From Inside Health Insurance Exchanges - Despite two Supreme Court decisions and scores of votes to repeal or dismantle parts of the Affordable Care Act (ACA), the law remains intact. But there is fresh blood in the water for those who have been trying to shred the ACA since its enactment six years. Republican lawmakers say federal funding for cost-sharing reduction (CSR) payments and the Basic Health Program (BHP) are illegal without an appropriation from Congress. Read more
From Inside Health Insurance Exchanges - You see them everywhere — head down, earbuds secured, a smart phone clutched in one hand and a latte in the other. They’re young, they’re healthy, they’re uninsured and they see little reason to slice off part of their paycheck for something they can’t use until they first spend thousands of dollars to meet an annual deductible. Read more
From AIS's Value-Based Care News - Commercial accountable care organizations that do not participate in the Medicare Shared Savings Program (MSSP) will have a difficult time qualifying for a federal tax exemption. That’s the message the Internal Revenue Service sent in an April letter. The letter, known as a “final adverse determination,” was in response to an unidentified not-for-profit health system’s application for nonprofit status for its ACO. Read more
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