Qualified health plans on the Affordable Care Act marketplaces in the South are more likely to impose prior authorizations for HIV therapies, creating barriers to treatment for HIV patients, a study...
The federal and state health insurance marketplaces are dominated by Blue Cross Blue Shield-affiliated companies and there has also been a dramatic shift in enrollment from national and regional payers...
As policymakers try to reduce uninsurance during the coronavirus pandemic, the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) has drawn attention for its role in providing coverage and...
The coronavirus pandemic impacts on the individual health insurance market risk pool and healthcare costs for 2021 are infusing uncertainty into the 2021 rate setting process, America’s Health...
Workers in states that embraced Medicaid expansion would have a better chance of accessing healthcare coverage assistance if unemployment compensation were not included in the eligibility...
Fifteen healthcare payers have filed plans for the 2021 Affordable Care Act (ACA) individual health insurance marketplace, the Office of the Insurance Commissioner for Washington State announced.
For...
Update 5/22/2020: This article has been updated to reflect that the one-sided risk corridor in the HEROES Act applies to individual and small group markets as well as self-insured and large group...
State health insurance marketplaces are playing a pivotal role in helping the uninsured access healthcare coverage by opening special enrollment periods, Commonwealth Fund researchers found.
By...
Between March 1 and May 2, 2020, around 27 million people became uninsured as a result of losing their jobs and employer-sponsored health plans, a recent Kaiser Family Foundation (KFF) report...
The coalition of Democrat states led by California and the House of Representatives filed their briefs in defense of the Affordable Care Act (ACA) just ahead of the May 6 deadline, while the coalition...
The Colorado House of Representatives laid aside the public option proposal, the Colorado Health Care Option, in light of coronavirus.
Three members of the Colorado House of Representatives wrote a...
As national unemployment mounts closer to historic levels, Medicaid expansion states will fare the surging uninsurance far better than nonexpansion states, according to a recent report from the Urban...
Over 14 million workers in industries hit hard by coronavirus are eligible for Medicaid or subsidized healthcare insurance on the ACA marketplace if they become unemployed, regardless of whether they...
Private payers could issue a total of $2.7 billion in medical loss ratio rebates in 2020, more than double the previous year’s record high of $1.4 billion, according to estimates from the Kaiser...
In an 8-1 decision, the Supreme Court has ruled that the federal government must pay $12 billion to insurers enrolled in the Affordable Care Act’s risk corridor program.
The risk corridor...
Update 4/21/2020: This article has been updated to reflect that an AHIP letter noted that some health plans have been choosing to extend premium payments. A previous version implied that this was a...
The Utah Department of Health has announced that it is suspending the community engagement requirement for its Medicaid expansion members.
The department stated that the unemployment rate resulting...
New analysis paints a bleak picture for millions of workers covered by employer-sponsor health plans due to coronavirus-related layoffs.
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CMS has approved Florida’s Section 1135 waiver, allowing the state to avoid some of the administrative processes that may weigh down the escalating efforts against coronavirus.
For more...
Reforming the Affordable Care Act (ACA) has had lasting impacts on the individual health insurance market. Intending to reshape a dysfunctional system, the ACA included incentives for insurers to...
