Parties Ask Court To Keep Cost-Sharing Reduction Payment Litigation On Hold (Updated)

The administration has apparently reimbursed the insurers for February and will likely keep paying them until the matter is resolved.

February 21, 2017

New Deadlines Give Insurers More Time To Decide On 2018 Marketplace Participation

On February 17, the Department released drafts of a proposed bulletin announcing new rate filing deadlines; a revised list of key dates for 2017; and an addendum to its 2018 letter to issuers in the federally facilitated marketplace released last December incorporating the new certification dates.

February 17, 2017

ACA Round-Up: House Replacement Principles, New Bills, And Coverage Rate Updates

Recent health reform developments include a House Republican Leadership policy brief outlining its favored approach to replacing the Affordable Care Act; new legislation regarding pre-existing conditions, health savings accounts, and association health plans; and new coverage estimates.

February 17, 2017

Unpacking The Trump Administration’s Market Stabilization Proposed Rule

On February 15, HHS released its first notice of proposed rulemaking of the Tom Price era, intended to shore up the individual health insurance markets. What’s in the proposed rule, what might its effects be, and what else must be done to stabilize the markets?

February 16, 2017

The Future Of Essential Health Benefits

The Essential Health Benefits requirement may be on the chopping block as the Administration and Congress seek to repeal and replace the ACA. An understanding of how the EHB rule did and did not change the pre-ACA status quo can help put concerns about EHB into context and inform the path forward.

February 14, 2017

Insurers Seeking Risk Corridor Payments Get First Courtroom Win; IRS Updates Q&As

On February 9, Moda Health Plans won the first litigation victory for a health plan on the question of liability in a risk corridor challenge. This post covers that case and also briefly discusses updates to IRS questions and answers on premium tax credits and the individual mandate.

February 10, 2017

How Californians Could Benefit From ACA ‘Repeal And Replace’

There are at least two major areas where California could cooperate with the Trump Administration and the Republican Congress: improving coverage and access for the working poor, and controlling health care costs.

February 9, 2017

ACA Round-Up: Market Stabilization, Fixed-Indemnity Plans, Cost-Sharing Reductions, And Penalty Updates

The administration sent to the Office of Management and Budget a proposed “market stabilization” rule, while the IRS addressed the tax treatment of benefits paid by fixed-indemnity health plans.

February 8, 2017

The Marketplace Premiums Increase: Underwriting Cycle Or Death Spiral?

In this post, we aim to illuminate the underlying forces that led to dramatic increases in premiums so as to clarify the historical record and provide lessons for policymakers who aim to replace the ACA.

February 8, 2017

Uncertainty, Headwinds Hurt Final Marketplace Enrollment Total

On February 3, CMS released its final snapshot of plan selections for the fourth Healthcare.gov open enrollment period, which ended on January 31, 2017. As of that date, 9,201,805 individuals had selected plans through Healthcare.gov in the 39 states it serves, down more than 400,000 from last year.

February 5, 2017