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Posts tagged with "ACA"

National News

Trump Sets Deadline for New Healthcare Plan

President Donald Trump has requested a new plan to provide a solution for skyrocketing health insurance premiums and an alternative to the Affordable Care Act by January 30. The president has repeatedly suggested "sending money directly to consumers" as an alternative to the ACA enhanced premium tax credit subsidies expiring at the...
Health Insurers Set To Hike ACA Premiums by Double Digits National News

Health Insurers Set To Hike ACA Premiums by Double Digits

New analysis shows that ACA marketplace insurers will collectively offer a 15% median premium increase for 2026 based on 105 rate filings by insurers in 19 states that have been submitted thus far. Insurers are citing policy changes and rising costs of medical care for the increases. Biden-era premium subsidies offered through the...
Arizona News

Ending Enhanced Premium Tax Cuts - Arizona Impact

Thousands of Arizonans who rely on discounted ACA Marketplace plans could face steep premium hikes next year if Congress allows enhanced federal subsidies to expire at the end of 2025. Enhanced federal subsidies under the Affordable Care Act have significantly reduced premium costs and expanded eligibility for Marketplace coverage...
Arizona News

Marketplace Selections Reach 24.2M During 2025 OEP - 3.9M New Customers

Another record-breaking Marketplace Open Enrollment Period (OEP) on HealthCare.gov which ran through January 15. Consumers who enrolled by midnight local time on January 15 get coverage starting February 1, 2025. CMS didn't provide an updated Arizona enrollment snapshot with its national update, but by the agency's last count on January...
National News

House GOP Cycling "Menu" of Cuts to Health Programs

Republicans in the U.S. House of Representatives are passing around a draft bill that they say would eliminate more than $5 trillion in spending that they could use to pay for incoming President Donald Trump's priorities. The potential spending offsets includes massive changes to Medicare, Medicaid cuts and a "reimagining" of the...
Gallup: Most Americans Dislike U.S. Healthcare System, Think the Government Should Make Sure Everyone Is Insured National News

Gallup: Most Americans Dislike U.S. Healthcare System, Think the Government Should Make Sure Everyone Is Insured

With public perceptions of health care grabbing headlines, Gallup released two relevant polls showing that most Americans believe that healthcare is the government's responsibility and the quality of healthcare in the country isn't very good. The highest number of Americans in a decade (62%), including Republicans (32%) answered...
National News

Presidential Candidates' Health Policy Concepts and Plans

Election day is drawing near and the candidates for president are distinguishing themselves with healthcare policy proposals. Vice President Kamala Harris's campaign released several health-related potential policies over the past several weeks, including a plan to boost long-term care at home. According to Axios, up to a third of...
National News

Trump Campaign Threatens the ACA Again

The Affordable Care Act is nearly 15 years old, has survived an onslaught of attacks in that time and remains fundamental policy that shapes regulation of the insurance industry. And yet, Republicans continue to try to undermine and overturn the law whenever possible. The Biden administration's Justice Department filed a petition with...
National News

Issue Brief: Weight Loss Drugs, Inflation Drive Mild Increases In Health Insurance Premiums

The American Academy of Actuaries (AAA) published an issue brief on the trends and influences that could affect health insurance premiums in 2025. The AAA found that premiums are unlikely to spike but will continue to rise due to higher prescription drug costs and inflation. The issue brief was developed by the Academy's Individual...
Arizona News

AZ Gets 3.5M For Navigators, Docs Frequently Out of Network, Banner|Aetna Gets National Recognition

The Arizona Association of Community Health Centers (AACHC)/Arizona Alliance for Community Health Centers (Cover Arizona) received the statewide grant to helping underserved communities, consumers, and small businesses find and enroll in quality, affordable health coverage through Healthcare.gov In 2021 Navigators working in Maricopa...
National News

ICHRAs Are Back, According to Oscar Health

Insurers are looking for new markets to expand their footprint and some have settled on individual coverage health reimbursement arrangements (ICHRAs) as a new business opportunity. Oscar Health, Centene and Highmark have all expressed the intention to expand into ICHRAs by marketing it as a way to assist employers rein in healthcare...
Fifth Circuit Dismisses Injunction Against Preventative Care Coverage National News

Fifth Circuit Dismisses Injunction Against Preventative Care Coverage

The Fifth Circuit Court of Appeals affirmed a decision by the U.S. District Court for the Northern District of Texas that businesses may not be compelled to cover preventative medications under the Affordable Care Act but blocked that district court judge from implementing a nationwide injunction against federal agencies for enforcing...
National News

Marketplace News: Plan Switching Brokers Get Sued, Trump's 180 on the ACA, Solutions to Reduce Cost Sharing

As CMS takes swift actions to protect consumers from unauthorized agents and brokers switching their ACA Marketplace plans, a lawsuit was filed against insurance agency call centers, former President Trump did an about-face on the ACA, and a recent report from the Center on Budget and Policy Priorities provides policy solutions to...
National News

Trump Seeks Alternatives to ACA Citing Cost & Quality

As plans on HealthCare.gov and state-based exchanges are selling fast and 2024 enrollment is on another record-breaking year, the Trump reiterated his opposition to the Affordable Care Act (ACA). The former president and current Republican frontrunner relaunched his attack on the ACA on Saturday morning with a post on his social media...
Arizona News

CMS Proposes New Rules for ACA Marketplaces - New 2025 Provisions Impact Insurers, Assisters, Agents, Brokers & CHIP

The Centers for Medicare and Medicaid Services (CMS) released the HHS Notice of Benefit and Payment Parameters for 2025 Proposed Rule Nov. 15 which includes changes in network adequacy standards, the addition of routine adult benefits, revision of certain drug benefit requirements as well as minor changes to the new standardized plan...
Arizona News

AHCCCS & ADES Seek Survey Responses to Protect Arizona's Vulnerable Adults

In an effort to protect abused, neglected, and vulnerable ALTCS members, AHCCCS and DES have published two surveys available for ALTCS members and ALTCS members' families through November 17, 2023. The surveys and evaluations are conducted by the University of Arizona’s Sonoran Center for Excellence in Developmental Disability. All...
National News

Humana Sues Federal Government Over MA Clawbacks & Novartis Sues Over Medicare Drug Negotiation Rule

Humana has filed suit against the Centers for Medicare and Medicaid Services (CMS) for a rule announced earlier this year that would allow the government to recoup overpayments from insurers based on extrapolated audits. Also, Novartis has challenged the Biden administration over the Medicare Drug Price Negotiation rule. Studies have...
National News

NAIC Finds Plans Noncompliant with ACA Preventive Services Requirements

The Affordable Care Act of 2010 requires private insurers to cover a range of preventive services outlined by the U.S. Department of Health and Human Services with no out of pocket cost, but many insurers are failing to let consumers know of these prepaid benefits. This revelation comes as the "free" preventive services are caught in...
National News

Biden Proposes Keeping Short Term Health Insurance Short Term

President Joe Biden has issued a proposal to restrict the sale of short-term health plans that don't meet requirements stipulated by the Affordable Care Act. The proposal would reverse a Trump-era rule that expanded the sale of short-term, limited duration health insurance (STLDI) plans and critics of the president are accusing the...
Top of The Day

Medicare Advantage Studies - Enrollment Growth, Medication Use

Two studies published this week highlight the differences between Medicare Advantage and traditional Medicare in terms of enrollment growth and use of certain medications. The first study, published in JAMA Health Forum, found that MA plan payment cuts under the Affordable Care Act (ACA) did not lead to any enrollment reductions....
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