Market Momentum, Spillover Effects, And Evidence-Based Decision Making On Payment Reform

With so many diverse reforms taking place, how is it possible to generate the evidence needed for informed decision making about payment reforms for the future?

May 24, 2017

First Trump Administration ASPE Report On ACA Notes Premium Increases

The first Trump administration ASPE report on the ACA compares premiums in the individual market in 2013, before the ACA’s reforms and subsidies went into effect, with premiums in states. It finds that premiums more than doubled in the 39 states.

May 24, 2017

Insurers, Marketplaces Face Uncertainty As Parties Seek Further House v. Price Delay

On May 22, 2017, the House of Representatives and the Department of Justice jointly asked the District of Columbia Court of Appeals to continue to hold House v. Price in abeyance. This would mean continued uncertainty for insurers and the marketplaces.

May 22, 2017

Health Insurance Benefits Should Be Equitable, Not Necessarily Equal

Coverage arrangements in most insurance plans are designed under principles of equality rather than equity. To fully realize the benefits of medical advances, ensure access for those who could benefit most, and enhance the efficiency of our health care expenditures, we need to change this paradigm.

May 22, 2017

California, New York Lead Group Of States Seeking To Intervene In Litigation Over Cost-Sharing Reduction Payments

On May 18, 2017, attorneys general from fourteen states and the District of Columbia, led by California and New York, filed a motion to intervene in House v. Price, the House’s challenge to reimbursement of insurers for cost-sharing reduction payments required under the Affordable Care Act.

May 18, 2017

CMS To Expand Direct Enrollment On

On May 17, CMS released a guidance outlining a new “proxy direct enrollment pathway” that will be available for the 2018 individual market open enrollment period. The process is designed to reduce regulatory burden and provide more choices for consumers, but it also carries risks for consumers.

May 17, 2017

New RWJF Funding Opportunities Promote Access To Health Data For Researchers And Others

A few recent Robert Wood Johnson Foundation (RWJF) efforts reflect its evolving interest in promoting access to health data of various types. Brief proposals are due May 24 for its new Health Data for Action program, in which it partners with athenahealth and the Health Care Cost Institute.

May 17, 2017

Can States Survive The Per Capita Medicaid Caps In The AHCA?

From a state perspective, Medicaid is a very lean program, and the challenge of responding to the proposed reductions in the federal Medicaid funds may be daunting.

May 17, 2017

Medicaid: What Happens Now?

Medicaid reform demands a deliberative process, one that operates in regular order and carefully considers a wide range of options for controlling costs in the nation’s single largest source of health insurance.

May 17, 2017

ACA Round-Up: Coverage Rates Stabilize After Dramatic Gains; SHOP Exchange’s Future; Regulatory Developments

On May 16, 2017, the National Center for Health Statistics released a report, “Health Insurance Coverage: Early Release Of Estimates From The National Health Interview Survey, 2016.” After dramatic gains during 2014 and 2015, coverage has on the whole stabilized.

May 16, 2017