Aleka Gurel
@alekagurel.bsky.social
Director of government affairs at HealthSherpa. ACA nerd. She/her, views my own.
Reposted by Aleka Gurel
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-...
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...
www.healthinsurance.org
May 30, 2025 at 5:12 PM
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-...
Reposted by Aleka Gurel
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.
June 5, 2025 at 9:38 AM
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.
Reposted by Aleka Gurel
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.
It exists because doctors and southern politicians blocked the creation of national health insurance.
It grew up in that absence.
December 6, 2024 at 5:54 AM
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.
It exists because doctors and southern politicians blocked the creation of national health insurance.
It grew up in that absence.
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/...
onlinelibrary.wiley.com/doi/10.1111/...
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...
onlinelibrary.wiley.com
December 5, 2024 at 4:46 PM
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/...
onlinelibrary.wiley.com/doi/10.1111/...
Reposted by Aleka Gurel
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
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
November 25, 2024 at 2:57 AM
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
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