Chad Brooker advises clients on the short- and long-term impacts of healthcare reform on their business strategy and advocacy priorities.

He has special expertise in health insurance regulatory compliance and product innovation as well as in public and private health insurance marketplaces.

Prior to joining Avalere, Chad was regulatory counsel and manager of Policy and Strategy for Connecticut’s Health Insurance Exchange, Access Health CT. In this role, he provided counsel to senior leaders and insurance plan executives around strategic development and compliance, with respect to marketplace reforms, regulations, and healthcare related tax laws. Prior to that, as a health insurance specialist in the Exchange Policy Operations Group at the Centers for Consumer Information and Insurance Oversight, he wrote federal regulations on health insurance reform and Affordable Care Act (ACA) exchanges and advised exchanges and health plans on ACA and marketplace implementation, market standards, and QHP certification.

Chad has a JD with certifications in health law and business law from the University of Maryland School of Law and a BS in economics and mathematics and a BA in political science and policy studies from Syracuse University.

Authored Content


The Centers for Medicare & Medicaid Services released the final Notice of Benefit and Payment Parameters (NBPP) for the 2020 plan year. This annual rule, released today, updates guidance and regulations related to exchanges as well as the broader individual, small group, and large group insurance markets.

New analysis from Avalere finds that exchange plan sign-ups could decline by 1.1 million, while premiums could increase by 6.3%, by 2025 should HHS finalize recently proposed changes to auto-reenrollment in the exchange and the calculation of tax credit subsidies.

The swift proposed implementation timeline will require stakeholders to evaluate quickly operational requirements, behavioral responses, cross-program implications, and impact on contractual arrangements.

The Centers for Medicare & Medicaid Services released the proposed Notice of Benefit and Payment Parameters (NBPP) for the 2020 plan year. The rule could limit exchange plan enrollees' access to certain brand name drugs and increase the out-of-pocket costs within plans.

Listen to Avalere experts discuss the implications for a recent decision ruling the Affordable Care Act is Unconstitutional.

A proposed rule released by the Treasury Department, Department of Labor, and Department of Health and Human Services would expand the allowed uses of employer-sponsored Health Reimbursement Arrangements (HRA). Comments on the rule can be submitted until December 28, 2018.

On September 22, California became the sixth state to limit or ban short-term limited-duration insurance (STLDI) plans.

Average premiums projected to grow 3.1% heading into next year.

On June 19, the Department of Labor (DOL) released its final rule on Association Health Plans (AHP).

2019 rate filings suggest increased competition and plan choice

New analysis from Avalere finds that the proposed rule on association health plans (AHPs) is projected to lead to 3.2M enrollees shifting out of the Affordable Care Act's (ACA) individual and small group markets into AHPs by 2022.

This past Friday, the Centers for Medicare & Medicaid Services released the proposed Notice of Benefit and Payment Parameters (NBPP) for the 2019 plan year.