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 and a consumer liaison representative to the National Association of Insurance Commissioner. 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.
Jost is a contributing editor at Health Affairs and a frequent contributor to Health Affairs Blog. 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
CMS has released a draft 2016 call letter proposing refinements to the Quality Rating System (QRS) and Qualified Health Plan (QHP) Enrollee Experience Survey. CMS also released its Transparency in Coverage QHP Issuer Instruction Guide for Plan Year 2017 and transparency template.
On July 21, the federal government requested input from interested parties on possible alternatives to the current accommodation for employers that object to providing contraceptive coverage under the ACA’s preventive services mandate.
On July 19, 2016, the Centers for Medicare and Medicaid Services released the Federally-facilitated Marketplace (FFM) and Federally-facilitated Small Business Health Options Program (FF-SHOP) Enrollment Manual for the fourth (2017) marketplace open enrollment period.
The Department of Labor and the IRS have proposed new reporting requirements for health plans. Meanwhile, CMS issued a brief responding to charges of excessive cost-sharing requirements in marketplace plans.
A National Taxpayer Advocate Service report states, “The IRS has done a commendable job of implementing the various stages of the” ACA, but it also offers recommendations for improvement.”
On July 6, the IRS released a notice of proposed rulemaking proposing a number of clarifications and modifications to earlier regulations on advance premium tax credits and related issues.
Appeals Panels Affirm Injunction Against Fixed Indemnity Regulation, Turn Back Challenge To ‘Administrative Fix’
A D.C. Circuit panel affirmed an injunction against a regulatory prohibition on the sale of fixed indemnity insurance unless purchasers attest that they already have minimum essential coverage. Another D.C. Circuit panel rejected West Virginia’s challenge to HHS’s 2013 “administrative fix.”
On June 30, CMS announced the results for the second year (2015) of the operation of the reinsurance and risk adjustment programs, two of the ACA’s “three R” premium stabilization programs. Other ACA-related developments include new effectuated enrollment numbers.
In litigation filed by insurers, the Obama administration is not clearly defending Congress’ limitations on risk corridor payments, but neither is it refusing to defend the lawsuit, something that administrations have occasionally done in the past.
On June 21, 2016, the Department of Health and Human Services released a fact sheet reporting on yet another series of efforts to strengthen and improve the sustainability of the Affordable Care Act marketplace risk pools, this time focusing on young adults.