, are a key component of the Affordable Care Act (ACA), and the places where individuals and small businesses will be able to shop for coverage. States can build a fully state-based…

Health Insurance Exchanges: House or Senate Style?

Health insurance exchanges can potentially serve a variety of policy ends, from promoting transparency and competition among health plans, to pooling risk, to administering subsidies for those unable to afford health insurance premiums. This briefing, co-sponsored by the Alliance for Health Reform and The Commonwealth Fund, looked at how the…