Senate Republicans Give Up on ‘Repeal and Replace’

With the defection of two more Senate Republicans from the effort to repeal and replace Obamacare, the Better Care Reconciliation Act of 2017 has been withdrawn from a vote. On Monday, Sens. Mike Lee (Utah) and Jerry Moran (Kan.) issued statements declaring they would not vote for the revamped measure. They thus joined Sens. Rand Paul (Ky.) and […]

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Obamacare Policy Issuers Decrease by 38 Percent from 2016-17

The Centers for Medicare & Medicaid Services (CMS) today announced that 141 individual market qualified health plan (QHP) issuers had submitted initial applications to offer coverage using the federally-facilitated exchange eligibility and enrollment platform (healthcare.gov) in 2018. At the initial filing deadline last year, 227 issuers submitted an application compared to 141 this year, a […]

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Private Insurers Pay Twice (or More) for Physician, Hospital Services than Medicare

At the same time that it issued its assessment of the Senate’s new health care plan, the Congressional Budget Office (CBO) released a related report comparing physician and hospital costs when paid by private insurers and when paid by Medicare and Medicare Advantage. The CBO found the average commercial payment rate for hospital admission was […]

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House Passes Health Care Legislation, Sends It to Senate

On the narrowest of margins, the House of Representatives on May 4 passed the American Health Care Act (AHCA) in its effort to “repeal and replace” the Affordable Care Act (ACA, or Obamacare). The measure now goes to the Senate, which has vowed to rewrite it. The AHCA does away with both the individual and […]

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HHS Announces Limited ‘Fixes’ to Obamacare

The Department of Health and Human Services (HHS) yesterday announced a set of limited “fixes” to the Affordable Care Act (ACA, or Obamacare) going forward. “While these steps will help stabilize the individual and small group markets, they are not a long-term cure for the problems that the Affordable Care Act has created in our health […]

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HHS Secretary Pledges to Uphold Obamacare

Testifying before Congress today, Health and Human Services Secretary Tom Price pledged to uphold the Affordable Care Act (ACA, or Obamacare) so long as it is “the law of the land,” including the individual and employer mandates. “So long as the law is on the books, we at the department are obliged to uphold the […]

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Health Care Providers Must Post Nondiscrimination Notice, Taglines by Oct. 17

The final Affordable Care Act (ACA) rule on the statute’s section 1557 requires that all health care providers receiving federal funds post in a conspicuous public space in their offices a “Notice of Nondiscrimination” prior to this coming Oct. 17, 2016. Federal funding generally refers to those providers accepting Medicare and Medicaid patients, or participaing in […]

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Administration Targets Young People for Obamacare Sign-Ups

With the sign-up of young persons lagging behind the needs of balancing young and old, healthy and sick, the administration is turning to cyberspace and other initiatives to lure young people into signing up for health insurance on the Affordable Care Act (ACA) marketplaces. In 2016, fewer than 30 percent of Obamacare sign-ups out of […]

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HIPAA Celebrates 20th Anniversary Today

On this day (Aug. 21) in 1996, President Bill Clinton signed into law the Health Insurance Portability and Accountability Act (HIPAA), which as its title implies protects people with pre-existing conditions when they change jobs and need new health insurance. From that date until Obamacare took over in 2014, if you left one company with a […]

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Aetna Fleeing Obamacare Exchanges in 11 of 15 States It Serves

Aetna Inc., citing losses of at least $300 million this year on Affordable Care Act (ACA) health insurance policies, announced it is abandoning the Obamacare marketplaces in 11 of the 15 states it currently serves, leaving Pinal County in Arizona with no insurer willing to offer policies. After the move, Aetna will be offering policies […]

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