CMS Says 63 Counties to Be Without Obamacare Provider

The Centers for Medicare and Medicaid Services (CMS) has posted an update to its Health Insurance Exchanges Issuer County Map. This map is of projected issuer participation on the Health Insurance Exchanges in 2018 based on the known issuer public announcements through Sept. 13, 2017. Participation is expected to fluctuate and does not represent actual […]

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Trump Administration to Cut Funding for Obamacare Advertising, Promotion

The Trump administration is slashing advertising for enrollment in Affordable Care Act (ACA) policies for 2018 from $100 million to $10 million, and cutting funding for “navigators,” individuals who help people sign up, from $62.5 million to $36 million, CNBC reports today, citing phone calls from Health and Human Services (HHS) officials. Those officials and […]

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4 Million Paid Average of $708 in Obamacare Penalties in 2016

The Internal Revenue Service (IRS) reports that 4 million Americans paid an average of $708 for not having health insurance in 2016 — what the IRS terms the Individual Shared Responsibility Payment (ISRP). The average is just over the base penalty of $695 imposed for a whole year without coverage. Interestingly, 22.6 million others filed for exemptions […]

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Senate Republicans Give Up on ‘Repeal and Replace’

With the defection of two more Senate Republicans from the effort to repeal and replace Obamacare, the Better Care Reconciliation Act of 2017 has been withdrawn from a vote. On Monday, Sens. Mike Lee (Utah) and Jerry Moran (Kan.) issued statements declaring they would not vote for the revamped measure. They thus joined Sens. Rand Paul (Ky.) and […]

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Obamacare Policy Issuers Decrease by 38 Percent from 2016-17

The Centers for Medicare & Medicaid Services (CMS) today announced that 141 individual market qualified health plan (QHP) issuers had submitted initial applications to offer coverage using the federally-facilitated exchange eligibility and enrollment platform (healthcare.gov) in 2018. At the initial filing deadline last year, 227 issuers submitted an application compared to 141 this year, a […]

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Private Insurers Pay Twice (or More) for Physician, Hospital Services than Medicare

At the same time that it issued its assessment of the Senate’s new health care plan, the Congressional Budget Office (CBO) released a related report comparing physician and hospital costs when paid by private insurers and when paid by Medicare and Medicare Advantage. The CBO found the average commercial payment rate for hospital admission was […]

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House Passes Health Care Legislation, Sends It to Senate

On the narrowest of margins, the House of Representatives on May 4 passed the American Health Care Act (AHCA) in its effort to “repeal and replace” the Affordable Care Act (ACA, or Obamacare). The measure now goes to the Senate, which has vowed to rewrite it. The AHCA does away with both the individual and […]

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HHS Announces Limited ‘Fixes’ to Obamacare

The Department of Health and Human Services (HHS) yesterday announced a set of limited “fixes” to the Affordable Care Act (ACA, or Obamacare) going forward. “While these steps will help stabilize the individual and small group markets, they are not a long-term cure for the problems that the Affordable Care Act has created in our health […]

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HHS Secretary Pledges to Uphold Obamacare

Testifying before Congress today, Health and Human Services Secretary Tom Price pledged to uphold the Affordable Care Act (ACA, or Obamacare) so long as it is “the law of the land,” including the individual and employer mandates. “So long as the law is on the books, we at the department are obliged to uphold the […]

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Health Care Providers Must Post Nondiscrimination Notice, Taglines by Oct. 17

The final Affordable Care Act (ACA) rule on the statute’s section 1557 requires that all health care providers receiving federal funds post in a conspicuous public space in their offices a “Notice of Nondiscrimination” prior to this coming Oct. 17, 2016. Federal funding generally refers to those providers accepting Medicare and Medicaid patients, or participaing in […]

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