ACA and Health Insurance - Health Care Compliance Brief

Appeals court upholds ACA’s preventive services mandate, but opens door to future challenges

Healthcare Dive

JUNE 24, 2024

The Fifth Circuit Court of Appeals’ decision Friday is a win for the upwards of 150 million people that receive health insurance through their employers. However, it paves the way for future lawsuits from opponents of the ACA.

ACA

ACA Health Insurance

ACA marketplace premiums poised to jump

Healthcare Dive

JULY 19, 2022

Health insurers' preliminary filings with state regulators point to a 10% median bump in rates for enrollees in 2023, according to the Kaiser Family Foundation.

ACA

ACA Health Insurance

Proposed Regulations Issued to Substantially Increase Access to Federally Subsidized Health Insurance

Compliance Now

APRIL 6, 2022

On April 5, 2022, the Administration issued new proposed regulations changing certain aspects of the affordability and minimum value rules under the Affordable Care Act (“ACA”). If finalized, the new rules will increase access to federal subsidies beginning January 1, 2023.

Health Insurance

Health Insurance ACA Hospitals

Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Kaiser Health News

JANUARY 12, 2024

Under the law, which has offered coverage through state and federal marketplaces since 2014, insurers are barred from rejecting people with preexisting conditions and cannot charge higher premiums for them, either. And even with insurance, many U.S. This is one of the law’s most popular provisions , according to opinion surveys.

Health Insurance

Health Insurance ACA Medicaid Medicaid

Millions of Americans Remain Uninsured or Underinsured Despite ACA Gains

HIT Consultant

NOVEMBER 22, 2024

What You Should Know: – A new report from the Commonwealth Fund reveals that despite significant progress in expanding health insurance coverage under the Affordable Care Act (ACA), millions of Americans still lack adequate and affordable healthcare.

ACA

ACA Health Insurance Medicaid Medicaid

PrEP Coverage Obstacles Highlight Challenges Implementing the ACA Preventive Services Requirement

Center for Health Insurance Reform

FEBRUARY 25, 2022

The ACA requires coverage of recommended preventive services without cost-sharing for consumers enrolled in most private health plans. But even with these protections in place, some insurers improperly impose cost sharing for preventive services.

ACA

ACA Health Insurance

Molina puts CFO in charge of Medicaid, ACA marketplace businesses

Healthcare Dive

SEPTEMBER 4, 2024

Chief financial officer Mark Keim is taking the reins of the health insurer’s bread-and-butter business — Medicaid — along with a growing marketplace division.

Medicaid

Medicaid Medicaid ACA Health Insurance

In the Past Ten Years, Workers’ Health Insurance Premiums Have Grown Much Faster Than Wages

Health Populi

OCTOBER 8, 2020

who benefits from health insurance at the workplace, the annual family premium will average $21,342 this year, according to the 2020 Employer Health Benefits Survey from the Kaiser Family Foundation. Workers receiving health insurance through their jobs have seen their portfolio of benefits changing over the years.

Health Insurance

Health Insurance COVID-19 Telemedicine Public Health

Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers

Center for Health Insurance Reform

MARCH 31, 2023

The Affordable Care Act (ACA) recently celebrated its 13th anniversary with historic enrollment growth in the health insurance Marketplaces and the lowest-ever recorded uninsured rate. Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers

Health Insurance

Health Insurance ACA Medicaid Medicaid

Angle Health Raises $58M for Digital-First Health Insurance

HIT Consultant

JANUARY 25, 2023

What You Should Know: – Angle Health, a digital first health insurance carrier raises $58M in Series A funding, making health insurance more convenient, approachable, and affordable for employers and members.

Health Insurance

Health Insurance ACA Telemedicine Nurses

Dental Coverage under the ACA: Marketplace Rule Would Give States the Opportunity to Expand Coverage

Center for Health Insurance Reform

FEBRUARY 12, 2024

Dental care is an important element of comprehensive health care. The Affordable Care Act (ACA) requires coverage of pediatric dental services in many commercial plans, but the law has had less of an impact on adult dental coverage.

ACA

Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

JANUARY 26, 2022

In other words, both convicted individuals and those still presumed innocent are stripped of their access to the federal health insurance program for low-income individuals. Gamble (1976), affirmed that incarcerated individuals have the constitutional right to health care. The Humane Correctional Health Care Act (H.R.3514)

Medicaid

Medicaid Medicaid COVID-19 Public Health

Reforming Health Insurance

Healthcare IT Today

JUNE 3, 2024

He further asserts that on average, only 53% of your health insurance premiums get returned to you as benefits. Yes, I know that the Affordable Care Act of 2010 mandated that health insurance companies can only keep to 20% of your premium and have to return the other 80% as benefits. is ‘the will of this society.’

Health Insurance

Health Insurance ACA Doctors Fraud

Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.

ACA

ACA Health Insurance Governance Medical Billing

Preparing for the Biggest Coverage Event Since the ACA: The Role of States as Medicaid Continuous Coverage Comes to an End

Center for Health Insurance Reform

MARCH 24, 2022

Continue reading → The post Preparing for the Biggest Coverage Event Since the ACA: The Role of States as Medicaid Continuous Coverage Comes to an End appeared first on Center on Health Insurance Reforms.

ACA

ACA Medicaid Medicaid COVID-19

One in Two Americans with Work-Based Insurance Worries That Healthcare Costs Could Lead to Bankruptcy

Health Populi

JUNE 18, 2021

with employer-sponsored health insurance worry that a major health event in their household could lead to bankruptcy, according to research gathered by West Health and Gallup in Business Speaks: The Future of Employer-Sponsored Insurance. Health Populi’s Hot Points: U.S. One-half of U.S.

ACA

ACA Health Insurance Medicaid Medicaid

High-Risk Pools: A High Risk Proposition for People with Pre-Existing Conditions

Center for Health Insurance Reform

SEPTEMBER 19, 2024

Vance, candidate for Vice President of the United States, has called for replacing the ACA's insurance reforms with "high risk pools" for people with pre-existing conditions. CHIR's Sabrina Corlette revisits how high risk pools worked (or more often, didn't work) for people, prior to the ACA.

ACA

The Shift from Traditional Employer-Sponsored Coverage to ICHRA: The Health Plan Perspective

HIT Consultant

NOVEMBER 3, 2024

Impact on Employers There is no federal mandate dictating the minimum employer contribution towards health insurance, although many states require at least a 50% contribution. The ideal contribution percentage varies by industry, company size, and the health benefits offered. Coverage is becoming unaffordable for many.

ACA

ACA Health Insurance Governance Compliance

KHN’s ‘What the Health?’: A Conversation With Peter Lee on What’s Next for the ACA

Kaiser Health News

APRIL 21, 2022

He reflects on how the ACA has changed the nation’s health system, what could result if Congress fails to renew expanded premium subsidies that have helped boost coverage, and what should happen next with the health law and the millions of Americans who still lack health insurance coverage.

ACA

ACA Health Insurance

July Research Roundup: What We’re Reading

Center for Health Insurance Reform

AUGUST 14, 2023

CHIR’s summer reading list includes the latest health policy literature. In July, we read about the disparities in medical debt burdens, policy interventions to reduce choice errors in the Affordable Care Act (ACA) Marketplace, and the affordability of Marketplace health insurance under subsidy expansion.

ACA

ACA Health Insurance

Happy 13th Birthday, ACA!

Center for Health Insurance Reform

MARCH 23, 2023

Continue reading → The post Happy 13th Birthday, ACA! appeared first on Center on Health Insurance Reforms. To celebrate this milestone, CHIR takes a look at the law's big accomplishments and its impact on American families.

ACA

ACA Health Insurance

March Research Roundup: What We’re Reading

Center for Health Insurance Reform

APRIL 6, 2022

In addition to filling out our March Madness brackets, the CHIR team reviewed studies on health insurance rates during the pandemic, how the Affordable Care Act (ACA) impacted women’s health coverage, and consumer access to high-quality marketplace plans.

ACA

ACA Health Insurance COVID-19 Medicaid

Navigator Guide FAQs of the Week: The Risks of Buying Coverage Outside the Marketplace

Center for Health Insurance Reform

DECEMBER 15, 2023

As 2023 comes to a close, it’s time to think about health insurance for 2024. Consumers searching for a 2024 plan online may come across products that do not have to comply with the Affordable Care Act's (ACA) consumer protections.

ACA

ACA Health Insurance

February Research Roundup: What We’re Reading

Center for Health Insurance Reform

MARCH 11, 2022

In honor of Black History Month, for the February edition of CHIR’s monthly research roundup we reviewed new health policy research centering the experiences of Black people in the U.S. Continue reading → The post February Research Roundup: What We’re Reading appeared first on Center on Health Insurance Reforms.

ACA

ACA Health Insurance Health Outcomes Medicaid

Comprehensive ACA and ADA Compliance Training

American Medical Compliance

APRIL 17, 2024

The following Comprehensive Affordable Care Act (ACA) and Americans with Disabilities Act (ADA) Compliance Training educates healthcare providers on the historical context of both Acts. The law has 3 primary goals: Make affordable health insurance available to more people. Not all states have expanded their Medicaid programs.

ADA

ADA ACA Compliance Health Care Reform

SCOTUS ruling will make it harder for patients to get birth control

Healthcare IT News - Telehealth

JULY 9, 2020

But they stress the importance of patients being able to make their own reproductive decisions – and fear that the judgment will make it harder for patients, especially those who rely on insurance, to get birth control. "We’re deeply disappointed by the court’s ruling on the ACA contraceptive mandate.

ACA

ACA Governance Health Insurance

Navigator Guide FAQs of the Week: What to Know About Off-marketplace Plans

Center for Health Insurance Reform

DECEMBER 19, 2022

As consumers look for an affordable health plan, it can be tempting to search for plans online, which may lead people to products sold outside of the Affordable Care Act’s (ACA) marketplace.

ACA

ACA Health Insurance

What Four States Are Doing to Advance Health Equity in Marketplace Insurance Plans

Center for Health Insurance Reform

MAY 16, 2022

The implementation of the Affordable Care Act (ACA) led to historic reductions in racial and ethnic disparities related to health insurance coverage. However, equal access to health coverage is not enough to ensure health equity.

ACA

ACA Health Insurance

A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

FEBRUARY 27, 2024

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. The Affordable Care Act (ACA) of 2010 had embedded within the law a Patient’s Bill of Rights.

ACA

ACA Prescription Drug Pricing Health Insurance Hospitals

From Cancer Screenings to Prenatal Care, the Latest Challenge to the Affordable Care Act Threatens Availability of Free Preventive Services

Center for Health Insurance Reform

AUGUST 1, 2022

The ACA requires that most insurers and employers cover a set of preventive health services at no cost to enrollees. A case pending in federal court threatens to cut off consumers' access by allowing insurers to impose cost-sharing on these services or, in some cases, cease covering them altogether.

ACA

ACA Health Insurance

Stakeholder Perspectives and Feedback on Health Equity in the 2023 Notice of Benefit and Payment Parameters

Center for Health Insurance Reform

MARCH 31, 2022

In the proposed Notice of Benefit and Payment Parameters for 2023, the Centers for Medicare & Medicaid Services asked for feedback on how to promote health equity through ACA marketplace operations and plan certification standards.

ACA

ACA Health Insurance Medicaid Medicaid

Mitigating Coverage Loss When the Public Health Emergency Ends: The Role of the Affordable Care Act Marketplaces

Center for Health Insurance Reform

APRIL 29, 2022

As many as 16 million people are expected to lose Medicaid once the COVID-19 public health emergency ends. One-third of these could be eligible for ACA marketplace plans.

Public Health

Public Health ACA COVID-19 Health Insurance

Computer glitches and human error still causing insurance headaches for Californians

Healthcare It News

JUNE 3, 2022

Legal aid attorneys, patient advocates, and insurance agents say computer glitches are not as common today as they were in the several years after California’s 2013 launch of ACA coverage. Insurance agents can also bring lots of expertise to help resolve your problem. 3536 or www.healthconsumer.org ).

Public Health

Public Health Health Insurance Professionals ACA Medicaid

Bridging the Gap: Oregon’s Proposal to Ease Coverage Transitions at the End of Public Health Emergency

Center for Health Insurance Reform

NOVEMBER 9, 2022

At the end of the COVID-19 public health emergency, millions of people will lose Medicaid as states resume eligibility determinations. Continue reading → The post Bridging the Gap: Oregon’s Proposal to Ease Coverage Transitions at the End of Public Health Emergency appeared first on Center on Health Insurance Reforms.

Public Health

Public Health ACA COVID-19 Health Insurance

The Patient Is Still the Payor – And May Skip Paying for Prevention (Eyes on the ACA & Texas)

Health Populi

MARCH 8, 2023

Many health citizens in the U.S. would likely skip receiving preventive health care services if the Affordable Care Act’s (ACA) coverage for them goes away, a Morning Consult survey found. One of the key benefits embedded in the ACA was “free” without co-pay shares for preventive care.

ACA

ACA COVID-19 FDA Health Care Access

Doctors’ Offices Morph into Bill Collectors As Patients Face Growing Out-Of-Pocket Costs

Health Populi

AUGUST 2, 2021

Health Populi’s Hot Points: While having health insurance is better than being uninsured, people in the U.S. A recent Gallup/West Health poll, published in June, found that 1 in 2 people with workplace health insurance were worried about that health event leading to bankruptcy, shown in the bar chart from the study.

Doctors

Doctors COVID-19 Health Insurance ACA

The ACA’s Preventive Services Benefit Is in Jeopardy: What Can States Do to Preserve Access?

Center for Health Insurance Reform

JANUARY 27, 2023

A federal judge is poised to gut one of the most popular provisions of the Affordable Care Act’s (ACA) preventive services requirement, potentially cutting off millions of peoples’ access to crucial care such as flu shots and cancer screenings. appeared first on Center on Health Insurance Reforms.

ACA

ACA Health Insurance

Reflections on the United States Health Care System and the Right to Health

Bill of Health

NOVEMBER 9, 2023

has some of the world’s leading medical facilities and research institutions, and the ability to deliver the highest available quality of care, it ranks last among rich nations in providing equitable, accessible, affordable, and high-quality health care. America is the only wealthy nation to lack universal health coverage.

COVID-19

COVID-19 Public Health ACA Health Insurance

What’s New for 2024 Marketplace Enrollment?

Center for Health Insurance Reform

OCTOBER 19, 2023

The annual open enrollment period for Affordable Care Act (ACA) Marketplace coverage kicks off November 1 in most states.

ACA

ACA Medicaid Medicaid Health Insurance

The Health Insurance Premium for a Family Averages $25,572 in 2024 – KFF’s Annual Update on Employer-Sponsored Benefits

Health Populi

OCTOBER 14, 2024

The premium for employer-sponsored health plans grew by 6-7% between 2023 and 2024, according to the report on Employer Health Benefits 2024 Annual Survey from the Kaiser Family Foundation, KFF’s 26th annual study into U.S. companies’ spending on workers’ health care. will indeed keep on keepin’ on.

Health Insurance

Health Insurance Prescription Drug Pricing COVID-19 Governance

Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. Once the new rules were published, Vista Health Plan, Inc., 2018 Final Rule, 83 Fed.

ACA

ACA US Department of Health and Human Services Health Insurance Medicaid

CBO Projections Are Not Destiny: Policies, ACA Investments Can Change Trajectory

Center for Health Insurance Reform

JUNE 24, 2024

In a recent article for Health Affairs Forefront, CHIR's Sabrina Corlette reviews several policy actions and investments in the Affordable Care Act (ACA) that could help sustain 2023’s low uninsurance rate, and even bring it lower. However, these projections are not our destiny.

ACA

Remodel Health Raises Over $100M to Expand ICHRAs

HIT Consultant

DECEMBER 19, 2024

What You Should Know: – Remodel Health , a provider of Individual Coverage Health Reimbursement Arrangements (ICHRAs), has announced a significant growth funding round of over $100M. Access to ACA Exchanges: Employees can use their ICHRA allowance to purchase health insurance on the Affordable Care Act (ACA) exchanges.

ACA

ACA Health Insurance

Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

Health Populi

SEPTEMBER 17, 2020

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. The coronavirus pandemic has only exacerbated the erosion of the health insured population. lacked health insurance.

COVID-19

COVID-19 Health Insurance Public Health Health Care Access

Appeals court upholds ACA’s preventive services mandate, but opens door to future challenges

ACA marketplace premiums poised to jump

Trending Sources

Proposed Regulations Issued to Substantially Increase Access to Federally Subsidized Health Insurance

Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Millions of Americans Remain Uninsured or Underinsured Despite ACA Gains

PrEP Coverage Obstacles Highlight Challenges Implementing the ACA Preventive Services Requirement

Molina puts CFO in charge of Medicaid, ACA marketplace businesses

In the Past Ten Years, Workers’ Health Insurance Premiums Have Grown Much Faster Than Wages

Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers

Angle Health Raises $58M for Digital-First Health Insurance

Dental Coverage under the ACA: Marketplace Rule Would Give States the Opportunity to Expand Coverage

Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Reforming Health Insurance

Lawsuit Alleges Obamacare Plan-Switching Scheme Targeted Low-Income Consumers

Preparing for the Biggest Coverage Event Since the ACA: The Role of States as Medicaid Continuous Coverage Comes to an End

One in Two Americans with Work-Based Insurance Worries That Healthcare Costs Could Lead to Bankruptcy

High-Risk Pools: A High Risk Proposition for People with Pre-Existing Conditions

The Shift from Traditional Employer-Sponsored Coverage to ICHRA: The Health Plan Perspective

KHN’s ‘What the Health?’: A Conversation With Peter Lee on What’s Next for the ACA

July Research Roundup: What We’re Reading

Happy 13th Birthday, ACA!

March Research Roundup: What We’re Reading

Navigator Guide FAQs of the Week: The Risks of Buying Coverage Outside the Marketplace

February Research Roundup: What We’re Reading

Comprehensive ACA and ADA Compliance Training

SCOTUS ruling will make it harder for patients to get birth control

Navigator Guide FAQs of the Week: What to Know About Off-marketplace Plans

What Four States Are Doing to Advance Health Equity in Marketplace Insurance Plans

A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

From Cancer Screenings to Prenatal Care, the Latest Challenge to the Affordable Care Act Threatens Availability of Free Preventive Services

Stakeholder Perspectives and Feedback on Health Equity in the 2023 Notice of Benefit and Payment Parameters

Mitigating Coverage Loss When the Public Health Emergency Ends: The Role of the Affordable Care Act Marketplaces

Computer glitches and human error still causing insurance headaches for Californians

Bridging the Gap: Oregon’s Proposal to Ease Coverage Transitions at the End of Public Health Emergency

The Patient Is Still the Payor – And May Skip Paying for Prevention (Eyes on the ACA & Texas)

Doctors’ Offices Morph into Bill Collectors As Patients Face Growing Out-Of-Pocket Costs

The ACA’s Preventive Services Benefit Is in Jeopardy: What Can States Do to Preserve Access?

Reflections on the United States Health Care System and the Right to Health

What’s New for 2024 Marketplace Enrollment?

The Health Insurance Premium for a Family Averages $25,572 in 2024 – KFF’s Annual Update on Employer-Sponsored Benefits

Fifth Circuit Upholds ACA Risk Adjustment Program

CBO Projections Are Not Destiny: Policies, ACA Investments Can Change Trajectory

Remodel Health Raises Over $100M to Expand ICHRAs

Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

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