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
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
A new CMS provision on qualified health plans addresses concerns raised by House v. Burwell.
On September 13, 2016, the Census Bureau released its report on Health Insurance Coverage in the United States for 2015. The number and percentage of Americans who were uninsured dropped again in 2015 after a precipitous drop in 2014. GAO reports on ACA implementation brought mixed news.
On September 9, CMS announced that, although it has not yet completed review of QHP insurer risk corridor submissions, it has preliminarily concluded 2015 payments will again result in a shortfall. Indeed, all funds collected for 2015 will have to be devoted to paying out 2014 obligations.
Insurance markets were highly concentrated before and after the ACA’s insurance market reforms, but the ACA has changed insurance markets, the GAO reports. Other ACA news includes a court decision extending the statute’s appeals procedures to governmental plans and a CDC report of coverage gains.
As premium rate increases for 2017 continue to come in high, the Centers for Medicare and Medicaid Services (CMS) continues to look for “fixes” that might calm down jittery marketplace insurers. A major focus of these efforts has been special enrollment periods.
Recent ACA implementation developments include updated health insurance renewal and product discontinuation notices, FAQs on auto-reenrollment procedures, updated civil money penalty amounts, and information on ACA-related tax information.
On August 31, 2016 the Centers for Medicare and Medicaid Services released a draft list of essential community providers, which can be used by insurers seeking to comply with the ECP requirements that apply to qualified health plans.