Aleka Gurel

There’s nowhere left to put it all 😭

Louise, have you seen any estimates of potential impact here? Didn’t see anything in the CBO letter…

Budget bill provisions could make ICHRAs more appealing to businesses The budget reconciliation bill that passed in the House of Representatives includes provisions intended to make ICHRAs – or CHOICE Arrangements – easier to use and more financially attractive for smal...

The House budget bill would rebrand ICHRAs as CHOICE Arrangements, add a tax credit for small businesses that start offering them, and relax some of the existing ICHRA rules. Here's my summary: www.healthinsurance.org/blog/budget-...

Reading the CBO estimates on BBB and this part surprised me: it seems to me they’re saying CSRs wouldn’t be funded in states where non-Hyde abortion is required to be covered, so silver loading would continue.

The reason private insurance exists on such a massive scale in the US is because the US failed to enact national health insurance in 1915-1919, 1930s, and 1940s.

It exists because doctors and southern politicians blocked the creation of national health insurance.

It grew up in that absence.

Plan to see more from me in a few months though - currently on parental leave for our new addition, Jasper, who is already much beloved by his big sister. 😊

The impact of brokers on ACA marketplace growth Brokers are an under-studied channel of enrollment in the affordable care act (ACA), having grown to support nearly 80% of active federally facilitated marketplace (FFM) enrollment during the 2024 Op...

Excited to have finally joined over here and looking forward to staying connected. For new friends - I’m Director of Gvt affairs at HealthSherpa and share mostly insights about broker/EDE involvement in the exchanges (see my recent paper for a sampling!)

onlinelibrary.wiley.com/doi/10.1111/...

Qualifying life events that trigger ACA special enrollment | healthinsurance.org Outside of open enrollment, a special enrollment period allows you to enroll in an ACA-compliant plan (on or off-exchange) if you experience a qualifying life event.

Found a citation from the wonderful Louise Norris so I’m feeling very confident saying he’s got until the end of the month! www.healthinsurance.org/obamacare/qu...

I will double check with one of our experts to be sure and circle back, but that was my read from a quick glance at the operating docs!

If he already has ACA coverage in a federal marketplace state it should be relatively straightforward! Fingers crossed 🤞🏻

Pretty sure move SEP now follows “accelerated prospective effective dates” as of the 2024 NBPP, for what it’s worth! (You used to have to apply by mid month, should now have until end from a quick peek at the FFM enrollment manual…)

Oops, I’m new here and didn’t realize I can’t DM! He should be able to apply by the end of this month and I believe (as of 2024, new rules) get a 12/1 start date. If he needs support our consumer advocates can help, 855-772-2663

Hi! Will DM you but in short yes, he’ll get a special enrollment period 👍🏻

Extremely honored to be included! (And also now slightly less confused about the sudden influx of followers 😂)

She’s so big now!!

The Affordable Care Act and Women’s Self-Employment in the United States The United States’ Affordable Care Act (ACA) of 2010 improved and expanded availability of non-group health insurance. Previous studies have shown that women in the US workforce value health insura...

Prof Meg Blume-Kohout has a couple of useful papers on this subject! Including www.tandfonline.com/doi/full/10....

The ACA makes it easier to get health insurance on your own (and avoid job lock).

Since 2021, enhanced ACA subsidies have made more middle and upper middle income people eligible for financial help to buy health coverage.

I can’t say that’s driving this trend at all, but it seems worth mentioning

I remember when D was born and my sister got a puppy at the same time, we were frequently both up at 5am and grumpy about it 😂