Grants Awarded for Obamacare Navigators

The Centers for Medicare & Medicaid Services (CMS) has awarded $10 million in Navigator grants to 39 organizations that will serve as Navigators in Federally-facilitated Exchange states. These awards will support the work of organizations that offer assistance to consumers navigating, shopping for, and enrolling in health insurance coverage for 2019. “We are committed to making […]

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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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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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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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Three States Join Challenge to Constitutionality of Obamacare

With the addition of North Dakota, South Dakota and Wisconsin this week, the lawsuit against the constitutionality of the Affordable Care Act (ACA, or Obamacare) is now being waged in Texas — where the legal action originated — by a combined 23 states. The crux of the lawsuit, filed by the Texas attorney general, is […]

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CMS Cuts Obamacare Navigator Funding from $36M to $10M

The Affordable Care Act (ACA) Navigator program, which funds groups and individuals to help walk people through the Obamacare sign-up process, is being cut financially once again by the Trump administration, this time from $36 million to $10 million. In 2017, funding stood at $63 million. Regardless of the federal outlay, the Navigator program has […]

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ACA Risk-Adjusted Payments Halted after Judge’s Ruling

UPDATE: On Tuesday, July 24, the Trump administration restored the risk-adjusted payments to prevent “chaos” in the health insurance market. Risk-adjusted payments, a principal component of the Affordable Care Act (ACA, or Obamacare) that seeks to level the playing field among insurers, have been put on hold by the Centers for Medicare and Medicaid Services […]

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IRS Preparing to Send 2016 Obamacare Penalty Notices

Even as many applicable large employers (ALEs) grapple with Employer Shared Responsibility Penalty (ESRP) letters from 2015, the Internal Revenue Service (IRS) is preparing to issue more such letters — known as Letter 226-J — for 2015, with still more coming later this year for 2016. Still down the road later this year, the agency […]

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CMS Proclaims a ‘Death Spiral’ for Unsubsidized Obamacare Policyholders

Though the actual number of open enrollment Obamacare policyholders who paid their premiums the first month rose over 2017 by 3 percent — standing at 10.6 million people for 2018 — those seeking policies who didn’t qualify for subsidies fell by as much as one-third in many states, the Centers for Medicare and Medicaid Services […]

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CHIP Survives Senate Rescission Vote

A move by the Trump administration to claw back nearly $15 in spending from the massive March 23 budget bill has failed in the Senate in a vote eerily similar to last summer’s vote on repealing the Affordable Care Act (ACA). The rescission measure would have hit the Children’s Health Insurance Program (CHIP) hardest at […]

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