Premiums to Drop on ACA Exchanges, CMS Says

The Centers for Medicare & Medicaid Services (CMS) announced today that the average premium for second lowest cost silver plans (SLCSP) for the 2019 coverage year will drop by 1.5 percent, the first time average premiums have dropped since the implementation of the Affordable Care Act (ACA) in 2014. Tennessee’s decrease is the largest with a 26.2 […]

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Judge Restores ACA Cost-Sharing Reduction (CSR) Payments

A federal judge has ruled in favor of a Montana health insurer, which brought suit to be paid $5.3 million in cost-sharing reduction (CSR) payments it said was due for 2017 under provisions of the Affordable Care Act (ACA, or Obamacare). President Trump ended the reimbursement program a year ago, saying the funds for the […]

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Health Care Spending Approaches 20 Percent of GDP

An analysis by the Health Care Cost Institute (HCCI) of nationwide health care spending for enrollees in employer-sponsored insurance plans shows that expenditures rose 44 percent from 2007 to 2016, putting health care on track for a 20-percent slice of Gross Domestic Product (GDP) within 10 years. Spending averaged a 4.1-percent annual growth rate during […]

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Nevada to Exit Healthcare.gov

Nevada, citing lack of consumer choice and availability of data to the state, is exiting the Affordable Care Act (ACA) online exchange — Healthcare.gov — in favor of setting up its own online exchange by 2020. Other states like Oregon, facing the technical challenge of setting up their own exchange, have gone the opposite route […]

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CMS Issues Guidance on Avoiding Obamacare Tax Penalty

The Centers for Medicare and Medicaid Services (CMS) today announced a new, more streamlined way for consumers to claim a hardship exemption from the tax penalty imposed for not maintaining health coverage for 2018 on their federal income tax returns, making it easier for taxpayers across the nation to claim their exemption. Of the $3 […]

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HHS Sued Over Delay in Drug Discount Rule

Congress in 2010 passed legislation requiring transparency in drug pricing for a hospital program known as 340B, and the Obama administration issued a final rule (finally) in January 2017. Now, the Trump administration is delaying implementation at the cost of a lawsuit against the Department of Health and Human Services (HHS). The American Hospital Association […]

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Grants Awarded for Obamacare Navigators

The Centers for Medicare & Medicaid Services (CMS) has awarded $10 million in Navigator grants to 39 organizations that will serve as Navigators in Federally-facilitated Exchange states. These awards will support the work of organizations that offer assistance to consumers navigating, shopping for, and enrolling in health insurance coverage for 2019. “We are committed to making […]

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Obamacare Premiums to Moderate for 2019 Plan Year

After double-digit increases for the past couple of years, premiums for health insurance policies purchased on the Obamacare exchanges for 2019 are expected to moderate — or even drop — in 41 states, while six states will see 10-percent-plus increases, according to a study done by Avalere Health and the Associated Press. Nationwide, the average […]

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Second Shoe of ACA Business Penalties Drops

The Internal Revenue Service (IRS) in late 2017 began issuing its first wave of Affordable Care Act (ACA) penalties to companies that failed to provide minimum essential health coverage to at least 70 percent of their employees in 2015. Now, the IRS is issuing a new round of penalties for companies that provided coverage but […]

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Constitutionality of ACA Goes on Trial Today

U.S. District Judge Reed O’Connor will hear arguments in Texas beginning today in a case brought by 20 “red” states over the constitutionality of the Affordable Care Act (ACA, or Obamacare), whose result could have far-reaching consequences in the upcoming national elections and beyond. Texas Attorney General Ken Paxton, who last week won another ACA […]

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