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ASPE: Medicaid Expansion Lowers Marketplace Premiums

A new Obama administration report concludes that Medicaid expansion is associated with 7 percent lower age-adjusted marketplace premiums for the second-lowest cost silver plan.

Aetna’s Retrenchment Is No Big Deal

The recent announcement that the country’s third largest health insurer will withdraw from Marketplaces in 11 of the 15 states that it currently serves follows major retrenchments by United Health and Humana. Is this evidence of the ACA's fatally flawed design, or the product of a competitive...

Funerals For Friends: How Public Health In Colorado Handles Growing Prescription Drug Misuse

The opioid painkiller epidemic in Colorado was the focus of a session at this year's Colorado Health Symposium. The Colorado Health Foundation hosts this well-known annual forum.

In Kentucky’s New Medicaid Plan Evidence Takes A Back Seat

Kentucky had one of the nation’s most successful Affordable Care Act (ACA) implementations, with an effective state exchange and expanded Medicaid program. The new Kentucky Medicaid plan, however, relies on policies that have been shown to be counterproductive.

Examining The Effects Of Premium Increases On Consumers And The Marketplaces

There have been a number of recent reports indicating that marketplace premiums are increasing sharply for 2017. A new ASPE report examines the potential effects of hypothetical premium increases of 10, 25, or even 50 percent, taking into account premium tax credits and consumer shopping.

Plaintiffs Say ACA Equity Rules Illegally Require Abortion, Gender Transition Services

A new lawsuit alleges that regulations implementing ACA nondiscrimination provisions force the plaintiff professionals and facilities to provide gender transition services against their medical judgment and religious beliefs. It also asserts that the regulations require abortion coverage.

New Initiative Explores The Intersection Of Education And Mental Health

Some of the richest opportunities for improving educational outcomes for children may emerge from initiatives that prevent and address mental health issues in this population. Read about about a new W.K. Kellogg Foundation–funded project on promoting mental health in schools.

CMS Releases Form For Insurers Submitting Contraceptive Claims

On August 22, CMS released at its REGTAP.info website a web-based form that third party administrators and insurers may use for submitting contraceptive claims that they have paid for 2015 as well as a set of frequently asked questions describing how the new process will work.

Using Community Input To Improve Advance Care Planning

CMS' decision to compensate physicians for having advance care planning conversations was an important step to transform ACP. However, we cannot expect physician reimbursement to change attitudes surrounding ACP — we need to engage community members and leaders.

CMS Focuses On Provider Steering Of Medicare- And Medicaid-Eligible People To Marketplaces

On August 18, CMS issued a request for information regarding a concern expressed by insurers, that providers and provider-affiliated organizations are steering people eligible for Medicare and/or Medicaid coverage to individual marketplace plans to obtain higher provider payment rates.