New SBC Template Coming for 2017

The Department of Labor (DOL) has submitted for review by the Office of Management and Budget (OMB) a new template for the Summary of Benefits and Coverage (SBC) that accompanies health insurance policies, which will take effect for policies issued starting in April 2017. The public has until March 27 to submit comments to the OMB. SBCs, […]

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Risk Corridor Program Expects to Redistribute $7.7 Billion

The risk corridor/reinsurance program of the Affordable Care Act (ACA) is expecting collections of $7.7 billion under the program this year to compensate insurance companies that suffered losses because of high claims in 2015. The Department of Health and Human Services (HHS) will commence payments in March and wrap them up by June 30 when HHS releases […]

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Obama’s 2017 Budget Pushes Continued Medicaid Expansion

Though it’s been labeled pretty much dead on arrival, President Obama’s budget for 2017 includes a request for funds to allow new states to expand their Medicaid rolls under the Affordable Care Act (ACA) with a two-year free ride. The original ACA provision allowed states in 2014 to get full federal funding for two years […]

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Obamacare Exchanges Sign Up 12.7 Million

On Jan. 31, Open Enrollment for 2016 coverage ended, with about 12.7 million plan selections through the Health Insurance Marketplaces, the Department of Health and Human Services (HHS) is reporting. Of the 12.7 million consumers enrolling in marketplace coverage, more than 9.6 million came through the HealthCare.gov platform and 3.1 million selected a plan through state-based […]

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6 Million Eligible for Medicaid Haven’t Signed Up

Some six million Americans living in states with expanded Medicaid rolls have so far failed to sign up, even though their incomes qualify them, the Wall Street Journal is reporting. Another three million are not covered because they live in states that did not expand their Medicaid services under the Affordable Care Act (ACA). In […]

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UnitedHealth, Humana Bleed Red for Obamacare

UnitedHealth Group Inc., the nation’s largest health insurer which last year said it might withdraw from the Obamacare insurance exchanges, this week increased projected 2016 Affordable Care Act (ACA) losses from $400 million to $500 million. Humana Inc. also disclosed that it was setting up a “premium deficiency reserve” for its anticipated 2016 ACA losses. […]

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Obamacare Open Enrollment Shows Slight Uptick in January

The Department of Health and Human Services (HHS) yesterday reported 74,000 new sign-ups on HealthCare.gov from Jan. 3 to Jan. 9, bringing total federal Obamacare enrollments to 8.7 million for the 38 states covered by the online exchange. With another 2.7 million people having signed up on the state exchanges thus far, total enrollment for […]

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Insurers Cry Foul Over Alleged Obamacare Special Enrollment Abuse

Health insurers are bombarding Obamacare administrators with complaints that people are waiting to get sick before buying health insurance and then dropping it once they are cured. They want the rules and verification system for special enrollment period (SEP) sign-ups to be clarified and tightened. “Many individuals have no incentive to enroll in coverage during […]

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HealthCare.gov Adds Transgender Explanation Page

The federal Obamacare marketplace, HealthCare.gov, today launched a transgender page, offering both application assistance and health-care rights explanations. On the application front, it advises transgender persons to use the names that appear on their Social Security card to avoid triggering “inconsistencies” or “data matching issues” error messages that prevent completion of their sign-up. On the health-care […]

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Medicaid Enrollment Eclipses the Marketplaces in Total Numbers

Through October 2015, the Obamacare provision that allows states to enroll anyone earning less than 138 percent of the federal poverty level into Medicare has netted 13.5 million new enrollees, eclipsing marketplace sign-ups — both state and federal — by a couple of million people. (The 13.5 million number also include enrollees into the Children’s […]

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