Search Results for: stop-loss

March Research Round Up: What We’re Reading

…The ACA’s marketplaces were created to give consumers an unbiased one-stop shop for quality health coverage. When consumers go to HealthCare.gov, or an equivalent state-run enrollment platform, their personal information is kept private, they will be screened for multiple health insurance programs, and will have access to all available plans in their rating area. Although the idea behind direct enrollment…

Affordable Care Act Back in the Spotlight: Build on its Progress or Scrap it Entirely?

…estimated 133 million – depend on it to protect them from discrimination due to a pre-existing condition. Further, with health care now representing 18 percent of our economic output, invalidating the law will result in an estimated 1.2 million people losing their jobs, with billions in financial losses for hospitals and other providers. Most legal experts – including conservative experts…

Happy Birthday to the Affordable Care Act: Your Presence is our Present

…to be considered a qualified health plan. Before you, many insurance plans left out important and costly health services like mental health treatment, maternity care, and prescription drug coverage. This left consumers on the hook for high medical bills for health care services that are often unavoidable. You don’t discriminate You’ve stopped major medical insurance plans from charging higher premiums…

Stakeholders React to HHS’s Notice of Benefit and Payment Parameters for 2020. Part 1: Insurers

…all urged HHS to maintain the existing renewal process. Molina explained that automatic renewals promote continuity of care, are “standard practice” in most insurance markets (e.g., property and casualty), and “don’t deter consumers from actively shopping for coverage…rather, they provide an important backstop against loss of coverage.” To encourage active shopping, Molina recommended that HHS instead invest more in outreach…

What, if Anything, Do the Latest Cost Sharing Reduction (CSR) Court Rulings Mean for 2020 Premiums?

…cost-sharing plans. Of note, the court decisions suggest that the government continues to owe these CSR payments even though most insurers were able to mitigate their losses by increasing plan premiums in 2018 and beyond. In her latest article for the State Health & Value Strategies Expert Perspectives blog, CHIR’s Sabrina Corlette shares insights on the impact of this litigation…

House Hearings Shed Light on a Key Policy Priority: Protecting People with Pre-Existing Conditions

Recently, House Minority Leader Kevin McCarthy attributed Republican losses in the midterm elections to GOP efforts to repeal the Affordable Care Act (ACA). In particular, McCarthy pointed to a provision of the House-passed American Health Care Act that would have permitted states to waive pre-existing condition protections, which he argued, “put [the] pre-existing condition campaign against us” in a debate…

Efforts to Protect Workers with Pre-existing Conditions

…2017. Congress rejected it because repealing the ACA without replacing it would: Result in 32 million Americans losing their insurance. Double premiums for people in the individual insurance market. Leave an estimated ¾ of the nation’s population in areas without an insurer. Cause significant financial harm for hospitals and other providers due to uncompensated care costs Cause the loss of…

Translating Coverage into Care: Answers to Common Post-Enrollment Questions

…1-800-318-2596 (TTY: 1-855-889-4325) as soon as possible to terminate your coverage and if applicable, stop receipt of any premium tax credits. You should also contact your health insurance company to ensure your health plan is terminated. Make sure to document the dates of your contacts with the marketplace and the insurer. Recent federal guidance allows insurers to extend the grace…

Texas Court Ruling Throws Future of ACA’s Pre-existing Condition Protections, Coverage Gains into Doubt

…space for new mothers to pump breast milk. The judge’s ruling does not stop the government from carrying out the law, and the Trump administration announced over the weekend that they would continue to do so. Further, legal experts on both sides of the political spectrum argue the judge’s decision is on shaky legal ground and predict that it will…

The opinions expressed here are solely those of the individual blog post authors and do not represent the views of Georgetown University, the Center on Health Insurance Reforms, any organization that the author is affiliated with, or the opinions of any other author who publishes on this blog.