Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

ACA

CMS Offers Resources for High-Risk Pools, Reinsurance Waivers

May 17, 2017 - The Centers for Medicare and Medicaid Services (CMS) has just released a checklist for states to use on applications for Section 1332 waivers.    The waivers are specifically targeted at helping states establish high-risk pools and other state-operated reinsurance programs.   The checklist seeks to complement the agency’s stated attempt to stabilize health insurance...


More Articles

CMS Offers Resources for High-Risk Pools, Reinsurance Waivers

by Jesse Migneault

The Centers for Medicare and Medicaid Services (CMS) has just released a checklist for states to use on applications for Section 1332 waivers.    The waivers are specifically targeted at helping states establish high-risk pools...

Aetna Will Abandon All Health Insurance Exchanges for 2018

by Jesse Migneault

Aetna is ending participation in the Delaware and Nebraska ACA health insurance exchanges, completing its retreat from the public marketplace.   The company also made announcements earlier this year that it would be leaving the Virginia...

MD Health Insurance Exchange Rates Up Double-Digits for 2018

by Jesse Migneault

Patients in Maryland looking for insurance in 2018 may have bigger bills than they bargained for. The health insurance exchange rates for individual and group plans in the state have risen by up to 58 percent as payers try to cope with uncertainty,...

Healthcare Orgs React to House Vote on American Health Care Act

by Jesse Migneault

The House vote to pass the American Health Care Act (AHCA) has drawn responses from across the healthcare industry.    The bill was passed 217-213, and immediately created a firestorm of commentary.  The passage of the bill...

House Passes AHCA To Repeal and Replace ACA By 1 Vote Margin

by Jesse Migneault

The House has successfully passed the American Health Care Act (AHCA) to repeal-and-replace the ACA.  This was the House GOP’s second attempt to pass the bill, after the first vote was abruptly cancelled by Speaker Paul Ryan in...

Aetna Posts Q1 Loss After ACA Withdrawal, Merger Collapse

by Jesse Migneault

After a tumultuous 2016, Aetna announced a first-quarter 2017 net loss of $381 million, a significant  reversal from a $737 million profit a year ago. Aetna blamed the loss on costs associated with its attempted merger with Humana,...

House GOP Renewing Interest in American Health Care Act

by Thomas Beaton

House Republicans are attempting to keep the American Health Care Act (AHCA) viable by adding a new amendment to the bill prior to Congress taking its spring recess. GOP lawmakers submitted an amendment to the House of Ways and Means Committee...

Aetna Will Exit Iowa ACA Health Insurance Exchange in 2018

by Thomas Beaton

Aetna has announced that it will stop participating in the Iowa health insurance exchange in 2018, citing financial losses and market instability as primary reasons to exit.   "Earlier today we informed the appropriate federal and state...

ACA Risk Adjustment, Reinsurance Improved Payer Financials

by Thomas Beaton

A new study published in Health Affairs found risk adjustment and reinsurance provisions of the Affordable Care Act improved financial outcomes for certain payers with higher risk enrollees.   Researchers from AHRQ and CMS found that before...

Wellmark BCBS Latest to Exit ACA Health Insurance Exchanges

by Thomas Beaton

Wellmark Blue Cross Blue Shield, which operates in Iowa and South Dakota, will not renew or sell individual plans on the Affordable Care Act health insurance exchanges effective Jan 1, 2018. The decision follows three-year losses of approximately...

California Legislature to Review Single-Payer Healthcare Bill

by Thomas Beaton

California lawmakers have introduced  a single-payer healthcare bill that would provide all Californians comprehensive coverage with minimal out-of-pocket costs. The State Senate will review SB 562, or “The Healthy California Act,”...

Kansas Lawmakers Vote for Medicaid Expansion Under the ACA

by Thomas Beaton

UPDATE: Kansas Governor Sam Brownback has vetoed the legislation, calling Medicaid expansion "irresponsible and unsustainable." Kansas state lawmakers in the House and Senate have voted to approve Medicaid expansion under the Affordable...

House GOP Leaders Pull American Health Care Act Before Vote

by Thomas Beaton

Before it could reach the House of Representatives for a vote, Republican party leaders pulled the American Health Care Act (AHCA). Because lawmakers could not agree on the structure or substance of the conservative healthcare framework, the...

House Reps Add Amendments to the American Health Care Act

by Thomas Beaton

House Republicans recently added 21 pages of  updates and changes to the American Health Care Act (AHCA) to push forward the potential Affordable Care Act (ACA) repeal and replace bill. Many of the legislation’s changes would make...

Out-Of-Pocket Healthcare Spending on the Decline Since 2000

by Thomas Beaton

The Agency for Healthcare Research and Quality (AHRQ) reported that out-of-pocket healthcare spending decreased for all age groups between 2000 and 2014. A statistical brief of the report presents data from the Household Component of the Medical...

HHS Launches Webpage Detailing ACA Repeal Actions

by Thomas Beaton

HHS created a new online resource that highlights the regulatory and administrative actions the federal department has taken for an Affordable Care Act (ACA) repeal. HHS believes that these actions are necessary to relieve burdens of the...

2017 ACA Open Enrollment Data Shows 12.2M Marketplace Signups

by Thomas Beaton

During the 2017 ACA Open Enrollment Period (OEP), more than 12.2 million healthcare consumers purchased or renewed insurance through Healthcare.gov or their local state exchanges, said CMS in a new data brief.   Marketplace consumers either...

Tom Price: American Health Care Act CBO Score is Inaccurate

by Thomas Beaton

HHS Secretary Tom Price, MD, released a statement that decried several findings from the Congressional Budget Office’s (CBO) score of the American Health Care Act (AHCA). The CBO estimates that over 14 million Americans will lose health...

CBO Score Confirms Industry’s American Health Care Act Concerns

by Thomas Beaton

After the Congressional Budget Office released their cost estimate on the American Health Care Act (AHCA) several healthcare industry leadership groups reaffirmed their concerns about the bill, which may leave approximately  14 million Americans...

Industry Groups Express Concerns Over Proposed ACA Repeal Bills

by Jacqueline Belliveau

Earlier this week, House Republicans started a potential Affordable Care Act repeal by introducing the American Health Care Act. But some industry groups recently expressed concerns that the legislation would inappropriately shift more healthcare...

X

Sign up for our free newsletter:

Our privacy policy

no, thanks