Affordable Care Act

Medicaid Expansions Improve Coverage, Quality of Care, Economy

by Kelsey Waddill

Medicaid expansions under the Affordable Care Act (ACA) have improved coverage, access to care and coverage, and the economy, according to a recent Kaiser Family Foundation report. “The...

CMS Adds Star Ratings System to Show Plan Quality on ACA Exchanges

by Kelsey Waddill

Plans on the federal health insurance exchange will publicly display quality ratings on a five-star system in plan year (PY) 2020, CMS announced. The quality ratings will be available for the 2020 open...

Medicare Advantage Gives Insight into Single Payer Systems

by Kelsey Waddill

Medicare Advantage’s annual gross margins are about twice as high as individual or group plans, according to a recent Kaiser Family Foundation (KFF) study. The findings could shed light on the...

CO’s Reinsurance Waiver Projected to Lower Premiums by 16%

by Kelsey Waddill

HHS and the US Department of the Treasury approved Colorado’s Section 1332 waiver to develop a reinsurance program, CMS announced. The waiver will exempt Colorado from Section 1332 of the...

ACA Medicaid Expansion Reduces Mortality Rates, Study Shows

by Kelsey Waddill

The Affordable Care Act’s Medicaid expansion could have saved 15,600 lives in the three years following its initiation if it was put into effect nationwide, according to a recent study from the...

Judge Preserves 3 Year, Renewable Short-Term Health Plan Rule

by Kelsey Waddill

Federal Judge Richard J. Leon recently ruled in favor of an HHS final rule issued in August 2018 that made short-term health plans renewable for up to 36 months. Short-term, limited-duration health...

Why Payers Should Care About the Cadillac Tax Repeal

by Kelsey Waddill

The House of Representatives recently voted 419-6 to repeal the Cadillac tax, which would impact the payers and plans employers choose if the law is formally repealed. Under the authority of the...

CMS Offers State Relief and Empowerment Waiver Guidance

by Kelsey Waddill

CMS recently released new state relief and empowerment waiver resources for states to use as they stabilize their insurance markets through reinsurance and other methods. “While states have...

A Comprehensive Review of the Latest Affordable Care Act Hearing

by Kelsey Waddill

As the 5th Circuit deliberates whether the Affordable Care Act is constitutional — particularly the severability of individual mandate to acquire essential coverage — here are some of the...

Texas v. Azar Will Tackle 3 Subjects on Affordable Care Act

by Kelsey Waddill

On July 9, the Fifth Circuit Court of Appeals will hold hearings on the constitutionality of the individual mandate in Texas v. Azar, the Kaiser Family Foundation (KFF) reports. The hearing on Tuesday...

ACA Risk Adjustment Worked as Intended in 2018, CMS Reports

by Kelsey Waddill

CMS recently released a summary report of the Affordable Care Act (ACA) risk adjustment program for the 2018 benefit year, asserting in the report that the data proves the program acted as intended...

Experts Debate Impact of HRAs on Individual Health Plan Market

by Kelsey Waddill

The finalized rule on health reimbursement arrangements (HRAs) contains two major changes compared to its earlier version. Employers will be permitted to provide HRAs that are integrated with...

AMA: Fix ACA Premium Tax Credits and CSR to Cover Uninsured

by Kelsey Waddill

The annual meeting of the AMA House of Delegates reaffirmed the organization’s commitment to decreasing the number of uninsured individuals through the Affordable Care Act’s (ACA) premium...

Executive Order to Aid Employee Access to Individual Health Plans

by Kyle Murphy, PhD

The Trump Administration issued an executive order that will allow employers to help employees pay for health insurance via health reimbursement arrangements. As part of individual coverage health...

Humana Squashes Proposed Merger with Centene, WellCare

by Kyle Murphy, PhD

In a rare move for the health payer, Humana has brought an end to the rumors of a merger with competitor Centene. Humana broke with company policy to not comment on potential merger and acquisition...

North Dakota to Implement Reinsurance for Health Insurance Market

by Jessica Kent

North Dakota Governor Doug Burgum has signed a bill that will establish a reinsurance pool for the state’s individual health insurance market. The North Dakota House of Representatives passed...

Judges Strike Down Association Health Plans, Medicaid Work Requirements

by Jennifer Bresnick

Several federal judges have decided that a number of signature Trump Administration health insurance policies cannot stand. Judges have nixed key efforts to expand the sale of association health plans...

11.4M Consumers Selected ACA Health Insurance Exchange Plans in 2019

by Jessica Kent

Approximately 11.4 million consumers either selected or were automatically re-enrolled in Affordable Care Act (ACA) health insurance exchange plans during the open enrollment period in 2019, according...

Trump Administration Backs Scrapping Entire Affordable Care Act

by Jennifer Bresnick

The Trump Administration is leaving no more ambiguity about its opposition to the entirety of the Affordable Care Act.  In a brief legal memo released this week, three Department of Justice...

37% of US Residents Live in ACA Rating Regions with Few Insurers

by Jessica Kent

Just over 37 percent of the US population is living in an ACA rating region with either one or two insurers, resulting in higher premiums and increased spending, according to a recent study conducted...