Health Reform

From Inside Health Insurance Exchanges - Without a 60-vote majority in the Senate, it’s unlikely that President-elect Donald Trump — and Republican leaders in Congress — can make good on the promise to quickly repeal and replace the Affordable Care Act (ACA). But a full repeal isn’t needed to gut the law. And while the new administration and Congress won’t assume power until January, the impact of the election is expected to have an immediate effect on the public exchanges (see box, p. 12). Read more

From Inside Health Insurance Exchanges - Last year, insurance carriers received just 12 cents for every dollar owed for the 2014 plan year — the first year of the risk-corridors program (HEX 10/15, p. 1). Now it looks as though payments owed to carriers for the final year of the three-year reinsurance program could be in jeopardy. According to a Sept. 29 report (B-328016) from the Government Accountability Office, HHS inappropriately hung on to $1.7 billion collected… Read more

Health Reform Blog

By Steve Davis - June 1, 2015
While determining rates for the 2016 plan year, health plan actuaries had a better understanding of who purchased coverage through a public exchange...and their health risks. It turns out that enrollees are older, sicker and use more prescription drugs than actuaries estimated for the first two...
By Steve Davis - April 10, 2015
A few months back, I interviewed a small business owner who decided to transition to the federal Small Business Health Options Program (SHOP). He liked the idea of giving his workers more health insurance choices and was intrigued by the small-business tax credit, which is available only through...
By Steve Davis - March 17, 2015
For the record, I don’t think the Supreme Court will decide only state-based exchanges can distribute federal premium subsidies. The court had its chance to strike down the individual mandate in 2012 but didn’t. But if I’m wrong, will a decision against HHS mean the end of public insurance...

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