• Hypertrophic Cardiomyopathy (HCM)
  • Vaccines: 2023 Year in Review
  • Eyecare
  • Urothelial Carcinoma
  • Women's Health
  • Hemophilia
  • Heart Failure
  • Vaccines
  • Neonatal Care
  • NSCLC
  • Type II Inflammation
  • Substance Use Disorder
  • Gene Therapy
  • Lung Cancer
  • Spinal Muscular Atrophy
  • HIV
  • Post-Acute Care
  • Liver Disease
  • Biologics
  • Asthma
  • Atrial Fibrillation
  • Type I Diabetes
  • RSV
  • COVID-19
  • Cardiovascular Diseases
  • Prescription Digital Therapeutics
  • Reproductive Health
  • The Improving Patient Access Podcast
  • Blood Cancer
  • Ulcerative Colitis
  • Respiratory Conditions
  • Multiple Sclerosis
  • Digital Health
  • Population Health
  • Sleep Disorders
  • Biosimilars
  • Plaque Psoriasis
  • Leukemia and Lymphoma
  • Oncology
  • Pediatrics
  • Urology
  • Obstetrics-Gynecology & Women's Health
  • Opioids
  • Solid Tumors
  • Autoimmune Diseases
  • Dermatology
  • Diabetes
  • Mental Health

Biden's ACA special enrollment period might be good for marketplace plan risk pool

Article

Potential ACA marketplace enrollees are younger and likely to be healthier on average

President Biden’s executive order last week to open up special enrollment for the ACA marketplace plans could bring in younger enrollees and broaden the marketplace risk pool, which has suffered from adverse election.

Biden’s January 28 executive will mean that there will be a special enrollment period for coverage sold on Healthcare.gov from February 15 to May 15. HHS is also gearing up to spend $50 million on outreach and education about the special enrollment period. The department was quick to post a press release and a fact sheet about the enrollment period.

Katie Keith, J.D., M.P.H., who writes about the ACA and federal health policy on the Health Affairs blog, pointed to a Kaiser Family Foundation analysis that found that nearly 15 million uninsured Americans could get coverage through the ACA marketplaces and who might, therefore, take advantage of the special enrollment period.

According to calculations by the foundation’s experts, about four million of those 15 uninsured American could get a free bronze plan once ACA subsidies are factored in. A second group of about five million would get a subsidy but would still pay some of the premium, according the foundation’s analysis. A third group of about six million could buy ACA marketplace coverage but are ineligible for financial assistance because of their income or the price of the premium.

Keith noted in a post last week that the special enrollment is likely to help with the marketplace risk pools because of the relatively high percentage of potential enrollees who are young and, therefore, healthier on average. According to the foundation’s analysis — which was published the day before Biden signed executive order setting up the special enrollment period — found that 39% of those eligible for a free bronze plan are ages 19 to 24.

Related Videos
Video 2 - "Identifying Inequities in CGM Access"
Video 1 - "Challenges in Treating High-Risk Patients With Diabetes"
Video 17 - "Insights on Plan Enhancements & Fertility Care Innovations"
Video 16 - "Mitigating Risks: How Fertility Benefits Safeguard Employee Health"
Video 15 - "Strategic Investment: Fertility Benefits and Positive Employee Outcomes"
"Supporting Employee Wellbeing Through Fertility Benefits"
Video 13 - "Reshaping Perspective on Fertility Care Coverage"
Video - "Enhancements and Innovations in Fertility Care"
Video 11 - "Closing Current Gaps within Fertility Benefits and Care"
Video 10 - "Shaping Fertility Coverage: Access, Costs & Medical Needs"
Related Content
© 2024 MJH Life Sciences

All rights reserved.