Tag Archives: ACA

ACA Risk Adjustment Payment Breakdown

Jessica Smith

While the $10.4 billion halt still looms over issuers, it’s clear it won’t be a credit rating issue for them based on latest news. Health plans and providers have been lobbying and vocal about the impacts this hold has on their members/patients who are enrolled in an individual or small group risk-adjusted commercial plan. It has been status quo for operational processes in hopes the payments get released in October when they are planned to occur.

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Trump Administration Releases Final Rule for Association Health Plans ; Trouble for ACA Ahead

Olga Walther

On June 19, 2018, the Department of Labor (DOL) released its final rule on Association Health Plans (AHPs). Largely unchanged from the proposed rule, the final rule expands the conditions that satisfy the commonality interest requirements of an employer and provides some additional new flexibilities for AHPs. The effective date of this rule will be phased, with new AHPs who wish to offer fully insured coverage by September 1st, 2018, existing AHPS who wish to offer self-funded coverage by January 1, 2019, and new AHPs who wish to offer self-funded coverage by April 1, 2019.

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Beyond Obamacare: Congress Takes on Many Medicare Bills

Olga Walther

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.

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Congressional Inaction Puts Government Health Programs in Jeopardy

Olga Walther

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.

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Congress Faces a Packed Legislative Agenda for the Month of September

Olga Walther

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:

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Obamacare Activity Quiets in Preparation for a Busy September

Olga Walther

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.

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Still Mean: Senate GOP Releases ACA Repeal Bill That’s Worse Than House

John Gorman

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.

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