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Posts tagged with "Affordable Care Act"

Arizona News

ACA Update: Enrollment Surging, 'Family Glitch' in Arizona Persists

We are in the midst of an Affordable Care Act Special Enrollment Period (SEP), which began Feb. 15 and will run through Aug. 15. According to a new CMS report, as of Mar. 31, over 500,000 Americans enrolled in health insurance during the SEP. For context, in the same period of 2019 and 2020, 209,000 and 171,000 people signed up for...
National News

'Juiced-up' ACA Set to Offer Millions More Americans Affordable Coverage

President Biden’s first COVID-19 relief bill, also known as the American Rescue Plan Act (ARPA), significantly expanded Affordable Care Act subsidies, making more Americans eligible for free or low cost health insurance.  According to Vox, nearly 7 million Americans can now get ACA plan coverage for no cost, while an additional...
National News

Biden's Affordable Care Act Reforms Extend Eligibility To Reduce Uninsured

Millions of Americans will temporarily have access to health insurance coverage at a lower cost due to the first wide-ranging expansion of the Affordable Care Act. The subsidies for health insurance are part of the American Rescue Plan Act (ARPA), a $1.9 trillion COVID-19 relief package that was signed into law by President Joe Biden on...
CMS Rules

Affordable Care Act Update: Subsidies, Navigator Funding, Special Enrollment Period

The newly installed Biden Administration and the ongoing turbulence of the pandemic have resulted in a flurry of recent changes in the world of the Affordable Care Act—all as an impending Supreme Court decision on its very existence looms in the background.  Many Americans lost jobs due to the pandemic, and with them their...
Arizona News

Study Explores Role of Firewall Between Employer Insurance and the ACA Marketplaces

As millions of workers lose income through furloughs and wage cuts, COVID-19 may exacerbate the trend of employer-based health insurance becoming less affordable and premium contributions and deductibles taking up a larger share of household income. The process needs to be made easier for workers and their families to enroll in...
News

GAO: Private Health Coverage Remains Concentrated Among Largest Insurers

According to a report released  by the Government Accountability Office (GAO), enrollment in private health insurance plans remained concentrated among a small number of issuers across the country, including in Arizona. Several companies may be selling health insurance in a given market but most people usually enroll with one of a...
Arizona News

Healthcare: Trump vs. Biden

As the highly anticipated presidential election fast approaches, the campaigns are working overtime to tout their contrasting positions on a variety of important healthcare issues.  As COVID-19 cases and hospitalizations rise across the country, no topic is more pressing than the pandemic. According to an NPR analysis relying on...
Arizona News

A Look at Life Without the ACA: Insurance Rates, Coverage Disparities and Pre-Existing Conditions

As the Affordable Care Act looks to go before a decidedly different Supreme Court, people across the country are grappling with the ripple effects of the law's potential demise. While the elimination of the ACA would likely impact the vast majority of Americans in some way, it would hurt some more than others.  According to an...
National News

RGB, Barrett & The Fate of the ACA

Ruth Bader Ginsburg’s death comes just weeks before the Supreme Court is set to hear another case to decide the fate of the Affordable Care Act, casting doubt on its future. A little over a week after Ginsburg's death, President Trump nominated Judge Amy Coney Barrett as her replacement. It didn't take long before the...
National News

Biden-Sanders Unity Task Force Makes Healthcare Policy Recommendations

The 110-page document includes recommendations on climate change, criminal justice, the economy, education, immigration and healthcare. The task force was formed after Sanders left the race and represent a compromise from candidates positions during the Democratic primary campaigns. For example, in the healthcare section, there is no...
Arizona News

COVID-19 Continues to Impact the Medicaid and Individual Market Segments

As a result of the COVID-19 pandemic, the number of people unemployed has skyrocketed to more than 40 million, with April 2020 having the greatest net change in unemployment in the past decade. This has led to a significant increase in people eligible for Medicaid. Arizona's Medicaid population has recently grown to 2 million and...
CMS Rules

CMS Proposes Changes in Risk Adjustment Methodology

Proposing a rule to amend risk adjustment methodology for exchange plans, the Centers for Medicare and Medicaid Services (CMS) aims to improve the accuracy and effectiveness of the Affordable Care Act (ACA)-era program. The agency seeks to refine the program's error rate calculation and risk adjustment data validation (HHS-RADV)...
Government

Supreme Court Rules HHS Must Pay Insurer Risk-Corridor Payments Under ACA

Health insurers bagged a win from the Supreme Court after a Monday ruling obligating the federal government to pay billions in Affordable Care Act (ACA) mandated risk corridor payments designed to buffer insurers from losses in individual and small-group markets. The 8-to-1 decision undermines an effort by  Republican Senator...
National News

10 Eventful Years of the Affordable Care Act

As the Affordable Care Act turns 10 years old, the country looks back on its successes and controversies -- and looks forward to its uncertain future. One thing most can agree on: it has transformed healthcare in America.  Matt Eyles, the CEO of the lobbying group America’s Health Insurance Plans, spoke with FierceHealthcare...
National News

Healthcare Stocks Surge on the Biden Bounce After Worst Week Since 2009

The healthcare sector led the market rally on Wednesday following a Super Tuesday Joe Biden victory that drove stocks higher. In an emergency decision, the Fed cut rates 50 basis points on Tuesday, offering little relief for the market that closed down 2.8 percent - erasing any intra-day gains. With Biden the clear representative of...
Top of The Day

THR Advisor & Former AHCCCS Director Kirschner: Happy Anniversary SS, M&M, ADA, ACA

Americans love anniversaries whether it is the birth of our nation on July 4th, our parents 50th, Pearl Harbor or 9/11. The year 2020 has a number of significant anniversaries of laws that have changed American society in uncountable ways. On August 14, 1935, in the height of the Great Depression, President Franklin Delano...
Supreme Court Accepts Hearing of ACA, Individual Mandate Challenge National News

Supreme Court Accepts Hearing of ACA, Individual Mandate Challenge

On Monday, the Supreme Court of the United States (SCOTUS) agreed to hear oral arguments in a legal challenge to the Affordable Care Act brought by Republican attorneys general from Texas and eighteen other states with support from the Trump Administration. The petitions granted ask the Supreme Court to review a United States...
Arizona News

Medicaid Block Grant Talks Don't Phase Private Insurers

With two-thirds of U.S. Medicaid beneficiaries receiving care from managed care organizations, private insurers are unlikely to suffer from the Medicaid block grant plan. A majority of states contract with MCOs to provide coverage and the government space is still perceived as a prime growth strategy for large insurers such as...
National News

Supreme Court May Still Consider ACA Case This Spring

Controversy reigns supreme as the GOP argues that the case, Texas vs. US (formerly Texas vs. Azar) is not ready for SCOTUS' review, as the fifth district has sent the case back to Texas for reconsideration of the severability of the law.  The Democrats and ACA advocates argue that uncertainty about the law should be resolved before the...
National News

Should SCOTUS Expedite Ruling on Texas v. Azar?

Repealing and replacing the Affordable Care Act (ACA) has been central to the GOP crusade on healthcare since President Trump's election in 2016. He promised to overhaul the legislation and completely reform America's healthcare system right away, but now that SCOTUS could rule and declare it unconstitutional, there seems to be no...
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