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Aleka Gurel

@alekagurel.bsky.social
626 followers 100 following 15 posts

Director of government affairs at HealthSherpa. ACA nerd. She/her, views my own.

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Aleka Gurel @alekagurel.bsky.social · 27/03/2026
Those new broker assisted enrollment fields!!!! 😍😍😍😍😍
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Aleka Gurel @alekagurel.bsky.social · 03/03/2026
There’s nowhere left to put it all 😭
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Aleka Gurel @alekagurel.bsky.social · 05/06/2025
Louise, have you seen any estimates of potential impact here? Didn’t see anything in the CBO letter…
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Reposted by Aleka Gurel
Louise Norris @louisenorris.bsky.social · 30/05/2025
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-...
healthinsurance.org
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...
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Reposted by Aleka Gurel
Wesley Sanders @wsanders.bsky.social · 05/06/2025
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.
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Reposted by Aleka Gurel
Andrew S. Kelly @askellyphd.bsky.social · 06/12/2024
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.
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Aleka Gurel @alekagurel.bsky.social · 05/12/2024
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. 😊
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Aleka Gurel @alekagurel.bsky.social · 05/12/2024
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
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...
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Aleka Gurel @alekagurel.bsky.social · 27/11/2024
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...
healthinsurance.org
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.
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Aleka Gurel @alekagurel.bsky.social · 27/11/2024
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!
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Aleka Gurel @alekagurel.bsky.social · 27/11/2024
If he already has ACA coverage in a federal marketplace state it should be relatively straightforward! Fingers crossed 🤞🏻
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Aleka Gurel @alekagurel.bsky.social · 27/11/2024
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…)
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Aleka Gurel @alekagurel.bsky.social · 27/11/2024
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
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Aleka Gurel @alekagurel.bsky.social · 27/11/2024
Hi! Will DM you but in short yes, he’ll get a special enrollment period 👍🏻
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Aleka Gurel @alekagurel.bsky.social · 25/11/2024
Extremely honored to be included! (And also now slightly less confused about the sudden influx of followers 😂)
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Aleka Gurel @alekagurel.bsky.social · 25/11/2024
She’s so big now!!
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Aleka Gurel @alekagurel.bsky.social · 25/11/2024
Prof Meg Blume-Kohout has a couple of useful papers on this subject! Including www.tandfonline.com/doi/full/10....
tandfonline.com
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...
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Reposted by Aleka Gurel
Cynthia Cox @cynthiaccox.bsky.social · 25/11/2024
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
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Aleka Gurel @alekagurel.bsky.social · 22/11/2024
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 😂
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