Evensun Health Substack
Wesley Sanders, Andrew Staroscik, Rosa Solorio, JR Hill, Emily GrecoA Substack from Evensun Health about the Affordable Care Act, health policy, and health insurance operations
| Platform |  | Pricing | Only free issues | Publishes | Twice weekly |
|---|---|---|---|---|---|
| Issues | 10 | Founded | 6 months ago | Last Issue | 45 hours ago |
| Active | |||||
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evensun.substack.comLatest Issues
More Flexibility, More Choices: CMS Opens the Door to New Bronze Plan Designs
In the 2027 Notice of Benefit and Payment Parameters, CMS announced their ruling that allows issuers to offer bronze plans that exceed the statutory MOOP (Maximum-out-of-Pocket) limit as long as the issuer simultaneously offers at least one...
Expanded Catastrophic Plans: Opportunity, Risk, and the Questions Worth Asking
This is the 4th post in our series on the 2027 Notice of Benefit and Payment Parameters.
Catastrophic plans have generally received limited attention in the individual market. The plans were included in the original ACA legislation as a lo...
No Standards, No Limits: How the NBPP 2027 Opens the Door to Silver Spamming
We are continuing our series analyzing the ruling that came out of the NBPP 2027. In our first post of the series, Wesley covered Cost Sharing Reductions and what the new reporting requirements could mean for how issuers price silver plans;...
Breakdown of the State Exchange Improper Payment Measurement in the 2027 Notice of Benefit and Payment Parameters
In the 2027 Notice of Benefit and Payment Parameters, CMS announced their adoption of the State Exchange Improper Payment Measurement (SEIPM) which aims to apply oversight to improper Advance Premium Tax Credits (APTC) administered by State...
The Profitability Paradox: Why Platinum Plans Are Both the Best and Worst Bet in the ACA
We’re going to take a detour from NBPP analysis to dive deep into something we uncovered while working on our NBPP analysis.
In my last post, I shared a chart I almost didn’t publish because I thought the results might not be correct, name...
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Authors
The writers behind this newsletter.
Founder of Evensun Health. I write about the idiosyncrasies of the Affordable Care Act markets and related topics.
As the Operations Manager at Evensun Health, I am passionate about learning the ever-changing environment of the ACA and helping other carriers with the complexity of their data and processes.
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