ACA Marketplace

Supreme Court to hear arguments on Obamacare, now crucial amid coronavirus pandemic, right after election | Yahoo News | 8/19/2020

… 1, over 54 million Americans have filed for unemployment and an estimated 27 million people have lost employed-sponsored health care coverage. Many of those unemployed have turned to signing up for COBRA, the ACA marketplace, or Medicaid. “So if you lose your job right now, your ability to retain some form of health care coverage is going to really depend on whether your state has expanded Medicaid or not …

District judge blocks HHS rule that would end transgender health protections - MedCity News | 8/18/2020

… where the ACA’s broader anti-discrimination provisions would apply. Instead of applying to all health plans, the provisions would be limited to healthcare providers and insurance plans that receive federal financial assistance, such as ACA marketplace plans or Medicare Advantage plans. HHS’ announcement came just three days before a landmark Supreme Court decision that discrimination based on sex includes both sexual orientation and gender identity. The ruling cemented LGBTQ workers …

Follow ACA Marketplace:    

‘Pennie’-Pinching States Take Over Obamacare Exchanges From Feds | Kaiser Health News | 8/17/2020

… https://lis.virginia.gov/cgi-bin/legp604.exe?201+sum+HB1428” legislature passed an exchange bill /a this year and hopes to start it in 2022 or 2023. /p iframe title=”More States Asserting Control Over ACA Marketplace s” aria-label=”map” id=”datawrapper-chart-ZTsp9” src=”https://datawrapper.dwcdn.net/ZTsp9/7/” scrolling=”no” frameborder=”0” style=”width: 0; min-width: 100% !important; border: none;” height=”587” /iframe script type=”text/javascript” !function()(“use strict …

The ACA today: A mid-pandemic assessment | 8/16/2020

Mostly about the ACA: Obamacare to Trumpcare. Sunday, August 16, 2020 Subscribe to xpostfactoid High-CSR coverage in Nebraska (top) vs. unsubsidized coverage in Alaska (bottom) Enrollment in ACA marketplace plans totaled 12.7 million at the end of Open Enrollment 2016 and 11.4 million at the end of OE 2020. Enrollment as of the end of OE has shrunk in every year since the 2016 peak. Those top-line fact …

Big profits put insurers on awkward footing - MedCity News | 8/16/2020

… want to be clear, we do expect further declines, assuming the economy continues to operate at less than full capacity,” CEO Gail Boudreaux told investors. Centene, which is a big provider of Medicaid and ACA marketplace plans, actually had raised its revenue guidance for 2020 by $6 billion, based on unemployment trends. But it recently adjusted its expectations down by $500 million, noting that membership at lower rates than it …

Eagle, Routt counties pinched by pandemic on health insurance | 8/10/2020

… th most populous county at 55,127) and Routt (23 rd most populous at 25,638) account for more people (80,765) than the other eight rural counties combined (64,848). Those other eight counties with just one ACA marketplace insurance carrier are Logan (22,409 residents; 25 th largest); Moffat (13,283; 35th); Yuma (10,019, 38th); Rio Blanco (6,324; 46th); Washington (4,908, 53rd); Phillips (4,265; 54th); Sedgwick (2,248; 57th) and Jackson (1,392; 61st). State Rep …

Senate Democrats to White House: Reopen ACA Marketplace, Allow Seniors to Access Medicare During Pandemic | US Seante | 8/7/2020

Senate Democrats to White House: Reopen ACA Marketplace, Allow Seniors to Access Medicare During Pandemic Aug 07 2020 Washington —Senator Dianne Feinstein (D-Calif.) joined Senator Chris Murphy (D-Conn.) and two dozen colleagues in calling on President Trump to reopen the Affordable Care Act’s marketplace to allow more people to enroll in health insurance and access federal subsidies, and to take steps to ensure seniors can enroll in Medicare …

Alegeus and HealthSherpa Partner to Provide Seamless ICHRA and Benefit Enrollment Experience | Business Wire | 8/4/2020

… FL and Milwaukee, WI. About HealthSherpa HealthSherpa partners with large employers, insurers, insurance agencies, and agents to support consumers searching for, enrolling in and utilizing high quality, affordable health insurance coverage. HealthSherpa only sells ACA marketplace plans, which have built-in consumer protections, and has enrolled over 3 million Americans in Affordable Care Act coverage since its founding in 2014. For more information, visit https://www.healthsherpa.com . Contacts Jennifer Irwin, 414-699-5927 …

Don’t expect lower healthcare premiums amid pandemic-driven boon for insurers | 8/4/2020

… that stated how much COVID-19 added to premiums, the median was 2%, with estimates ranging from minus 1.2% at a plan in Maine to 8.6% at one in Michigan. The proposed premiums for ACA marketplace plans do not affect job-based coverage, but they may indicate how the pandemic is affecting premiums generally. The consensus among industry experts is that COVID-19 has generated little pressure for rate rises …

COVID-19 and Massive Job Losses Will Test the US Health Insurance Safety Net | 8/4/2020

… an economic downturn, the Affordable Care Act (ACA) is in place as a safety net for people who lose employer-based insurance. People with low or modest income qualify for premium subsidies on the ACA marketplace, and Medicaid has been expanded to cover those up to just over the poverty level (except in the 14 states that have not expanded Medicaid under the ACA). The current economic crisis could be …

COVID-19 Job Losses Threaten Insurance Coverage And Access To Reproductive Health Care For Millions | 8/3/2020

… remain uninsured, while nearly half would be able to obtain new coverage through Medicaid or CHIP (which covers many adolescents and pregnant women) and one-quarter by purchasing insurance directly, such as through the ACA Marketplace s. Predictably, the situation would be considerably worse in the 14 states that have not adopted the ACA’s expansion of Medicaid to people with incomes up to 138 percent of the federal poverty level. In …

Don’t count on lower premiums despite pandemic-driven boon for insurers | FierceHealthcare | 8/3/2020

… that stated how much COVID-19 added to premiums, the median was 2%, with estimates ranging from minus 1.2% at a plan in Maine to 8.6% at one in Michigan. The proposed premiums for ACA marketplace plans do not affect job-based coverage, but they may indicate how the pandemic is affecting premiums generally. The consensus among industry experts is that COVID-19 has generated little pressure for rate rises …

COVID-19 is saving insurers money ? but don’t expect lower premiums | LA Times | 8/1/2020

… that stated how much COVID-19 added to premiums, the median was 2%, with estimates ranging from minus 1.2% at a plan in Maine to 8.6% at one in Michigan. The proposed premiums for ACA marketplace plans do not affect job-based coverage, but they may indicate how the pandemic is affecting premiums generally. The consensus among industry experts is that COVID-19 has generated little pressure for rate rises …

Sen. Mark Warner, Rep. Colin Allred and Protect Our Care Call Out Republicans’ Failure to Protect Americans’ Health in Latest Coronavirus Negotiations | 7/31/2020

… to discuss the latest coronavirus negotiations and Americans’ health care needs during this pandemic, particularly Republicans’ failure to strengthen Medicaid and open a special enrollment period for the uninsured to gain coverage through the ACA marketplace. Mitch McConnell and House Republicans have refused to consider the Heroes Act – championed by Democrats and passed by the House over two months ago – which provides a 14% increase in funds to support state …

Audio: Sen. Mark Warner, Rep. Colin Allred and “Protect Our Care” Call Out Republicans’ Failure to Protect Americans’ Health in Latest Coronavirus Negotiations | 7/31/2020

… to discuss the latest coronavirus negotiations and Americans’ health care needs during this pandemic, particularly Republicans’ failure to strengthen Medicaid and open a special enrollment period for the uninsured to gain coverage through the ACA marketplace. Mitch McConnell and House Republicans have refused to consider the Heroes Act – championed by Democrats and passed by the House over two months ago – which provides a 14% increase in funds to support state …

7 things to know as ACA open enrollment kicks off | 7/30/2020

… November 01, 2018 at 10:56 AM It’s officially November, and we all know what that means: just a few more days of political ads! But it also marks the kickoff of open enrollment for ACA marketplace health insurance plans. Consumers will have six weeks (or longer, in some states) to select an insurance plan for 2019. For those working in health insurance and its adjacent industries, this is all common …

An employer-focused public option offers Biden a path forward on health care | MSN | 7/30/2020

… offers Biden a path forward on health care In the Democratic primary debates, Biden proposed building on the Affordable Care Act (ACA) with a public option primarily aimed at individuals and available on the ACA marketplaces, an approach sometimes denominated “Medicare for All Who Want It.” While this route comes with a more palatable price tag than Medicare for All, it offers less reach and impact. Load Error The Unity …

HHS finalizes 2021 out-of-pocket maximums and treatment of prescription drug coupons | 7/29/2020

… Affordable Care Act (ACA) marketplaces and various ACA provisions. On May 7, HHS released the final rule for 2021 and a Fact Sheet that summarizes its most significant elements. While primarily focused on the ACA marketplaces and insurers offering programs, the rule also includes guidance affecting large employer and self-insured group health plans. Out-of-pocket maximums The ACA imposes annual out-of-pocket (OOP) maximums on the amount …

CMS Transferred $10.8B in Risk Adjustment Payments, Charges in 2019 | HealthPayer Intelligence | 7/29/2020

… who lose their employer-sponsored health plan will end up in the individual health insurance market. “Small net changes in nongroup coverage conceal larger movements in and out of this market which encompasses the ACA marketplaces (both with or without subsidies), the Basic Health Program (available in New York and Minnesota), and ACA-compliant plans sold outside the marketplaces,” the researchers noted about the individual health insurance market. One small …

New Jersey poised to add state premium subsidies to federal in ACA marketplace | 7/29/2020

… go toward the state’s share of the reinsurance program implemented in 2018 (designed to reduce premiums to 15% below where they’d be without the fund). The remaining $147.4 million would be used to supplement ACA marketplace subsidies with state subsidies for all enrollees with incomes below 400% FPL. Those subsidies would be on offer during Open Enrollment this fall, when the state’s new state-based marketplace is set to be …

President Signs Executive Orders Aimed at Lowering Drug Prices | 7/29/2020

… Donald Trump five days earlier, directing the federal government to take steps to lower cost increases for prescription medications. Prescription drug costs are a leading driver of rising premiums for Medicare, employer-sponsored and ACA marketplace health plans. The declarations were: An Executive Order on Lowering Prices for Patients by Eliminating Kickbacks to Middlemen , which calls for regulations to direct manufacturers’ drug rebates to be passed along as discounts to …

Surprise/no surprise: ACA marketplace enrollment was UP in 2020 (on-exchange only) | 7/27/2020

… 2017. In prior years, the latest enrollees may have been the most marginal. The Obama administration would escalate advertising as the deadline approached. Maturing market: While there’s always a lot of churn in the ACA marketplace, after seven years there are probably more multi-year enrollees than in earlier years. Silver loading effect: When Trump cut off direct reimbursement to insurers for CSR benefits in fall 2017, insurers in most …

COVID-19 May Impact Employer-Sponsored Plans Less Than Expected | HealthPayer Intelligence | 7/27/2020

… Plans for 3.5M Six lose their plan will end up in the individual health insurance market. “Small net changes in nongroup coverage conceal larger movements in and out of this market which encompasses the ACA marketplaces (both with or without subsidies), the Basic Health Program (available in New York and Minnesota), and ACA-compliant plans sold outside the marketplaces,” the researchers noted about the individual health insurance market. One small …

Want a SEP? You’ll have to schlepp…CMS ends application streamlining on HealthCare.gov | 7/24/2020

… billions in CARES Act relief funds on the nation’s wealthiest hospital systems, many of which hold huge reserves, while safety net hospitals go begging. In late March, as twelve of the thirteen state-based ACA marketplaces opened emergency Special Enrollment Periods in which anyone who lacked health insurance could enroll, CMS was rumored to be on the brink of following suit in HealthCare.gov, the federal exchange used by 38 states …

Testimony in support of a Health Insurance Assessment in New Jersey | 7/23/2020

… to improving health insurance affordability, focusing mainly on low-income New Jerseyans. The bulk of the money will likely be used to add state subsidies to federal subsidies for health plans sold in the ACA marketplace – possibly as early as 2021 – with a portion going to fund the existing reinsurance program that reduces individual market premiums for those who earn too much to qualify for subsidies. BlueWaveNJ, of which I …

Department of Health and Human Services

District judge blocks HHS rule that would end transgender health protections - MedCity News | 8/18/2020

A district judge blocked a rule by the Department of Health and Human Services (HHS) that would have removed anti- discrimination provisions protecting transgender patients. On Monday, Senior U.S. District Judge Frederic Block ruled that … and insurance plans that receive federal financial assistance, such as ACA marketplace plans or Medicare Advantage plans. HHS’ announcement came just three days before a landmark Supreme Court decision that discrimination based on sex includes …

Kaiser Family Foundation

Big profits put insurers on awkward footing - MedCity News | 8/16/2020

… 2019, insurers are expected to repay $2.66 billion to 7.9 million members in 2020, according to an analysis by the Kaiser Family Foundation (KFF). “Insurers have already paid back record rebates in the past two … investors. Centene, which is a big provider of Medicaid and ACA marketplace plans, actually had raised its revenue guidance for 2020 by $6 billion, based on unemployment trends. But it recently adjusted its expectations down …

COVID-19

Alegeus and HealthSherpa Partner to Provide Seamless ICHRA and Benefit Enrollment Experience | Business Wire | 8/4/2020

… employers to provide higher quality, more affordable health benefits to their employees – this year perhaps more than ever due to COVID-19,” said Steven Auerbach, Alegeus CEO. “By partnering with HealthSherpa, we will empower our … utilizing high quality, affordable health insurance coverage. HealthSherpa only sells ACA marketplace plans, which have built-in consumer protections, and has enrolled over 3 million Americans in Affordable Care Act coverage since its founding in …

Medicaid

Kaiser sees $1.1B net loss in first quarter, driven by investments - MedCity News | 5/12/2020

Medicaid and ACA Marketplace plans, as unemployment numbers continue to rise. The company saw its membership increase by 194,000 to 12.4 million by the end of the first quarter. “This is a challenging time in uncharted territory for businesses, families, communities, and people everywhere,” Kaiser Permanente Chairman and CEO Greg Adams said in a news release. “The coming months pose significant risks to health care organizations of all sizes and …

Medicare

2020 race: Joe Biden’s health care plan for coronavirus and beyond | Fortune | 4/3/2020

… Biden and his sole remaining opponent, Sen. Bernie Sanders, along with other Democrats sparred over the course of this campaign, Medicare for All became a clarion call for establishing candidates’ progressive bona fides. Some, such … if his full proposal passes—a public option on the ACA marketplace if their employers’ offerings don’t fit their needs. "One of the most significant elements of Biden’s plan is that workers could choose a …

Mental Health

Georgia’s Unprecedented 1332 Waiver Would Endanger Consumers and Violate Federal Law | 12/16/2019

… of assistance available through subsidies to help low- and moderate-income people pay premiums. Georgia also seeks to eliminate the ACA marketplace in the state, with consumers enrolling in coverage only through private web-brokers … exclude different or additional benefit categories, such as prescription drugs, mental health, or substance use treatment. Most of the low- and moderate-income Georgians losing subsidies would likely end up uninsured or severely underinsured. The …

Community Health

Supreme Court to hear $12B ACA payment case | Becker’s Hospital Review | 12/10/2019

… Court Dec. 10, according to NPR . The case to be heard combines lawsuits from Moda Health Plan of Oregon, Maine Community Health Options, Blue Cross Blue Shield of North Carolina and defunct Land of Lincoln … the expected losses in the first three years of the ACA marketplace. However, much of the money was never received by payers after funds were stripped in a 2014 budget bill. If the Supreme Court …

Medicare Advantage

Centene’s Neidorff: WellCare acquisition has cleared final state approvals | FierceHealthcare | 12/6/2019

… the merger goes through, the new company would be the fourth-largest payer in the private Medicare space that includes Medicare Advantage and Part D plans. Overall, there would be 22 million members across all … sides of the aisles to do that.” Companies in the ACA marketplaces also face other lingering challenges, including a court challenge to the law filed by a group of Republican-led states. Those states won …

Health Insurance Marketplace

ACA Marketplace Plan Affordability Is Likely To Decrease For Subsidized Enrollees In 2020 | Health Affairs | 11/22/2019

Email In 2020, Affordable Care Act (ACA) health insurance Marketplace premiums will increase for significant segments of the currently enrolled population. This is because gross premiums are decreasing in the ACA Marketplaces for the second year in a row . In a recent Health Affairs blog post, Katie Keith noted the following statement from the Centers for Medicare and Medicaid Services (CMS): “Premiums are expected to drop by 4 percent for …

Centers for Medicare and Medicaid Services

ACA Marketplace Plan Affordability Is Likely To Decrease For Subsidized Enrollees In 2020 | Health Affairs | 11/22/2019

Email In 2020, Affordable Care Act (ACA) health insurance Marketplace premiums will increase for significant segments of the currently enrolled population. This is because gross premiums are decreasing in the ACA Marketplaces for the second year in a row . In a recent Health Affairs blog post, Katie Keith noted the following statement from the Centers for Medicare and Medicaid Services (CMS): “Premiums are expected to drop by 4 percent for …

Home Health

Perspectives: Lessons On Stopping Rising Health Care Costs, Which ‘Medicare For All’ Won’t Do; Even With Health Insurance, Look Out For Big Bills | Kaiser Health News | 11/15/2019

… ACA marketplace, and went without until she became eligible for Medicare herself. Another neighbor, a small business owner, complied with the ACA’s mandate to purchase coverage, but because of the astronomical deductible, he never used his insurance. (David Balat, 11/14) Sacramento Bee: Immigrant Families Threatened By Trump’s ‘Public Charge’ Rule Nationwide, our immigrant neighbors grow the food we eat, serve as doctors and home health workers to those of us …

Behavioral Health

5 days in psychiatric care led to $21K hospital bill | Yahoo News | 10/31/2019

… Northwestern Medicine . Medical Service: Feilen received inpatient care for a depressive episode, including blood draws, an ultrasound, an electrocardiogram and behavioral health treatment. What Gives: Feilen has an “association health plan” purchased through Affiliated Workers … will direct you if your state set up its own ACA marketplace.) The Takeaway: If you’re uninsured, you’ll generally face bigger bills than patients with health insurance because you lack the power of the insurance …

Readmissions

Bright Health Announces 2020 Plan Details and Pricing for Its Colorado Markets | PR Newswire | 10/29/2019

… Health members, this translates into a more personalized and affordable patient experience, including: Lower out-of-pocket costs 1 Fewer readmissions 2 and emergency room visits 3 A reduction in duplicate testing 4 Referral-free … Alliance.” In addition to the standard benefits required for all ACA Marketplace plans, individuals and families who choose Bright Health will receive: Cash rewards for completing healthy actions Meal delivery after hospital stays Transportation benefits …

CDC

Bright Health Announces 2020 Plan Details and Pricing for Its Colorado Markets | PR Newswire | 10/29/2019

… of Bright’s market expansion and its engagement with Peak Health Alliance.” In addition to the standard benefits required for all ACA Marketplace plans, individuals and families who choose Bright Health will receive: Cash rewards for … to National Center for Health Statistic data published by the CDC for [2016]. 4 Comparing 2015 CO EPO product reimaging rates to Bright Health Plan’s 2017 CO IFP reimaging rates. 5 All pricing is subject …

AMA

Podcast: KHN’s ‘What The Health?’ States Race To Reverse ‘Roe’ | Kaiser Health News | 5/16/2019

… see the audio player? a href=”https://soundcloud.com/user-719970294/tracks” Click here to listen on SoundCloud /a . /p p Alabama is the latest in a growing list of states passing bans on abortion in … state to embrace a public option insurance plan for its ACA marketplace. But the plan will be run by insurance companies and it’s unclear how that would lead to lower premium prices for consumers. p …

Smoking Cessation

3 Top Health Insurance Stocks to Buy - Nasdaq.com | 12/24/2017

… doctors and hospitals, and drugmakers. Additionally, they may encourage behaviors that prevent disease or hospitalization, such as prescription drug adherence, smoking cessation, and gym memberships. Generally, it may help to think of health insurers as … like Centene and Anthem that have invested heavily in the ACA marketplaces could see their profitability fall more dramatically than their competitors. Although Medicaid reform hasn’t passed Congress, Republicans have proposed shifting Medicaid to a …

CVS

Big profits put insurers on awkward footing - MedCity News | 8/16/2020

… the second quarter of 2020, with Anthem and Humana also seeing their bottom lines double. Aetna, which was acquired by CVS Health in 2018, also contributed to its parent company’s rising profits, with the segment’s … investors. Centene, which is a big provider of Medicaid and ACA marketplace plans, actually had raised its revenue guidance for 2020 by $6 billion, based on unemployment trends. But it recently adjusted its expectations down …

Insurers Report on Their Q3 Financial Earnings: Marketplace Profitability, Retail Partnerships, and More | 12/17/2019

… we reviewed the quarterly filings and earnings call transcripts for seven publicly traded U.S. health insurers, including: Anthem, Centene, Cigna, CVS Health/Aetna, Humana, Molina, and UnitedHealth Group. The Q3 findings show that: Insurers’ marketplace … Planning to Grow in 2020 Among the insurers that offer ACA marketplace policies – Anthem, Centene, Cigna, and Molina – all reported that their marketplace business is strong and continues to perform as expected. Molina, for instance …

HealthSherpa

Alegeus and HealthSherpa Partner to Provide Seamless ICHRA and Benefit Enrollment Experience | Business Wire | 8/4/2020

WALTHAM, Mass.- Alegeus , the market leader in consumer-directed healthcare (CDH) solutions, today announced a partnership with HealthSherpa , a health technology company that has created a simplified health insurance plan shopping and enrollment experience, to … utilizing high quality, affordable health insurance coverage. HealthSherpa only sells ACA marketplace plans, which have built-in consumer protections, and has enrolled over 3 million Americans in Affordable Care Act coverage since its founding in …

Alegeus and HealthSherpa Partner to Provide Seamless ICHRA and Benefit Enrollment Experience | Business Wire | 8/4/2020

… BUSINESS WIRE)–Aug 4, 2020– Alegeus , the market leader in consumer-directed healthcare (CDH) solutions, today announced a partnership with HealthSherpa , a health technology company that has created a simplified health insurance plan shopping and … utilizing high quality, affordable health insurance coverage. HealthSherpa only sells ACA marketplace plans, which have built-in consumer protections, and has enrolled over 3 million Americans in Affordable Care Act coverage since its founding in …

Centene

With ACA ruling, payers get unexpected short-term reprieve | Healthcare Dive | 12/19/2019

… stocks rose in early morning trading Thursday. Molina Healthcare, which has 8% of its total membership in the marketplace, and Centene, which has 12%, were both up more than3% Thursday morning. By contrast, payer stocks … Cigna, Centene and Molina that have found success in the ACA marketplace and expanded their footprints there …

Centene’s Neidorff: WellCare acquisition has cleared final state approvals | FierceHealthcare | 12/6/2019

NEW YORK CITY—St. Louis-based Centene Corporation’s acquisition of WellCare Health Plans crossed a significant hurdle as the deal earned approval from all 27 states necessary, according to Centene CEO Michael Neidorff. Illinois and … sides of the aisles to do that.” Companies in the ACA marketplaces also face other lingering challenges, including a court challenge to the law filed by a group of Republican-led states. Those states won …

Avalere Health

Georgia seeks partial Medicaid expansion that includes work requirements | FierceHealthcare | 11/4/2019

… their patient collection infrastructure and increase financial performance. Register Now Georgia also applied for a reinsurance waiver for the state’s ACA marketplace to help cover high-cost claims for insurers. Georgia appears to have learned … on the ACA marketplaces. A recent analysis from consulting firm Avalere Health found that a reinsurance program lowered premiums by nearly 17% on average in its first year of operation. Read more on …

4 Things to Know Before ACA Open Enrollment Ends | Yahoo News | 12/15/2017

… ACA marketplace, declining enrollment is a troubling sign. “The people who aren’t signing up are mostly likely healthy people,” says Chris Sloan, senior manager in the policy practice at Avalere Health, a healthcare consulting company. “You don’t stop buying health insurance if you have a chronic health issue.” But when healthy people start leaving the marketplace, the proportion of sicker people to cover is higher, causing insurers to raise rates …

Lyft Health

Extent Of Health Coverage Gains From California Gig Worker Law Uncertain | Kaiser Health News | 10/7/2019

… apply to its drivers and indicated it is prepared to defend its position in court. The company has joined competitor Lyft in broaching the idea of a 2020 ballot initiative to challenge the law. California … health insurance on their own through Covered California, the state’s ACA marketplace. Offering insurance is also a retention tool. Other small companies, however, could choose to drop coverage altogether rather than pay the tab for …

Extent of health coverage gains from California gig worker law uncertain | FierceHealthcare | 10/7/2019

… apply to its drivers and indicated it is prepared to defend its position in court. The company has joined competitor Lyft in broaching the idea of a 2020 ballot initiative to challenge the law. RELATED … health insurance on their own through Covered California, the state’s ACA marketplace. Offering insurance is also a retention tool. Other small companies, however, could choose to drop coverage altogether rather than pay the tab for …

UnitedHealth

‘Locally Grown’ Insurance Companies Help Fortify Washington State Market | Kaiser Health News | 8/30/2019

… ACA marketplace. Its products are available in eastern Washington and Oregon as well as northern Idaho. /p p But the two largest companies in Washington’s health insurance market are based elsewhere: Kaiser Foundation Health Plan has seized 19% of the market and UnitedHealth Group controls 14%. Washington’s Healthplanfinder has shrunk slightly since 2014, from eight companies to six in 2019, but two new outside companies plan to join the market …

Health-care earnings: What to look out for on Tuesday and Wednesday - MarketWatch | 4/23/2019

… 2006 , sparked by murmurs of a single-payer health system and proposals to tighten regulations around drug pricing. Shares of UnitedHealth Group Inc. tumbled last week despite the company reporting first-quarter earnings and revenue … provider of plans through both the Medicaid program and the ACA marketplaces Centene raised its full-year EPS guidance to between $4.24 and $4.44 per share from $4.11 to$4.31. It also raised its revenue …

UnitedHealth Group

‘Locally Grown’ Insurance Companies Help Fortify Washington State Market | Kaiser Health News | 8/30/2019

… ACA marketplace. Its products are available in eastern Washington and Oregon as well as northern Idaho. /p p But the two largest companies in Washington’s health insurance market are based elsewhere: Kaiser Foundation Health Plan has seized 19% of the market and UnitedHealth Group controls 14%. Washington’s Healthplanfinder has shrunk slightly since 2014, from eight companies to six in 2019, but two new outside companies plan to join the market …

‘Locally grown’ insurance companies help fortify Washington state market | MedCity News | 8/30/2019

… ACA marketplace. Its products are available in eastern Washington and Oregon as well as northern Idaho. But the two largest companies in Washington’s health insurance market are based elsewhere: Kaiser Foundation Health Plan has seized 19 percent of the market and UnitedHealth Group controls 14 percent. Washington’s Healthplanfinder has shrunk slightly since 2014, from eight companies to six in 2019, but two new outside companies plan to join the market …

HealthDay

Trump Signs Order Some Say Will Strangle Obamacare | WebMD | 10/13/2017

… Will Strangle Obamacare Move allows younger, healthier workers to find cheaper-but-skimpier plans elsewhere, experts say By Dennis Thompson HealthDay Reporter THURSDAY, Oct. 12, 2017 (HealthDay News) – President Donald Trump on Thursday signed an … a “shadow” health insurance system that competes directly against the ACA marketplaces, offering cheap and limited policies. Healthier Americans will gravitate toward the skimpier coverage offered under these plans, opponents say, leaving sicker people in …

Trump Says He’ll Cut Subsidies for Obamacare | WebMD | 10/13/2017

… He’ll Cut Subsidies for Obamacare Move could cripple the program, follows a similar executive order signed Thursday By Dennis Thompson HealthDay Reporter FRIDAY, Oct. 13, 2017 (HealthDay News) – In yet another potential blow to Obamacare … a “shadow” health insurance system that competes directly against the ACA marketplaces, offering cheap and limited policies. Healthier Americans will gravitate toward the skimpier coverage offered under these plans, opponents say, leaving sicker people in …

California Health Care Foundation

White House Requires Immigrants to Purchase Health Insurance - California Health Care Foundation | 10/11/2019

… and visitor health insurance that provides “adequate” coverage for at least 364 days or the duration of the planned stay. Among the insurance types that are excluded are subsidized plans offered under the ACA marketplaces or Medicaid for immigrants over the age of 18. It is important to note that some short-term plans do not provide dependable coverage. By steering immigrants to these weaker, less-regulated plans rather than …

Extent of health coverage gains from California gig worker law uncertain | FierceHealthcare | 10/7/2019

… because those workers might not qualify for subsidies to buy health insurance on their own through Covered California, the state’s ACA marketplace. Offering insurance is also a retention tool. Other small companies, however, could choose … story first published on California Healthline , a service of the California Health Care Foundation . Kaiser Health News , a nonprofit health newsroom whose stories appear in news outlets nationwide, is an editorially independent part of the …

Kaiser Permanente

Kaiser sees $1.1B net loss in first quarter, driven by investments - MedCity News | 5/12/2020

California-based managed care plan Kaiser Permanente reported a $1.1 billion net loss in the first quarter of 2020. The nonprofit chalked it up to losses in its investment portfolio, as the market dropped sharply … to lose some members with commercial insurance to Medicaid and ACA Marketplace plans, as unemployment numbers continue to rise. The company saw its membership increase by 194,000 to 12.4 million by the end of the …

Kaiser sees $1.1B net loss in first quarter, driven by investments - MedCity News | 5/12/2020

California-based managed care plan Kaiser Permanente reported a $1.1 billion net loss in the first quarter of 2020. The nonprofit chalked it up to losses in its investment portfolio, as the market dropped sharply … to lose some members with commercial insurance to Medicaid and ACA Marketplace plans, as unemployment numbers continue to rise. The company saw its membership increase by 194,000 to 12.4 million by the end of the …

WellStar Health System

4 updates on Anthem | Becker’s Hospital Review | 12/9/2019

… WellStar Health System, as a network provider for its ACA marketplace plan, despite a long dispute. More articles on payers …

6 updates on payer-provider relations | Becker’s Hospital Review | 11/22/2019

… WellStar Health System, as a network provider for its ACA marketplace plan. The error comes after the organizations publicly feuded over WellStar’s out-of-network status with Anthem’s marketplace plan. 3. Humana and Seoul Medical Group, a Korean American group that includes more than 3,400 physicians, expanded their risk-based agreement in Hawaii. 4. The Blue Cross Blue Shield Association, which represents 36 independent Blue companies, launched a national provider …

Nebraska Medicine-Nebraska Medical Center

Bright Health Brings Its Innovative Model to Nebraska in Collaboration with Nebraska Health Network in 2020 | Markets Insider | Business Insider | 10/7/2019

… plans in collaboration with Nebraska Health Network, an Accountable Care Organization (ACO) whose network includes the Methodist Health System and Nebraska Medicine-Nebraska Medical Center. The company has received regulatory approval from the Nebraska Department … competitive. For individuals and families purchasing health insurance through the ACA Marketplace, the company’s Silver Plans have some of the lowest premiums available, and for consumers who qualify for federal subsidies, many plans are available …

Bright Health Brings Its Innovative Model to Nebraska in Collaboration with Nebraska Health Network in 2020 | PR Newswire | 10/7/2019

… plans in collaboration with Nebraska Health Network, an Accountable Care Organization (ACO) whose network includes the Methodist Health System and Nebraska Medicine-Nebraska Medical Center. The company has received regulatory approval from the Nebraska Department … competitive. For individuals and families purchasing health insurance through the ACA Marketplace, the company’s Silver Plans have some of the lowest premiums available, and for consumers who qualify for federal subsidies, many plans are available …

Nebraska Medicine

Bright Health Brings Its Innovative Model to Nebraska in Collaboration with Nebraska Health Network in 2020 | Markets Insider | Business Insider | 10/7/2019

… plans in collaboration with Nebraska Health Network, an Accountable Care Organization (ACO) whose network includes the Methodist Health System and Nebraska Medicine-Nebraska Medical Center. The company has received regulatory approval from the Nebraska Department … competitive. For individuals and families purchasing health insurance through the ACA Marketplace, the company’s Silver Plans have some of the lowest premiums available, and for consumers who qualify for federal subsidies, many plans are available …

Bright Health Brings Its Innovative Model to Nebraska in Collaboration with Nebraska Health Network in 2020 | PR Newswire | 10/7/2019

… plans in collaboration with Nebraska Health Network, an Accountable Care Organization (ACO) whose network includes the Methodist Health System and Nebraska Medicine-Nebraska Medical Center. The company has received regulatory approval from the Nebraska Department … competitive. For individuals and families purchasing health insurance through the ACA Marketplace, the company’s Silver Plans have some of the lowest premiums available, and for consumers who qualify for federal subsidies, many plans are available …

Methodist Health System

Bright Health Brings Its Innovative Model to Nebraska in Collaboration with Nebraska Health Network in 2020 | Markets Insider | Business Insider | 10/7/2019

… Bright Health developed its plans in collaboration with Nebraska Health Network, an Accountable Care Organization (ACO) whose network includes the Methodist Health System and Nebraska Medicine-Nebraska Medical Center. The company has received regulatory approval … competitive. For individuals and families purchasing health insurance through the ACA Marketplace, the company’s Silver Plans have some of the lowest premiums available, and for consumers who qualify for federal subsidies, many plans are available …

Bright Health Brings Its Innovative Model to Nebraska in Collaboration with Nebraska Health Network in 2020 | PR Newswire | 10/7/2019

… Bright Health developed its plans in collaboration with Nebraska Health Network, an Accountable Care Organization (ACO) whose network includes the Methodist Health System and Nebraska Medicine-Nebraska Medical Center. The company has received regulatory approval … competitive. For individuals and families purchasing health insurance through the ACA Marketplace, the company’s Silver Plans have some of the lowest premiums available, and for consumers who qualify for federal subsidies, many plans are available …

Inova Fairfax Hospital

Parents of 4-year-old with cancer can't buy ACA plan to cover her hospital care - Chicago Tribune | 11/16/2017

… a desperate fight of their own. The health insurance plans available to them on the individual marketplace do not cover Inova Fairfax Hospital where Colette receives spinal tap chemo and emergency care. For years, the … on for chronic conditions. In 2014, the first year the ACA marketplaces were open, there was an average of five insurers to choose from in each state, according to Kaiser Family Foundation data. In 2018 …

Parents of 4-year-old with cancer can’t buy ACA plan to cover her hospital care | Chicago Tribune | 11/16/2017

… a desperate fight of their own. The health insurance plans available to them on the individual marketplace do not cover Inova Fairfax Hospital where Colette receives spinal tap chemo and emergency care. For years, the … on for chronic conditions. In 2014, the first year the ACA marketplaces were open, there was an average of five insurers to choose from in each state, according to Kaiser Family Foundation data. In 2018 …

Aetna

Big profits put insurers on awkward footing - MedCity News | 8/16/2020

… 2019 to $6.7 billion for the second quarter of 2020, with Anthem and Humana also seeing their bottom lines double. Aetna, which was acquired by CVS Health in 2018, also contributed to its parent company’s … investors. Centene, which is a big provider of Medicaid and ACA marketplace plans, actually had raised its revenue guidance for 2020 by $6 billion, based on unemployment trends. But it recently adjusted its expectations down …

Exchange insurers see best financial year under ACA in 2018 | FierceHealthcare | 5/9/2019

… Some insurers turned a profit on the ACA exchanges last year, analysis finds—but uncertainty remains Major insurers such as Aetna and Humana scaled back their ACA offerings significantly or exited the markets entirely in … result of policy changes, including the end of CSRs. RELATED: ACA marketplace competition has dropped sharply in the Trump era However, some insurers may have overcorrected in accounting for the loss of those payments, leading …

Humana

Big profits put insurers on awkward footing - MedCity News | 8/16/2020

… net profits jump from $3.4 billion in 2019 to $6.7 billion for the second quarter of 2020, with Anthem and Humana also seeing their bottom lines double. Aetna, which was acquired by CVS Health in … investors. Centene, which is a big provider of Medicaid and ACA marketplace plans, actually had raised its revenue guidance for 2020 by $6 billion, based on unemployment trends. But it recently adjusted its expectations down …

6 updates on payer-provider relations | Becker’s Hospital Review | 11/22/2019

… ACA marketplace plan. The error comes after the organizations publicly feuded over WellStar’s out-of-network status with Anthem’s marketplace plan. 3. Humana and Seoul Medical Group, a Korean American group that includes more than 3,400 physicians, expanded their risk-based agreement in Hawaii. 4. The Blue Cross Blue Shield Association, which represents 36 independent Blue companies, launched a national provider network that includes healthcare providers who routinely offer high …

Cigna

Don’t count on lower premiums despite pandemic-driven boon for insurers | FierceHealthcare | 8/3/2020

… a rate roller coaster. We want health plans to price right — not to price artificially low or artificially high.” RELATED: Cigna saw utilization ‘closer to normal’ in June, expects similar trends in July despite COVID … to 8.6% at one in Michigan. The proposed premiums for ACA marketplace plans do not affect job-based coverage, but they may indicate how the pandemic is affecting premiums generally. The consensus among industry experts …

Wall Street, K Street step up criticism of ‘Medicare for All’ - POLITICO | 4/19/2019

… All” has sent health care stocks plummeting since the Vermont independent unveiled his latest version last week. (UnitedHealth, Anthem and Cigna alone have lost more than $40 billion in market value.) But Wall Street analysts … Trump administration priorities. First, create incentives to steer consumers off ACA marketplace plans. Second, put new pressures on high drug prices. — The rule would raise insurance costs for some customers and likely shrink ACA enrollment …

Molina Healthcare

With ACA ruling, payers get unexpected short-term reprieve | Healthcare Dive | 12/19/2019

… status quo in place for now” in a post-decision note Wednesday. Payer stocks rose in early morning trading Thursday. Molina Healthcare, which has 8% of its total membership in the marketplace, and Centene, which … Cigna, Centene and Molina that have found success in the ACA marketplace and expanded their footprints there …

Some major exchange insurers come up short on quality scores | Modern Healthcare | 8/22/2019

… doesn’t publicly report its ACA exchange membership, but its on- and off-exchange individual membership totaled 741,000 on June 30. Molina Healthcare, which covers 308,000 exchange members, had an overall star rating of 2.7, with … bring more transparency to healthcare and it comes when the ACA marketplace has stabilized enough to concentrate on things like quality ratings instead of just keeping the market afloat. Many insurers that once fled the …

Centene Corp

Centene’s Neidorff: WellCare acquisition has cleared final state approvals | FierceHealthcare | 12/6/2019

NEW YORK CITY—St. Louis-based Centene Corporation’s acquisition of WellCare Health Plans crossed a significant hurdle as the deal earned approval from all 27 states necessary, according to Centene CEO Michael Neidorff. Illinois and … sides of the aisles to do that.” Companies in the ACA marketplaces also face other lingering challenges, including a court challenge to the law filed by a group of Republican-led states. Those states won …

Some major exchange insurers come up short on quality scores | Modern Healthcare | 8/22/2019

… stars. Some of the dominant health insurers on the public insurance exchanges had star ratings below the national average. Photo Centene Corp., the ACA kingpin with 1.9 million exchange members, scored an overall quality rating … bring more transparency to healthcare and it comes when the ACA marketplace has stabilized enough to concentrate on things like quality ratings instead of just keeping the market afloat. Many insurers that once fled the …

Wellcare

Centene’s Neidorff: WellCare acquisition has cleared final state approvals | FierceHealthcare | 12/6/2019

NEW YORK CITY—St. Louis-based Centene Corporation’s acquisition of WellCare Health Plans crossed a significant hurdle as the deal earned approval from all 27 states necessary, according to Centene CEO Michael Neidorff. Illinois and … sides of the aisles to do that.” Companies in the ACA marketplaces also face other lingering challenges, including a court challenge to the law filed by a group of Republican-led states. Those states won …

We introduce the history and little known facts about Medica | Seeking Alpha | 11/12/2017

… resulted in the following table: Company 2Q2016 2Q2017 Centene 13% 12% Anthem 10% 11% UnitedHealthCare 10% 11% Molina 7% 7% Wellcare 4% 5% Aetna 2.6% 2.3% Other 56% 54% The Medicaid Specific Impact on our … had taken a series of missteps - e.g. its entry into ACA marketplaces and an overly aggressive strategy. This resulted in the announcement of a major restructuring complete with layoffs, cost cutting and top management changes …

Anthem Blue Cross

6 updates on payer-provider relations | Becker’s Hospital Review | 11/22/2019

Anthem Blue Cross Blue Shield mistakenly listed WellStar Medical Group, the physician group of Marietta, Ga.-based WellStar Health System, as a network provider for its ACA marketplace plan. The error comes after the organizations publicly feuded over WellStar’s out-of-network status with Anthem’s marketplace plan. 3. Humana and Seoul Medical Group, a Korean American group that includes more than 3,400 physicians, expanded their risk-based agreement in Hawaii …

WellStar providers incorrectly listed as in-network for Anthem plan despite long dispute | Becker’s Hospital Review | 11/20/2019

Anthem Blue Cross Blue Shield mistakenly listed WellStar Medical Group as a network provider for its ACA marketplace plan, according to an alert from the Office of Georgia Insurance and Safety Fire Commissioner. Anthem’s 2020 Pathways Network in fact doesn’t include WellStar Medical Group, the physician group of Marietta, Ga.-based WellStar Health System. State regulators urged enrollees who wish to change their plan selection to do so before a …

Bright Health

Bright Health Announces 2020 Plan Details and Pricing for Its Colorado Markets | PR Newswire | 10/29/2019

MINNEAPOLIS , Oct. 29, Today, Bright Health announced details of its 2020 individual and family plans and Medicare Advantage plans for Colorado . Bright Health will continue its collaboration with Centura Health, the largest healthcare network in … Alliance.” In addition to the standard benefits required for all ACA Marketplace plans, individuals and families who choose Bright Health will receive: Cash rewards for completing healthy actions Meal delivery after hospital stays Transportation benefits …

Bright Health Brings Its Innovative Model to Oklahoma in Collaboration with INTEGRIS Health in 2020 | PR Newswire | 10/21/2019

MINNEAPOLIS , Oct. 21, Today, Bright Health announced details of its individual and family plans for Oklahoma City area residents in 2020 . Bright Health developed their plans in collaboration with INTEGRIS Health. Bright Health has received … Hospital. In addition to the standard benefits required for all ACA Marketplace plans, individuals and families who choose Bright Health will receive: Cash rewards for completing healthy actions Meal delivery after hospital stays Transportation benefits …

Peter Lee

Don’t count on lower premiums despite pandemic-driven boon for insurers | FierceHealthcare | 8/3/2020

… year. Webinar Numerous insurers across the country have announced plans to hike rates next year, though some have proposed cuts. Peter Lee, executive director of Covered California, appeared skeptical about premium reductions in the state’s … to 8.6% at one in Michigan. The proposed premiums for ACA marketplace plans do not affect job-based coverage, but they may indicate how the pandemic is affecting premiums generally. The consensus among industry experts …

Tammy Baldwin

Baldwin, Colleagues Urge Congressional Leaders to Expand Health Care Coverage in Future Coronavirus Legislation | US Seante | 4/21/2020

… health care and face lack of access to comprehensive health coverage amid the COVID-19 crisis WASHINGTON, D.C. – U.S. Senator Tammy Baldwin (D-WI) joined 37 of her Senate colleagues, led by Senator Mark R … coverage and expand coverage options where needed. Re-open the ACA Marketplace and Provide Premium Relief to Enrollees: Congress should convey to the Administration the importance of using their existing authority to re-open the …

Bob Dial

Individuals Who Lose Job-Based Health Insurance Can Qualify For A Marketplace Health Insurance Plan | PRWeb | 4/18/2020

… addition, they may be eligible to take advantage of generous subsidies which can make a Marketplace health plan affordable,” began Bob Dial, vice president, Preferred Health Insurance Solutions (Preferred Health). Typically, the Open Enrollment Period … Illness, Short Term Medical, and others. PHIS, formerly known as ACA Marketplace Enrollment Solutions (ACAEnroll.com), provides enrollment services throughout the country, through national and regional insurance carriers. Consumers can call the PHIS Call Center at …

Nancy Pelosi

Brown Presses Congressional Leaders To Expand Healthcare Coverage & Include Robust COBRA Subsidies In Future Coronavirus Legislation | US Seante | 4/17/2020

… 19. In the first letter, the Senators urged Senate Majority Leader Mitch McConnell, Senate Minority Leader Chuck Schumer, House Speaker Nancy Pelosi and House Minority Leader Kevin McCarthy to make sure that any future coronavirus … coverage and expand coverage options where needed. Re-open the ACA Marketplace and Provide Premium Relief to Enrollees: Congress should convey to the Administration the importance of using their existing authority to re-open the …

Cory Booker

Menendez, Booker Fight for Expanded Health Care Coverage in Any Future COVID-19 Stimulus | US Seante | 4/17/2020

… employer-based health care amid the COVID-19 crisis Friday, April 17, 2020 NEWARK, N.J. – U.S. Senators Bob Menendez and Cory Booker today joined 36 of their Senate colleagues in pressing congressional leaders to make … coverage and expand coverage options where needed. Re-open the ACA Marketplace and Provide Premium Relief to Enrollees : Congress should convey to the Administration the importance of using their existing authority to re-open the …

Alex Azar

Merkley, Colleagues to HHS: Reopen the ACA Marketplace, Allow More Americans to Get Health Insurance During COVID-19 Pandemic | US Seante | 4/10/2020

Press Releases Press Release Merkley, Colleagues to HHS: Reopen the ACA Marketplace, Allow More Americans to Get Health Insurance During COVID-19 Pandemic Merkley, Colleagues to HHS: Reopen the ACA Marketplace, Allow More Americans to … related to COVID-19. In a letter to HHS Secretary Alex Azar, the senators urged HHS to allow Americans to enroll through a unique Special Enrollment Period (SEP) that should last throughout the duration of …

Chris Murphy

Merkley, Colleagues to HHS: Reopen the ACA Marketplace, Allow More Americans to Get Health Insurance During COVID-19 Pandemic | US Seante | 4/10/2020

Press Releases Press Release Merkley, Colleagues to HHS: Reopen the ACA Marketplace, Allow More Americans to Get Health Insurance During COVID-19 Pandemic Merkley, Colleagues to HHS: Reopen the ACA Marketplace, Allow More Americans to … addition to Merkley, the letter was signed by U.S. Senators Chris Murphy (D-CT), Tammy Baldwin (D-WI), Richard Blumenthal (D-CT), Joe Manchin (D-WV.), Bob Casey (D-PA), Kirsten Gillibrand (D-NY), Martin …

Donald Trump

First Pandemic Since Health Law Was Instituted Will Put It Through The Wringer | Kaiser Health News | 4/6/2020

A pandemic-created recession is expected to test the health law like it’s never been tested before. Meanwhile, President Donald Trump’s decision not to create a special enrollment session surprised even his own advisers. NBC … a special enrollment period for coverage plans sold on the ACA marketplaces, as well as the effect massive job layoffs will have on Medicaid. (4/3) WBUR: Medicare For All Coronavirus Patients? But Who Exactly Qualifies …

Julie Rovner

First Pandemic Since Health Law Was Instituted Will Put It Through The Wringer | Kaiser Health News | 4/6/2020

… Julie Rovner, Kaiser Health News’ chief Washington correspondent, talked to WBUR’s “Here & Now” host Jeremy Hobson on Friday about efforts to get the federal government to let people have a special enrollment period for coverage plans sold on the ACA marketplaces, as well as the effect massive job layoffs will have on Medicaid. (4/3) WBUR: Medicare For All Coronavirus Patients? But Who Exactly Qualifies? Millions of people who have lost …

Karen Pollitz

What to do if you lose your health insurance during the coronavirus outbreak | Yahoo News | 3/26/2020

… tricky. Your eligibility depends on where you work, who you’re married to, your income, the state you live in,” said Karen Pollitz, a senior fellow at the Kaiser Family Foundation, a nonprofit that focuses on … Dr. Graves said. Special enrollment period for the marketplace The ACA marketplace is another option for people who’ve been laid off. You can qualify outside the annual open enrollment period — that typically occurs Nov. 1 …

Sabrina Corlette

Blue Cross of Idaho unveils souped-up short-term health plans | Modern Healthcare | 11/27/2019

… with the ACA; the agency at the time encouraged Idaho regulators to refashion the plans into short-term policies instead. Sabrina Corlette, co-director of the Georgetown University Center on Health Insurance Reforms, said Idaho’s … she said. By comparison, the out-of-pocket maximum for ACA marketplace plans in 2020 is $8,200 for individuals and $16,400 for families. The lowest deductibles under the Access plans are $2,500 for single coverage …

Carolyn McClanahan

Most people choose the wrong health care plan. Here’s how to get it right - MarketWatch | 11/7/2019

… But high-deductible plans also can be a good fit for people who need a lot of health care, says Carolyn McClanahan, a physician and certified financial planner in Jacksonville, Florida. Read: Here’s one health … closest I’ve seen is HealthSherpa, which helps people winnow their ACA marketplace options based on how they generally use health care. Learn more: How to find a cheaper health insurance plan The plan that may …

Pete Buttigieg

2020 election: Democratic presidential candidate Pete Buttigieg shares his views on current issues | Yahoo News | 11/7/2019

Democratic presidential candidate Pete Buttigieg. More We asked presidential candidates questions about a variety of issues facing the country. Their answers will be published over the coming weeks. This is what Democratic candidate Pete Buttigieg … proposed to limit premiums for insurance coverage bought through the ACA marketplace. My plan will cover out-of-pocket costs. My plan will protect patients by ending surprise billing and capping out-of-network provider …

Janet Mills

State To Help Mainers Sign Up For Health Insurance On ACA Marketplace | 11/1/2019

Today marks the start of open enrollment for the Affordable Care Act marketplace. The Trump administration has slashed funding for outreach efforts, but Gov. Janet Mills says the state plans to fill that gap for Mainers who want to enroll. At a press conference at the State House in Augusta Friday, Mills announced that her administration has launched a website and outreach campaign called CoverME to help individuals and small …

Bob Sheehy

Bright Health Announces 2020 Plan Details and Pricing for Its Colorado Markets | PR Newswire | 10/29/2019

… At Bright Health, we believe the foundation of good healthcare is a strong relationship between people and their doctors,” said Bob Sheehy , Bright Health’s co-founder and chief executive officer. “By working hand-in-hand … Alliance.” In addition to the standard benefits required for all ACA Marketplace plans, individuals and families who choose Bright Health will receive: Cash rewards for completing healthy actions Meal delivery after hospital stays Transportation benefits …

Gavin Newsom

California bill lowers reimbursement for certain dialysis, substance abuse patients | Becker’s Hospital Review | 10/16/2019

California bill lowers reimbursement for certain dialysis, substance abuse patients Kelly Gooch - Print Email A law signed by Gov. Gavin Newsom will lower payment to certain healthcare providers, including dialysis clinics and substance use disorder treatment centers, for services provided to patients who receive premium assistance. Premium assistance tax credits help subsidize insurance costs for eligible lower-income individuals and families who sign up for health plans through California’s ACA …

Mitch McConnell

First Edition: October 11, 2019 | Kaiser Health News | 10/11/2019

… and California, along with a few other states. (Everett and Adragna, 10/10) Modern Healthcare: States Take Back Control Of Their ACA Marketplaces More states are taking control of their health insurance marketplaces to take advantage … on LGBTQ issues. So I’m willing to continue to push Mitch McConnell right now, but my No. 1 goal is to make sure that he is not the majority leader come January 2021.” (McCaskill, 10/11 …

Kamala Harris

First Edition: October 11, 2019 | Kaiser Health News | 10/11/2019

… and California, along with a few other states. (Everett and Adragna, 10/10) Modern Healthcare: States Take Back Control Of Their ACA Marketplaces More states are taking control of their health insurance marketplaces to take advantage … speaking to it.” Another member of the audience interrupted Senator Kamala Harris of California, and while shouting, asked, “How do we get those men to stop killing trans women of color? We are hunted.” “I …

Chuck Schumer

First Edition: October 11, 2019 | Kaiser Health News | 10/11/2019

… 1973 ruling that legalized abortion nationwide. (10/10) Politico: Senate Democrats Seek To Reverse Trump’s Regulations On Health Care, Taxes, Environment Chuck Schumer and Senate Democrats will pursue a series of votes in the coming weeks … Adragna, 10/10) Modern Healthcare: States Take Back Control Of Their ACA Marketplaces More states are taking control of their health insurance marketplaces to take advantage of cost savings, increase their autonomy, and support wide-ranging …

Ken Jacobs

Extent of health coverage gains from California gig worker law uncertain - The Morning Call | Chicago Tribune | 10/10/2019

… insurance is the largest component of that. “I think we will see more people classified as employees over time,” said Ken Jacobs, chair of the Center for Labor Research at the University of California, Berkeley … health insurance on their own through Covered California, the state’s ACA marketplace. Offering insurance is also a retention tool. Other small companies, however, could choose to drop coverage altogether rather than pay the tab for …

Larry Levitt

BidenCare is here: Democratic front-runner unveils 2020 health plan - POLITICO | 7/15/2019

… access to Biden’s new public option, for instance. Undocumented immigrants also would be newly able to purchase coverage in the ACA marketplace, but with no subsidies, a campaign official confirmed to PULSE. “If I’m elected … undo the health law in Congress and the courts,” said Larry Levitt of the Kaiser Family Foundation. — How progressives have viewed it: They’ve criticized Biden for seeking to preserve the current market rather than transform …

Seema Verma

CMS releases resources for states to apply for 1332 waivers to ignore parts of ACA | FierceHealthcare | 7/15/2019

… from states that they need more help and detail from CMS in putting together their waiver applications,” said CMS Administrator Seema Verma in a statement. Free Daily Newsletter Like this story? Subscribe to FierceHealthcare! The … such plans they describe as a cheaper alternative to the ACA marketplaces but critics say are a way to erode the law’s exchanges. RELATED: States trying to avoid innovation waivers to tweak ACA exchanges, experts …

Alex Brandon

Trump administration proposed rule on association health plans - Business Insider | 1/4/2018

Alex Brandon/AP The Department of Labor unveiled its proposed rule that would pave the way for association health plans. These plans would allow self-employed individuals and small businesses to join to get health … plans could charge lower premiums to healthy people, effectively leaving ACA marketplaces as high-risk pools,” Larry Levitt , a senior vice president at the Kaiser Family Foundation, a nonpartisan health-policy think tank, tweeted in …

Lisa Schencker

Double losses for the Affordable Care Act further complicate its future | Chicago Tribune | 12/21/2017

… people with ACA health plans afford their premiums; the expansion of Medicaid in more than 30 states plus Washington, D.C. Lisa Schencker President Donald Trump on Wednesday said “Obamacare is being repealed.” That’s not technically … 13 million within a decade, while insurance premiums in the ACA marketplaces will rise an extra 10 percent most years over the decade. Those escalating premiums are what the two measures that Collins was promised …

Lamar Alexander

Double losses for the Affordable Care Act further complicate its future | The Washington Post | 12/21/2017

… losses for the Affordable Care Act further complicate its future Republican Sens. Susan Collins (Maine), Lindsey O. Graham (S.C.) and Lamar Alexander (Tenn.) walk to the GOP policy luncheon on Capitol Hill earlier this week … 13 million within a decade, while insurance premiums in the ACA marketplaces will rise an extra 10 percent most of those years. Those escalating premiums are what the two measures that Collins was promised were …