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...
Short-term limited duration policies may provide lower premium rates, but when patients contract unexpected, high-cost health conditions, these plans may leave members exposed to higher out-of-pocket...
Update 03/03/2020: This article has been updated to include a statement from America’s Health Insurance Plans (AHIP) on the Supreme Court’s decision to review the case.
The Supreme...
Covered California, California’s state health insurance market, saw an increase in enrollment since instituting the individual mandate statewide and offering state subsidies on top of the...
The Government Accountability Office (GAO) has conducted the first review of state Medicaid eligibility determinations since the ACA’s implementation in 2014 and found that there were several...
From 2016 to 2017, the uninsured rate rose by 1.2 percent and the number of persons who avoided care due to cost rose by 1.0 percent, demonstrating a shift in healthcare trends that started with the...
The US has seen coverage gains over the past two decades, due in large part to the ACA. However, access to care has dropped nearly three percentage points in that same time frame because of high...
The Supreme Court will not expedite a review of the Affordable Care Act’s (ACA’s) constitutionality.
The Fifth Circuit Court of Appeals declared the individual mandate void in December...
Medicaid expansion may influence postpartum coverage stability and outpatient utilization based on results from Colorado and Utah’s Medicaid programs, a recent Health Affairs study found.
Using...
The Tenth Circuit Court of Appeals determined that the rules HHS used to calculate 2014 through 2018 risk adjustments were neither arbitrary nor capricious.
In order to help healthcare payers predict...
The 2020 federal exchange enrollment remained steady at around 8.4 million enrollees, CMS announced.
However, CMS Administrator Seema Verma expressed dissatisfaction with enrollment. Her...
The Fifth Circuit Court found the individual mandate to be unconstitutional but sidestepped making a decision on the rest of the Affordable Care Act (ACA).
“The law has been a focal point of our...
Even the promise of employer-sponsored insurance could not increase healthcare coverage for individuals facing increasingly high premiums, according to a Kaiser Family Foundation study.
The...
Twenty-eight percent of the uninsured population could have enough premium tax credits to obtain zero-premium bronze-level health plans in 2020 due to silver-loading, a Kaiser Family Foundation (KFF)...
Enrollment and primary care provider density may have more impact on rural healthcare premiums than market concentration, a recent study published in the December issue of Health Affairs...
Twenty-three senators are concerned about the administration's promotion of short term, limited duration plans that may not meet the ACA’s coverage and pre-existing condition protection...
A recent study by George Mason University’s Mercatus Center found that there is a strong population of Medicaid enrollees who receive Medicaid support even though they are above the income...
Democrats from both the House of Representatives and the Senate sent a letter to HHS Secretary Alex Azar and CMS Administrator Seema about reported technical problems that may have prevented 100,000...
Florida Blue has partnered with ridesharing service Lyft to offer rides to members as part of the benefits package of Affordable Care Act (ACA) individual plans beginning in early 2020, according to a...
Reinsurance programs reduced premiums by 16.9 percent, on average, in the first year of program enactment relative to estimated premiums without reinsurance, according to a continuing Avalere analysis....
