Access & Health Coverage

Aug 6, 2018
2018 premiums in the federally-facilitated health insurance exchanges were an average 50% higher in areas with only one insurer and 21% higher in areas with only two insurers, according to a study reported today in Health Affairs. The study explores three potential theories about why exchange…
Aug 1, 2018
The departments of Health and Human Services, Labor, and the Treasury today issued a final rule that will allow consumers to buy short-term health plans to provide coverage for up to 36 months. Insurers could sell plans with an initial coverage period of up to 12 months with the option to…
Jul 27, 2018
AHA today urged the Centers for Medicare & Medicaid Services not to re-implement a home health demonstration as proposed. The agency in May issued a notice proposing to revise and expand to other states a HH claim review demonstration paused last year in Illinois following broad opposition to…
Aug 13, 2018
Enrollees in large employer health plans with inpatient admissions receive an out-of-network medical bill approximately 18% of the time, according to an analysis released today by Kaiser Family Foundation. Individuals who receive inpatient or outpatient care for mental health or substance use are…
Aug 9, 2018
The Centers for Medicare & Medicaid Services yesterday issued a proposed rule that would maintain the current methodology for calculating risk adjustment transfers in the individual and small group health insurance markets for benefit year 2018. CMS expects the rule to provide $9.6 billion…
Aug 9, 2018
More than 43% of adults were enrolled in a high-deductible health plan through their employer in 2017, up from 15% in 2007, according to a report released today by the National Center for Health Statistics. More than half of them did not have a health savings account, a tax-advantaged fund to help…
Aug 1, 2018
The Centers for Medicare & Medicaid Services yesterday projected that the average basic premium for a Medicare Part D prescription drug plan will decrease by $1.09 in 2019 to $32.50. The projection is based on bids submitted by drug and health plans for basic drug coverage for the 2018 benefit…
Aug 1, 2018
Rick Pollack President and CEO American Hospital Association   August 1, 2018   America’s hospitals and health systems believe strongly that patients should have access to affordable, comprehensive health care coverage that allows them to receive the care they need, when they need…
Jul 31, 2018
Enrollment in the individual health insurance market fell by 12% between first-quarter 2017 and first-quarter 2018 to 14.4 million people, according to a new analysis from the Kaiser Family Foundation. All of the decline was in the off-exchange market, where enrollees are not eligible for federal…
Jul 30, 2018
The departments of Health and Human Services and the Treasury have approved Section 1332 waivers for Wisconsin and Maine to implement five-year reinsurance programs for their individual health insurance markets beginning in 2019. The waivers are expected to lower premiums by about 11% in Wisconsin…