Whither the Lawsuit Against Obamacare?

U.S. District Court Judge Reed O’Connor of Ft. Worth, Texas, heard arguments two months ago over a Texas-led coalition’s contention that the Affordable Care Act (ACA, or Obamacare) is no longer constitutional now that the individual mandate has lost its “tax-like” monetary penalty. But the judge has yet to rule, though in the past — […]

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Three Red States Approve Medicaid Expansion

Three states that are considered mostly Republican-leaning (aka “red states”) approved the expansion of Medicaid at the ballot box Tuesday. Idaho, Nebraska and Utah all said yes, while Montana rejected permanent Medicaid expansion after embracing the program in 2015. Idaho voters gave the largest measure of support to their ballot measure, with 61 percent saying […]

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First Week (3 Days) of ACA Enrollment Nets 371,676 Enrollees

In week one of Affordable Care Act (ACA) Open Enrollment for 2019, 371,676 people selected plans using the HealthCare.gov platform. As in past years, enrollment weeks are measured Sunday through Saturday.  Consequently, week one was only three days long this year – from Thursday to Saturday. Every week during Open Enrollment, the Centers for Medicare & Medicaid Services (CMS) will release […]

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Obamacare Open Enrollment Begins Tomorrow

The window for signing up for health insurance plans effective Jan. 1, 2019, closes at the end of Obamacare open enrollment on Dec. 15 of this year, following the opening of the federal exchange — HealthCare.gov — tomorrow. While this opening is of somewhat limited interest to applicable large employers (ALEs) — those companies with […]

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Proposed Rule Allows Employees to Purchase Health Insurance with HRAs

Join thousands of other Personnel Concepts customers in gaining access to our Digital Workplace Compliance Library (DWCL), which contains manuals and guides for virtually every compliance challenge facing businesses in the U.S. — WATCH THE VIDEO The Departments of the Treasury, Health and Human Services, and Labor today issued a proposed regulation that expands the […]

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CMS Expands Flexibility in ACA Waivers

The Centers for Medicare & Medicaid Services (CMS) and the Department of the Treasury today issued new guidance so states can move their insurance markets away from the one-size-fits-all rules and regulations imposed by the Affordable Care Act (ACA) and increase choice and competition within their insurance markets. The new guidance grants states more flexibility […]

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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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