Affordable Care Act

New Jersey to Establish State Health Insurance Exchange

by Jennifer Bresnick

New Jersey will move away from the federal insurance marketplace and transition to a state health insurance exchange in 2021, Governor Phil Murphy announced last week. The Democratic governor...

Congress Opens Probe into Short-Term Limited Duration Insurance

by Jennifer Bresnick

The House Energy & Commerce Committee (E&C) has opened an inquiry into short-term limited duration insurance (STLDI) plans and companies that may be acting against consumer interests by selling...

Trump Budget Proposes Medicaid Block Grants, Big Medicare Cuts

by Jennifer Bresnick

In its 2020 fiscal year federal budget, The Trump Administration is proposing a significant reconfiguration of the nation’s healthcare landscape by rolling back Medicaid expansion, creating state...

Revised Tax Policies Needed to Reduce Individual Market Premiums

by Jessica Kent

Policymakers should revise current tax policies and work to eliminate financial barriers to health insurance in order to reduce individual market premiums, says a new brief from the Blue Cross Blue...

CMS Seeks Comment on Purchasing Health Insurance Across State Lines

by Jennifer Bresnick

CMS is soliciting public comments on strategies that would allow enrollees to purchase health insurance across state lines in an effort to increase competition and improve affordability for...

Affordability Concerns Lead Consumers to Short-Term Health Plans

by Jennifer Bresnick

Consumers are turning to short-term health plans primarily because they cannot afford other options, according to a new survey from insurance portal eHealth.com. Instead of using short-term plans to...

House Joins Senate in Urging Delay of Health Insurance Tax

by Jennifer Bresnick

Democrats and Republicans from the House of Representatives have joined their Senate colleagues in introducing legislation to delay the ACA Health Insurance Tax for several years. Representatives...

Noncitizens, Lawful Immigrants Much More Likely to Be Uninsured

by Jessica Kent

Non-US citizens, including immigrants lawfully present in the country, are significantly more likely than citizens to be uninsured, according to new data from the Kaiser Family Foundation (KFF). The...

State Legislatures Debate Value of Association Health Plans

by Kyle Murphy, PhD

State legislators in Vermont and North Carolina are considering legislation that would impact the viability of association health plans (AHPs) in their states. State bills in Vermont and North...

Payers, Trade Groups Defend Silver-Loading in Comments to CMS

by Jennifer Bresnick

Major health payers and representative trade groups are urging CMS not to eliminate the practice of silver-loading, which has been used to stabilize premiums in a volatile and unpredictable market. In...

Insurers Notch Legal Wins in Cost Sharing Reduction Fights

by Jennifer Bresnick

Multiple court cases have been decided in the favor of insurers looking to recoup millions of dollars in cost sharing reduction (CSR) payments withheld by the Trump Administration in 2017. Health...

Single Payer, Public Options Become Focus of Healthcare Debate

by Jennifer Bresnick

As the nation starts to turn its politics-weary eyes towards the 2020 election cycle, a new series of healthcare talking points are emerging, particularly from the left-hand side of the ideological...

Gallup Reports 4-Year High in Number of Uninsured Americans

by Kyle Murphy, PhD

Earlier this week, the Gallup National Health and Well-Being Index reported that the percentage of adults without health insurance reached 13.7 percent by the close of 2018. The polling group sampled...

Bipartisan Bill Suggests Another Health Insurance Tax Delay

by Jennifer Bresnick

Senators from both sides of the aisle have sponsored a bill that would delay implementation of the ACA’s health insurance tax (HIT) once again, this time for two years. The $16 billion tax,...

CMS Mulls End of Auto-Reenrollment, Silver Loading in ACA Market

by Jennifer Bresnick

CMS has issued its proposed Payment Notice for the 2020 plan year, which contains provisions that would significantly alter the operations and structure of the ACA individual marketplace. Continuing a...

NYC Mayor Announces Plan to Guarantee Health Coverage for All Residents

by Jessica Kent

Mayor Bill de Blasio has announced the launch of a comprehensive, universal healthcare coverage plan that will guarantee benefits for every New Yorker. “Healthcare is a right, not a privilege...

Nearly 50% of Pre-Medicare Adults Worried About Healthcare Costs

by Jessica Kent

Forty-five percent of adults aged 50 to 64 are not confident that they will be able to afford healthcare coverage in retirement, according to a poll conducted by the University of Michigan Institute...

AHIP Urges “Careful Planning” of Health Reimbursement Arrangements

by Jennifer Bresnick

AHIP is cautioning federal regulators to move slowly and carefully when expanding the availability of health reimbursement arrangements (HRAs) as a more prominent means of paying for healthcare...

ACA, Member Engagement Challenges Led Top 10 Stories of 2018

by Jennifer Bresnick

It’s fair to say that the health payer community had a lot to process in 2018.  Mergers, partnerships, and new entries into the field rocked the traditional industry setup, while federal...

Coalition of State AGs Challenge Ruling of Unconstitutional ACA

by Kyle Murphy, PhD

Following a December 14 ruling stating the Affordable Care Act to be unconstitutional without its individual mandate, attorney generals from 16 states and the District of Columbia filed an expedited...