ACA Public Health Insurance Exchanges/Medicaid

The Affordable Care Act included provisions to expand health insurance coverage to the uninsured by allowing individuals and small employers to purchase coverage on state health insurance exchanges and increasing eligibility for Medicaid coverage, although due to a U.S. Supreme Court decision Medicaid expansion is at a state’s discretion.

Exchanges are important to large employers for several reasons. Specific populations, such as early retirees, part-time employees, some dependents, COBRA eligible individuals, and full-time employees in some cases may find coverage through exchanges. Additionally, employees may be benchmarking their coverage against exchange coverage. Expanding Medicaid may boost employment, particularly among lower wage jobs, and give Medicaid-eligible employees and their dependents more affordable coverage options. Additionally, it reduces the risk that employers not offering coverage to low-wage employees will be subject to employer shared responsibility payments.

ACA Replacement



Featured Resources

Chart - 2017 Public Exchanges with State-Level Premium and Insurer Information Chart - 2019 Public Exchanges Chart with State-Level Premium and Insurer Information
A continuously updated chart with the latest details on the public health insurance exchanges for 2019 including insurers and premiums.

Spreadsheet of 2017 State and County Level Health Insurance Exchange Carriers and Premiums Spreadsheet of 2019 State and County Level Health Insurance Exchange Carriers and Premiums
This spreadsheet includes 2019 details of health insurance exchange carriers, premiums, cost-sharing information and more for 39 states.



Also of Interest

Private Health Insurance Exchanges: A Toolkit for Employers
Provides an up-to-date picture of the current private exchange market, the legal framework for plan sponsors choosing private exchanges, a guide for considering private exchanges and what types of questions interested employers should be asking of private exchanges.

Health Insurance Exchanges Year 5 Results, Medicaid Expansion and Looking Ahead to 2019 – What Employers Should Know
This webinar builds upon our November 2017 exchanges webinar, with a particular focus on year 5 exchange enrollment results and changes in Medicaid expansion. Additionally, we will look ahead to what employers should expect for the 2019 exchange plan year.

Numbers You Need – Public Policy
Find key statistics relating to a range of public policy topics.


Also of Interest

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