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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States Win Big Refunds over Obamacare Tax for Medicaid

A federal judge in North Texas has handed a group of states hundreds of millions of dollars in refunds from an Affordable Care Act (ACA, or Obamacare) program known as the Health Insurance Providers Fee, which collects Medicaid taxes from the states to help fund Obamacare. A federal appeal is almost a certainty. The 2015 […]

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CMS to Reimburse New York, Minnesota for Health Care Expenses

New York and Minnesota, the only two states to establish Basic Health Programs (BHPs) under the Affordable Care Act (ACA), will now receive promised federal funding after suing the Trump administration. Basic Health Programs are state-operated insurance providers for residents¬†earning between 138 percent and 200 percent of the federal poverty level — the population earning […]

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Three Nevada Chambers of Commerce Join to Launch AHP

Three chambers of commerce in southern Nevada are taking advantage of an Association Health Plan (AHP) rule issued in June by the Department of Labor (DOL) to form the Clark County Health Plan Association, which intends to offer a choice of ten different policies from two UnitedHealthcare affiliates. The three organizing units are the Henderson […]

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When It Comes to Short-Term Health Plans, Some States Just Say No

While the Trump administration has rolled out a plan to make available short-term health insurance policies, up from the current 90 days to 12 months in duration, some states have already said they don’t want any part of it. Since the plans don’t have to include all the essential health benefits (EHBs) of the Affordable […]

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Maine Receives Waiver to Establish ACA Reinsurance Plan

The Centers for Medicaid and Medicare Services (CMS) has issued a Section 1332 Waiver to Maine to allow the state to set up a reinsurance plan to help pay the medical costs of residents with certain qualifying conditions, thus helping lower the health insurance premiums of all consumers in Maine. Gov. Paul LePage has subsequently […]

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Short-Term Health Plans to Be Offered Beginning in October

The departments of Health and Human Services (HHS), Labor (DOL) and the Treasury (DOT) today issued a final rule allowing for the sale and renewal of short-term, limited-duration health plans that cover longer periods than the previous maximum period of less than three months. Such coverage can now cover an initial period of less than […]

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New York Leads Attorney General Coalition Fighting AHPs

Twelve “blue state” attorneys general, led by New York Attorney General Barbara Underwood, are taking the Trump administration to court over its final rule allowing the creation of newly invigorated Association Health Plans (AHPs). The coalition is targeting a final rule issued by the Department of Labor (DOL), which loosens and expands the definition of […]

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