In an abrupt reversal, the ACA’s risk adjustment program has been restored It seems the administration agreed with critics, that if the program remained suspended, it could potentially cause chaos for consumers. Please see The New York Times for more information.
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A new proposal would allow physicians to begin receiving the same amount for all office visits, regardless of the patient’s condition. Critics say the proposal could discourage some doctors from taking Medicare patients. Please see The New York Times for more information.
After reports earlier this month of the Administration suspending payments to insurers, there are now talks taking place to restore the Obamacare program that compensated health insurers for some enrollee’s who have more serious conditions. Please see Bloomberg BNA, The Hill and The Washington Examiner for more information.
The insurance industry is concerned about the impact of suspending the ACA Risk Adjustment payments on premiums. Higher premiums are predicted due to this funding freeze. Please see The Hill, Bloomberg News and Politico for more information.
The Trump Administration has suspended an estimated $10.4 billion in 2017 payments for risk adjustments. The move could potentially increase uncertainty in the market and increase premiums this fall. Please see The Washington Post, New York Times, and The Wall Street Journal.
High Deductible health plans are on the rise in the US. Approximately 39% of large employers only offer high-deductible plans, and increase of 7% from 2009. Even though they’ve been on the rise, employers are now questioning the move and are considering reducing deductibles. For more information please see Bloomberg News.
The Trump Administration and Congress have come together to expand benefits for chronically ill older Americans. Specifically people with multiple long-term illnesses. Solutions include nutrition, transportation, and housing. For more information please see The New York Times.
States are increasing waiver requests to help modify their Medicaid programs. Waivers include work requirements and funding for mental health. Please see FierceHealthcare for more information.
The preexisting conditions protection of the Affordable Care Act is being challenged in district court. If the plaintiffs win and the provision is removed, 52 million Americans under the age of 65 would be at risk of losing coverage essentially returning to the way things were before the ACA. For more information please see The Washington Post and The Wall Street Journal.
Seventy-four health plans were filed for Washington State’s 2019 individual and family health insurance market. The average rate increase across the plans is 19.08%. Eleven insurers filed the plans. There will be no counties without insurers for 2019, though 14 will only have one option. You can read more here.