Tag Archives: cost-sharing reduction payments

Republican ACA Replacement Effort Collapses; States Defend House v. Price Intervention Request

On July 17, GOP efforts to pass an ACA replacement collapsed as Sens. Mike Lee (UT) and Jerry Moran (KS) said they would oppose the bill. On the same day, attorneys general from 17 states filed a brief in support of their motion to intervene in House v. Price.

July 18, 2017

ACA Round-Up: Medicare Trustees Report Does Not Trigger IPAB, And More

All eyes yesterday were focused on the Senate, which released significant new amendments to the Better Care Reconciliation Act. But the Senate was not the only game in town.

July 14, 2017

House, Administration Oppose State Intervention In House v. Price; New Developments In ACA Section 1557 Case

The House and HHS have opposed the motion by 18 state attorneys general to intervene in the government’s appeal of House v. Price. Also, there are two new decisions in the challenge to protections against discrimination because of gender identity and termination of pregnancy under ACA Section 1557.

July 11, 2017

Democratic Ideas On ACA Improvements; More From CBO On BCRA Medicaid Cuts

A Democratic staff report and bills introduced by Sen. Jean Shaheen (D-NH) could provide important ideas in the event of bipartisan health reform talks. Meanwhile, the CBO has said that the Medicaid cuts in Senate Republican ACA repeal legislation would widen in its second decade of operation.

June 29, 2017

CMS Releases Data On Effectuated Enrollments, Plan Cancellations

On June 12, the Centers for Medicare and Medicaid Services released effectuated enrollment data for the 2017 open enrollment period. CMS also released a Health Insurance Exchanges Trends Report, summarizing information it has collected from a voluntary exit report in force since August of 2016.

June 13, 2017

Iowa Submits 1332 Waiver Request, Claiming It Is Necessary To Avoid An Individual Insurance Market Collapse

On June 12, Iowa submitted a 1332 waiver request that would dramatically change the nature of its marketplace, claiming that this was needed to save a collapsing individual insurance market. To grant the request, CMS would have to waive many of 1332’s normal statutory and regulatory requirements.

June 12, 2017

HHS Requests Feedback On ACA Regulations; Evidence On Effect Of CSR Payment Uncertainty Continues To Mount (Updated)

On June 8, CMS posted an RFI titled “Reducing Regulatory Burdens Imposed by [the ACA] & Improving Healthcare Choices to Empower Patients.” Meanwhile, stakeholders cite uncertainty over cost-sharing reduction factors as the biggest factor destabilizing the individual insurance market.

June 9, 2017

Court Denies Cost-Sharing Reduction Payment Recipients Right To Join Litigation (Updated)

On January 12, 2017, the D.C. Circuit denied two recipients of cost-sharing reduction payments the right to intervene in House v. Burwell, a challenge to reimbursement of insurers for those payments. The litigation is now in the hands of the Trump administration and the House.

January 13, 2017

Rapid Developments In House v. Burwell

On December 28, 2016, two shots were filed in quick succession in the battle over the cost-sharing reduction (CSR) payments.

December 29, 2016

CMS Releases Manual For Cost-Sharing Reduction Reconciliations

The final manual sets out how this reconciliation process should take place for 2016 and how corrections should be made for 2014 and 2015 cost-sharing reduction (CSR) reconciliations.

December 28, 2016