CMS Eyes Selling Health Insurance Across State Lines

The Centers for Medicare & Medicaid Services (CMS) has issued a request for information (RFI) that solicits recommendations on how to eliminate regulatory, operational and financial barriers to enhance issuers’ ability to sell health insurance coverage across state lines. This announcement builds on President Trump’s October 12, 2017 Executive Order, “Promoting Healthcare Choice and Competition […]

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Health Care Insurers Show Winning Hand in Court over CSR Payments

The nation’s health insurance companies have been winning lawsuit after lawsuit over the Trump administration’s decision to end cost-sharing reduction (CSR) payments in 2017. CSR payments are a feature of the Affordable Care Act (ACA, or Obamacare) that sent billions to insurers to help them restrain premiums for low- and middle-income customers on the Obamacare […]

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Utah Legislature Overrules Voter-Approved Medicaid Expansion

The legislature has approved — and Utah Gov. Gary R. Herbert (R.) has signed — legislation that curtails the wish of state voters who, in November, approved a referendum expanding access to Medicaid to residents with incomes up to 138 percent of the federal poverty line, in keeping with the provisions of the Affordable Care […]

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Obamacare Small Business Portal Closes Today

The Small Business Health Insurance Options Program (SHOP), which got off to a troubled start in 2014 on HealthCare.gov, breathes its last today, as the function shifts to brokers who will sell small business policies henceforth under the Affordable Care Act (ACA, or Obamacare). According to the Centers for Medicare and Medicaid Services (CMS), which […]

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Federal Judge Tosses Anti-Trump ACA Lawsuit

Conceding that the Trump administration’s goal is to end the Affordable Care Act (ACA, or Obamacare), U.S. District Judge Ellen Hollander nonetheless has tossed a lawsuit by Maryland that claimed the administration’s anti-ACA actions were harming the state’s citizens. Brought by state Attorney General Brian Frosh, the lawsuit’s main point was that the Trump administration […]

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Association Health Plans on the Brink of Extinction

A George W. Bush-appointed federal judge seems poised to put the kibosh on the Trump administration’s initiative to widen the use of association health plans (AHPs) by allowing for multi-state and multi-employer AHPs, something not allowed under the Affordable Care Act (ACA, or Obamacare). This past week in Washington, D.C., U.S. District John Bates heard […]

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Judge Blocks Trump Contraceptive Rule Nationwide

After a California judge blocked it in 13 western states, a federal judge in Philadelphia on Monday put the full kibosh on the slated implementation of the Trump administration’s new contraceptive rule for Obamacare, which would allow businesses to opt out of the act’s birth control requirement based on “moral convictions.” The Affordable Care Act […]

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Blue State AGs Appeal Obamacare Ruling

Attorneys General from 16 Democrat-leaning states and the District of Columbia have filed an appeal to overturn U.S. District Judge Reed O’Conner’s Dec. 14 ruling that the Affordable Care Act (ACA, or Obamacare) is unconstitutional now that the individual mandate “tax” has been eliminated. California Attorney General Javier Becerra, leading the charge, claimed  the ruling is […]

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Judge Stays His Obamacare Ruling While Appeals Take Place

U.S. District Judge Reed O’Connor on Sunday put a stay on his ruling that the Affordable Care Act (ACA, or Obamacare) is unconstitutional while appeals are being prepared and heard. The Ft. Worth-based judge issued his ruling on Dec. 14, the day before the 2019 open enrollment season was to end. The decision was based […]

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IRS Unable to Reclaim $1B in False Obamacare Subsidy Claims

Some 87 percent of Obamacare participants receive subsidies to offset the premiums for their health insurance, with the total of subsidies claimed — based on applicants’ stated income while applying — running at $27 billion a year. In the latest accounting, $3.7 billion of that outlay was based on false or outdated claims, of which […]

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