The policy analysis and guidance you need by the experts you trust, daily.
- After Hours
- Agent Oversight
- Brain Food
- Health Insurance Exchanges
- Part D
- Performance Optimization
- Policy & Health Reform
- Prospective Evaluations
- Provider Relations
- Risk Adjustment
- Sales & Marketing
- Star Ratings
- Alan Mittermaier on MA and Part D Proposed Rule Increases Plan Flexibility, Reduces Regulatory Burden
- Sharon Willliams on A New Source of Capital for Star Ratings and Clinical Innovations
- William on Will Trump and Price Pull Out the Scalpels for Star Ratings?
- Bobby on January Release of the Draft MMG – Perfect Timing
- Pam Lassila on Best Practices and Common Conditions of Audit Preparation
Tag Archives: ACA
Congress moved beyond considering the Affordable Care Act (ACA). From potential changes to the Medicare Advantage (MA) program to necessary extensions of already existing Medicare programs, Congress had a busy working week moving the healthcare agenda.
The packed agenda for Congress promised us a whirlwind of a month, and it certainly came with its share of surprises. Despite the appearance of progress, however, we still don’t have answers to any of the pressing healthcare legislation questions as we conclude our third week of September. With one week remaining, action looks pretty grim for many of the government health programs, including the Children’s Health Insurance Program (CHIP) and the Affordable Care Act (ACA), mainly due to the sudden resurgence of ACA repeal talks.
Next week’s return of Congress marks the start of a jam-packed agenda for Congress. Not only must Congress fund the government, tackle the increase of the debt ceiling, and reauthorize Federal Aviation, Flood Insurance, and the Children’s Health Insurance Program (CHIP) funding by September 30, lawmakers will also need to tackle a host of other proposals up for consideration. Below are some agenda items that will affect government healthcare programs:
With the failed Affordable Care Act (ACA) repeal effort, senators packed their bags and headed off for August recess. Their return will be met with a significantly packed healthcare agenda: Children’s Health Insurance Program (CHIP) Reauthorization, ACA Stabilization Bill, Creating High-Quality Results and Outcomes Necessary to Improve Chronic (CHRONIC) Care Act, as well as last ditch efforts to repeal the ACA through bills that have yet to be voted on such as Graham-Cassidy.
After six weeks of intensely secret negotiations, the “Better Care Reconciliation Act of 2017” (BCRA) is out, and it’s much worse than the House’s AHCA. The story remains the same: worsening benefit cuts for the poor to provide a tax cut for the rich. After Trump called it “mean,” and literally every healthcare organization has rallied against it, the hoped-for moderating influence of the august upper body of the U.S. Congress is gone. TrumpCare is still mean.
While Affordable Care Act (ACA) talks have hit a stalemate in the Senate, the Centers for Medicare & Medicaid Services (CMS) made good on its promise to make changes to the regulation in an attempt to both ease the regulatory burden and potentially increase enrollment in 2018. CMS made two enrollment changes for the small business Exchange and the individual Exchange. While the impact on consumers is not yet clear, the two moves will dynamically change the relationship between brokers, agents, and consumers and may actually be an efficient step by the new administration to boost coverage sign ups in 2018.
At the beginning of this week, Democrats and Republicans came to an agreement as to how to fund the government until September. Despite largely circumventing the demands of the White House, President Trump is expected to sign the bill.