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
During the first half of 2016 (January 1 to June 30, 2016), 10.4 million individuals had effectuated marketplace enrollment—they had paid their premiums and had an active policy. ASPE projects that by the end of 2017 open enrollment, 13.8 million individuals will have selected a marketplace plan.
CMS is ramping up its open enrollment outreach for 2017, aiming to cover more uninsured people and increase marketplace stability by enrolling younger and healthier people.
CMS expressed concern that Kentucky implement a communications plan to clearly and effectively communicate to consumers the information they need to begin enrollment on November 1, 2016. In other ACA news, an insurer in a risk corridor case requested class action.
A number of government reports have criticized federal agency ACA implementation and management efforts, sometimes resulting in congressional criticism or hearings. It is noteworthy, therefore, when an investigative report finds that in fact an ACA-implementing agency is doing its job well.
October 6, 2016 | Following the ACA
An estimated 6.9 million people are currently purchasing coverage in the off-exchange individual market. About 2.5 million of these individuals have incomes that would make them eligible for premium tax credits. About 1.1 million have incomes that would qualify them for cost-sharing reductions.
Defending against insurer suits seeking risk corridor payments, HHS has gone beyond earlier arguments that litigation was premature, arguing that insurers are entitled only to payments equal to collections. Another final judgment voided part of HHS regulations regarding fixed indemnity coverage.
CMS has released information on how it will communicate with consumers whose plans are being discontinued and how it will pilot test the use of quality and network breadth information. It also issued its first newsletter on innovation by Marketplace insurers.
Recent ACA developments include a continuing resolution largely devoid of new restrictions on the law’s implementation, a GAO opinion backing Republican assertions that some reinsurance program collections should go to the Treasury, new reported coverage gains, and evolving ACA-related litigation.
A new campaign to enroll young adults will employ several different strategies to reach this population, including a gamer social video platform. In other ACA news, Hawai'i has completed its Section 1332 waiver.
September 27, 2016 | Following the ACA