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Posts tagged with "Affordable Care Act"

National News

ACA Individual Mandate at Risk in Senate Tax Bill

Conservatives have been clamoring to use the tax plan to nix ACA’s individual mandate after Republicans failed to repeal and replace the Affordable Care Act. The Hill reports Republicans have a narrow path to get their tax plan through the Senate. With a 52-seat majority they can only afford to lose two GOP senators and still let...
National News

House Passes CHIP Funding Bill - (D)s Object to Funding

The bill extends CHIP funding for five years: funded by higher premiums to wealthier Medicare beneficiaries, cutting money from ACA’s public health fund and shortening the grace period for ACA enrollees who fail to make premium payments. The Hill  reports today that the bill would extend CHIP for five years and was combined...
Arizona News

MSSP ACO 2016 Arizona Results - Scottsdale Health Partners Garners Nearly $9M in Earned Shared Savings

Year-over-year (YOY), SHP doubled its earned shared savings and is the only Arizona MSSP ACO to receive a check from CMS for 2016 performance. With a steady beneficiary pool of around 19,000 YOY, Scottsdale Health Partners generated savings of nearly $19 million, earned nearly $9 million in shared savings and received an overall...
Arizona News

What Pima County Residents Need to Know About ACA Insurance for 2018

The marketplace is unique in several ways in Pima County. Local residents should expect lower premium increases and more choice than they had for coverage in 2017. The enrollment period, which ends at midnight Dec. 15, is half the length of what it was last year, and federal dollars to market it have been slashed. Healthcare.gov is...
November 1 - Open Enrollment in the ACA Marketplace National News

November 1 - Open Enrollment in the ACA Marketplace

Confusion is rampant, with many hurdles to overcome for a successful season. The New York Times reports the Affordable Care Act has survived blow after blow since President Trump took office in January, including repeated attempts by Congress to repeal it. But as the fifth open enrollment period starts Wednesday, the law is reeling...
National News

CMS Proposes Rule to Give States Enhanced Flexibility in Individual and Small Group Markets

The 365 page rule released Friday is Notice of Benefit and Payment Parameters for 2019. A stated goal is increasing states’ power to administer the Affordable Care Act. A focus on increased flexibility for states has been touted as the Trump administration’s approach to healthcare policy. Significantly, states will be allowed...
National News

18 States and the District of Columbia Sued to Void Trump Order Stopping Cash-Reduction Payments

US District Judge Vince Chhabria refused Wednesday to block President Trump’s order to end government subsidies required by the Affordable Care Act. Trump said earlier this month that his administration would stop making monthly payments to insurers that reimburse them for reducing out-of-pocket costs, including deductibles and...
National News

ACA Navigators Expect to Decrease Services in Response to Sudden Decrease in Funds

Kaiser Family Foundation surveyed navigator organizations to learn their reaction to reduced federal funds. Navigator organizations are responsible for helping consumers understand and sign up for health coverage in 2018 Affordable Care Act (ACA) marketplaces. Open enrollment begins November 1.  They expect to limit their geographic...
National News

Internal Revenue Service Seems at Odds with President Trump

In spite of Trump’s pronouncements, not only is the ACA not dead, there are signs that his administration is keeping it alive. Next year, for the first time, the I.R.S. will reject your tax return when filed electronically if you do not complete the information required about whether you have coverage. If you file your tax return on...
National News

Insurers' Concern Entering Open Enrollment-Consumer Confusion

Cost-sharing reductions in flux with enrollment beginning in 9 days. Consumers are getting very mixed messages about what premiums may look like. President Trump has declared an end to the subsidies (CSR) to lower premiums and out-of-pocket expenses. He has gone on to declare the ACA dead in a White House press conference last...
National News

Increase in Uninsured Americans in 2017

3.5 million Americans have lost their health insurance since January and the uninsured rate is now the highest it's been since 2012, according to a Gallup-Sharecare Well-Being Index survey released Friday. Those hardest hit by the increase, according to the survey, are Hispanics, the middle-aged and low-income workers -- and unless...
National News

Another Idea- "Medicare-X"

“This bill creates a true public option, which I believe we should have passed with the Affordable Care Act,” says Senator Michael Bennett (R-CO). U.S. Sens. Michael Bennet of Colorado and Tim Kaine of Virginia, both Democrats, on Tuesday introduced legislation to create a government-run health insurance plan that would eventually...
National News

Trump Sets Sights on Insurance - States React

Markets and Marketplaces sure to shudder. Thursday the Trump administration moved a wide-ranging executive order with the stated purpose of expanding lower-cost insurance options, allowing employers to give workers money to buy their own coverage and slowing consolidation in the insurance and hospital industries. Critics said that,...
National News

The Fifth Open Enrollment Season for the ACA Marketplaces Will Begin November 1

What can be seen is the Trump Administration placing hurdles to success. Advocates say the Health and Human Services Department has done more to suppress the number of people signing up than to boost it. HHS has slashed grants to groups that help consumers get insurance coverage, for example.  It also has cut the enrollment period in...
National News

Trump Executive Order to Loosen Health Care Market Expected This Week

An executive order is being finalized that would permit health plans offered by associations to allow individuals to pool together and buy insurance outside their states, a unilateral move that follows failed efforts by Congress to overhaul the health care system. Soon after the latest Senate Repeal and Replace bill failed, Sen. Rand...
Arizona News

Blue Cross Blue Shield Arizona Will Not Raise Rates for Individual Plans

The only seller of individual health insurance policies under the Affordable Care Act in 13 rural Arizona counties will decrease rates by about 1 percent across all its individual plans in 2018. An average 7.2 percent increase was  initially proposed in July.  The reduction is possible because of improved profitability on current...
National News

Graham-Cassidy Repeal & Replace Bill Came Apart. Here's Why

Short deadlines, frantic offers of deals to gain one vote at a time. The decision on Tuesday not to vote on the Graham-Cassidy bill marked the fourth Affordable Care Act repeal bill failure since the summer began. But Republicans say they’re not going to stop, and Sen. Murkowski’s decision not to oppose the bill provided a small...
Arizona News

Graham-Cassidy Repeal & Replace Bill Down to the Wire, McCain Voices Opposition

Developments put the outcome of potential vote next week in doubt. Five things to know about what the bill proposes: It could lead to insurer rules being waived in some states. It would change Medicaid funding dramatically. It prohibits Planned Parenthood from receiving Medicaid payments for one year. It does not contain...
Arizona a Key to the Repeal and Replace Vote Arizona News

Arizona a Key to the Repeal and Replace Vote

Governor Doug Ducey and Senator John McCain are pivotal in the outcome. With 50 'yes' votes required in the next few days, all eyes are on the three Republican senators that ended the last Repeal and Replace effort. McCain, fighting brain cancer, was the deciding vote against a GOP Affordable Care Act repeal this summer. Senator...
National News

Trump & GOP Leadership All In for Repeal and Replace

With just a few days left, the focus is on passing Cassidy-Graham. President Trump and Vice President Pence have been making calls to senators and governors in a furious effort to gain support for a last-ditch  Affordable Care Act repeal bill. Read about the efforts on The Hill. Senate Republicans expressed growing hope Monday for...
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