Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Individual Health Insurance Market

Congress Opens Probe into Short-Term Limited Duration Insurance

March 18, 2019 - 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 these health coverage options. The Democrat-led committee, which takes the harder line by labeling STLDI plan as “junk insurance,” is concerned that short-term insurance...


More Articles

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 Shield Association (BCBSA). Over 14...

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 consumers. The request for information (RFI)...

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 bridge gaps in more comprehensive...

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 Ami Bera (D-CA), Josh Gottheimer...

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 Carolina would alter the health insurance...

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 response to a request for comments...

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 payers have fought vigorously against the...

Marketing for Short-Term Health Plans May Mislead Consumers

by Jessica Kent

Websites and brokers that sell short-term health plans as a replacement for ACA-compliant coverage often fail to give consumers the detailed plan information necessary to inform their purchase, according to a study conducted by the Urban...

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, designed to be levied on payers, would...

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 pattern of using CMS regulatory...

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 motion to bring clarity to the...

TX Judge Rules ACA Unconstitutional in Highly Charged Court Case

by Jennifer Bresnick

In a highly politically court case brought by a number of Republican officials, US District Judge Reed O'Connor has issued a ruling stating that the Affordable Care Act as a whole is unconstitutional. The ruling stems from the notion...

Narrow Network Health Plans Continue to Dominate ACA Exchanges

by Kyle Murphy, PhD

New analysis of available health plans on ACA exchanges in 2019 shows that narrow networks remain a dominant force. Avalere researchers found that more restrictive networks own nearly three-quarters of all health plans on health insurance...

AHIP Eyes Solutions to Assist Consumers Shopping for Health Plans

by Chuck Green

American Health Insurance Plans (AHIP) recently issued a dozen solutions aimed at assisting families with an income over 400 percent of the federal poverty level afford comprehensive coverage covering their pre-existing conditions. Last...

Regulatory Uncertainty Continues to Disrupt ACA Marketplaces

by Chuck Green

New research published by the Kaiser Family Foundation provides insight into the forces driving health payers to participate in certain ACA marketplaces while wholly quitting others. Insurer participation in the Affordable Care Act health...

HealthCare.gov Breach Exposes Data of 75K Individuals

by Chuck Green

Last month, a breach of HealthCare.gov took place that affected those applying for coverage under the Affordable Care Act, HHS reported last Friday. The intrusion led to inappropriate access to the personal information of about 75,000...

CMS to Audit Premium Subsidy Eligibility for Individual Health Plans

by Thomas Beaton

CMS has proposed a new rule that would audit premium subsidy eligibility for individual health plan beneficiaries and monitor premium assistance programs through the federal insurance exchanges. The Patient Protection and Affordable Care...

CMS Broadens ACA Waiver Scope for State Insurance Programs

by Thomas Beaton

CMS has issued federal guidance intended to expand the scope and availability of state-level waiver programs.   State governments can now apply for State Relief and Empowerment Waivers that may result in weaker consumer protections...

CMS: ACA Premiums to Decline in 2019 for Silver Plan Consumers

by Thomas Beaton

CMS has announced it expects the average ACA health plan premium to drop by 1.5 percent for healthy consumers that purchase low-cost silver tier plans. The agency stated that it is the first time since 2014 that premiums in any part of...

X

Sign up for our free newsletter:

Our privacy policy


no, thanks

Continue to site...