Timothy Stoltzfus Jost, J.D., is an Emeritus Professor at the Washington and Lee University School of Law. Jost is a member of the Institute of Medicine. He is coauthor of a casebook, Health Law, used widely throughout the United States in teaching health law, and of a treatise and hornbook by the same name. He is also the author of Health Care at Risk: A Critique of the Consumer-Driven Movement; Health Care Coverage Determinations: An International Comparative Study; Disentitlement? The Threats Facing our Public Health Care Programs and a Rights-Based Response, and Readings in Comparative Health Law and Bioethics. He has also written numerous articles and book chapters on health care regulation and comparative health law, including monographs on legal issues in health care reform for Georgetown’s O’Neill Center, the Fresh Thinking Project, the National Academy of Social Insurance and National Academy of Public Administration, and the New America Foundation and Urban Institute.
Recent Posts by Timothy Jost
The report examines the effects of federal subsidies, fees, and taxes; federal regulations; and actions taken by insurers on health insurance premiums. In particular it considers how the Affordable Care Act has affected health insurance premiums.
The administration’s 2017 budget includes initiatives to increase access to mental health care, expand opioid abuse treatment, fight antibiotic resistance, combat the Zika virus, and fund a “cancer moonshot,” as well as provisions relating to the ACA, Medicare, and private insurance.
On February 5, 2016, CMS released 2017 form and rate filing instructions for insurers in five states. And in late January, HHS released updated guidance on the quality rating system (QRS) and enrollee satisfaction survey process.
CMS has recognized a new special enrollment period for consumers who are without marketplace coverage because of their failure to file their taxes and reconcile advance premium tax credits for 2014. The agency also issued new guidance on premium reduction arrangements for student health plans.
CMS has released its final enrollment snapshot for the 2016 open enrollment period which ended on January 31. Overall, 12.7 million individuals selected plans in 2016 through HealthCare.gov and the state-operated marketplaces, up 1 million from 2015, though the numbers are not truly comparable.
CMS recently issued a couple of guidances affecting insurers issuing coverage under the Affordable Care Act. CMS also released some information about the final days of open enrollment.
On January 25, 2016, the CBO released The Budget and Economic Outlook, 2016 to 2026, projecting that 13 million---significantly lower than CBO previously estimated---will be covered through the marketplaces for 2016.
CMS released the Final 2017 Actuarial Value Calculator and Methodology and the HHS ASPE released another report on 2016 HealthCare.gov enrollment.
On January 11, 2016, CMS Administrator Andy Slavitt announced that CMS would be taking action to clarify and limit SEPs that might be open to abuse. On January 19, 2016, specific actions toward this end were announced by Marketplace CEO Kevin Counihan.
On January 15, 2016, the Centers for Medicare and Medicaid Services published at its REGTAP.info website (registration required) a Draft Manual for Reconciliation of Advance Payment of Cost-Sharing Reductions for Benefit Years 2014 and 2015.