Implementing the ACA Project

Monitoring and Analysis of Insurance Reforms

The Patient Protection and Affordable Care Act (ACA) ushers in significant health insurance reforms, including new health insurance exchanges and comprehensive market rules such as guaranteed issue, comprehensive rating requirements, and a ban on preexisting condition exclusions, among other significant consumer protections. These reforms are the foundation upon which the ACA will meet its ultimate goal of near universal coverage by extending coverage to 32 million people. The ACA's changes began in 2010, with the law's most significant reforms taking effect in 2014

With generous support from The Commonwealth Fund, the Center on Health Insurance Reforms (CHIR) has launched the “Implementing the ACA: Monitoring and Analysis of Insurance Reforms” project. Under this project, a team of health policy researchers - led by Research Professor and Project Director Kevin Lucia - monitors and analyzes state action to develop state-based exchanges, implement the new market reforms, and maintain a level playing field inside and outside the exchange over the critical period leading up to 2014. This data-as well as the analysis of emerging trends, best practices, and implementation challenges- can be used to inform the decisions faced by federal and state policymakers in implementing the health insurance reforms of the ACA

Following are recent papers from the “Implementing the ACA: Monitoring and Analysis of the Insurance Market Reforms” project. You can view a full set of CHIR publications in the Publications section of this website:

Following are recent posts from the “Implementing the ACA: Monitoring and Analysis of the Insurance Market Reforms” project. You can view a full set of CHIR Blogs at http://chirblog.org/welcome-to-chirblog/

  • J. Giovannelli, K. Lucia, and S. Corlette, State Restrictions on Health Reform Assisters May Violate Federal Law, The Commonwealth Fund Blog, June 2014

  • K. Lucia, S. Corlette, and A. Williams, The Extended "Fix" for Canceled Health Insurance Policies: Latest State Action, The Commonwealth Fund Blog, June 2014.

  • S. Dash and A. Thomas, New State-Based Marketplaces Unlikely in 2015, but Technology Challenges Create More Shades of Gray, The Commonwealth Fund Blog, May 2014.

  • J. Giovannelli, K. Lucia, and S. Corlette, "Federal Court Ruling Casts Doubt on State Power to Restrict Health Reform Navigators," The Commonwealth Fund Blog, February 2014

  • J. Giovannelli, K. W. Lucia, and S. Dash, The Affordable Care Act's Disclosure Rules Can Improve Coverage, Raise Care Quality, and Cut Costs, The Commonwealth Fund, January 2014.

  • K. Lucia, K. Keith, and S. Corlette, State Decisions on the Health Insurance Policy Cancellations Fix, The Commonwealth Fund Blog, updated January 2014.

  • S. Dash, K. Lucia, and J. Giovannelli, Helping Consumers Understand their Coverage Options, from Coast to Coast, The Commonwealth Fund Blog, October 2013.

  • J. Giovannelli, K. Lucia, and S. Dash, Under Pressure: An Update on Restrictive State Insurance Marketplace Consumer Assistance Laws, The Commonwealth Fund Blog, October 2013.

  • K. Lucia, S. Corlette, and S. Dash, Marketplace IT Glitches: The Sky Is Not Falling, The Commonwealth Fund Blog, October 2013.
  • C. Monahan and S. Corlette, The Affordable Care Act's Early Renewal Loophole: What's at Stake and What States Are Doing to Close It, The Commonwealth Fund Blog, August 2013.

  • K. Keith, K. W. Lucia, and C. Monahan, Will New Laws in States with Federally Run Health Insurance Marketplaces Hinder Outreach?, The Commonwealth Fund, July 2013

  • S. Dash, C. Monahan, and K. Lucia, Evolving Dynamics of Health Insurance Exchange Implementation, The Commonwealth Fund Blog, June 2013

  • K. Keith and K. Lucia, New Guidance: Federal Regulators Allow "Collaborative Arrangements" for Enforcement, The Commonwealth Fund Blog, April 2013.