Posted on April 24, 2014 | No Public Comments
A new study published in Health Affairs this week says that some insurance plans cancelled under the Affordable Care Act (ACA) may have been cancelled regardless by policyholders. The study, Insurance Cancellations In Context: Stability Of Coverage In The Nongroup Market Prior To Health Reform, uses Census data to assess the individual insurance market prior to ACA implementation and reported three key findings:
- There was high turnover in the market;
- 80% of those in the market acquired another form of coverage within in the year, mainly from an employer; and
- turnover varied among groups (age, employment status, etc.)
As a result, the study purports this market experienced disruption well before the implementation of the ACA’s insurance reforms.
Posted on April 23, 2014 | No Public Comments
An updated memo released from the Congressional Research Service (CRS) outlines the number of deadlines the federal government has missed during implementation of the Affordable Care Act (ACA). The memo consists of three tables, each representing a year after ACA enactment, with a list of the statutory tasks intended to have been achieved that year and the actions taken by the administration on that task as of April 15, 2014. According to Politico, the administration still has about 22 outstanding deadlines on ACA implementation.
Posted on April 22, 2014 | No Public Comments
A new study released by the National Bureau of Economic Research (NBER) indicates that including adult dental benefits in Medicaid plans can have a multitude of positive results. The study, How Do Providers Respond to Public Health Insurance Expansions? Evidence from Adult Medicaid Dental Benefits, found that covering dental benefits resulted in more dentists participating in Medicaid without decreasing the number of privately insured patients these dentists see. Additionally, the study reported that dentists participating in Medicaid were able to make greater use of dental hygienists while only mildly increasing patient wait times.
Posted on April 14, 2014 | No Public Comments
The Congressional Budget Office (CBO) recently updated their cost estimate for the Affordable Care Act (ACA). The new estimate states that the ACA will cost $1.383 trillion over the next ten years, which is $104 billion less than the February estimate. The CBO states that the readjustment can be attributed to administrative changes, changes in the law, judicial decisions, new data (such as projected healthcare expenditures for both the private and public sectors), and changes in modeling.
Posted on April 12, 2014 | No Public Comments
A new set of Frequently Asked Questions (FAQs) issued by the Centers for Medicare and Medicaid Services (CMS) answers several questions concerning the risk corridor provision of the Affordable Care Act (ACA). Pursuant to the Notice of Benefit and Payment Parameters for 2015 final rule, CMS stated that the risk corridor provisions would be implemented in a budget neutral manner. The new FAQ stated how the administration will address various issues that may arise in providing risk corridor payments, including sufficiency and medical loss ratio (MLR) determinations.
Posted on April 11, 2014 | No Public Comments
Click here to see an updated version of our HealthReformGPS map that provides a comprehensive depiction of each state’s status on Medicaid expansion, Marketplace operations, and Navigator laws. Note that partnership marketplaces are considered federally-facilitated marketplaces for the purposes of this map.
Posted on April 10, 2014 | No Public Comments
A memorandum from the Congressional Research Service (CRS) released by the House Energy and Commerce Committee states that a “literal application” of the law would prohibit premium subsidies to be offered for plans sold outside of the Affordable Care Act’s Marketplaces. The memo also provided means by which the administration could argue they possessed the authority to offer subsidies outside of the Marketplaces.
Posted on April 9, 2014 | No Public Comments
A survey recently released by the RAND Corporation found that a net of 9.3 million individuals gained health insurance during the Affordable Care Act’s (ACA) open enrollment period. The majority of these individuals gained coverage through employer sponsored insurance (ESI), with Medicaid coming in as the second most frequent payer. RAND posits the uptick in ESI resulted from either the individual mandate forcing people to take coverage they had previously denied, or the improvements in the economy that have enabled more individuals to be employed and therefore receive benefits.
Implementation Brief Update: Final 2015 Letter to Issuers in the Federally-Facilitated Marketplace: Access and Non-Discrimination Considerations
Posted on April 9, 2014 | No Public Comments
On March 14, 2014 the Centers for Medicare and Medicaid Services (CMS) published its 2015 letter to issuers selling qualified health plans in the federally facilitated Exchange Marketplace (FFM). The issuers letter is designed to provide federal guidance on the qualified health plan certification process to health insurance issuers and states that use the FFM while also maintaining plan management partnerships with the federal government (AL, AK, AZ, AR, DE, FL, GA, IL, IN, IA, KS, LA, ME, MI, MS, MO, MT, NE, NJ, NY, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, WV, WI, WY). This Update reviews highlights of the final 2015 letter (we reviewed the draft letter in a prior Update.
Posted on April 8, 2014 | No Public Comments
A new report issued by the Bipartisan Policy Center (BPC) warns of the pending demand for long term care (LTC) services. According to BPC, the number of Americans needing LTC is expected to double by 2050. The report, compiled by BPC’s Long-Term Care Initiative, provides different delivery and financing reforms that may be instituted to help address the growing need for LTC.