Much of the report’s media coverage has focused on the projected 15 percent premium increase for 2019 as a measure of the damage being done by the Trump administration and its Republican allies in their ongoing campaign to sabotage health insurance markets. In truth, this sabotage has imposed a much higher cost on millions of families in America.
Michigan lawmakers are debating a bill that jeopardizes the Medicaid coverage on which hundreds of thousands of low-income residents rely. While supporters claim the bill will protect people from losing coverage if they take care of family members who are sick or who have disabilities, a close read of the language suggests otherwise.
Third-party payment programs can improve affordability and increase enrollment for low-income consumers without triggering adverse selection.
This week, the Commonwealth Fund published my research report describing several successful programs, primarily local, that use hospital dollars to increase enrollment into marketplace coverage by lowering premium costs for low-income, uninsured consumers.
After candidate and then President Trump repeatedly promised to slash prescription drug prices, the May 11 announcement of administration drug policy was a significant missed opportunity.
The Trump Administration Continues Its Attack on Medicaid by Dramatically Weakening the Equal Access Rule
The Trump administration is proposing a policy that would weaken protections for people in the program and lead to diminished access to critical services, particularly for people with high health care needs who get coverage through Medicaid.
Earlier this week, Maryland and Virginia insurers filed proposed individual market premiums for 2019. Over the coming weeks and months, insurers in the other 48 states and DC will announce proposed premiums. In Maryland and Virginia, many insurers are asking for incredibly large premium increases. In Maryland, average requested rate increases are 30 percent over 2018. In Virginia, proposed premiums are rising more than 15 percent.
Under the guise of creating low-cost health options, the Trump administration has proposed two new regulations that would have dire consequences for two groups:
Through its short-term plan and association health plan rules, the Trump administration will break the current market for individual health insurance in two. These dangerous new sham health plans roll back the current protections and benefits -- leaving people vulnerable to predatory insurers and drowning in the waters of mounting health care costs.
The Trump administration wants to expand the sale of “short-term limited duration plans” that do not have to comply with the consumer protections afforded under the Affordable Care Act (ACA). On April 26, 2018, Families USA held a webinar about measures that states can take to protect health insurance consumers and markets from the expansion of sham short-term health plans.
As trusted members of their communities, community health workers (CHWs) have a proven track record of increasing access to preventive services, improving health outcomes, and even reducing costs. And by addressing the social determinants of health, CHWs can play a key role
in reducing health disparities. Despite their effectiveness, CHWs often lack sustainable sources of funding, preventing their more widespread integration into the health care system. For CHWs and advocates who want to establish more sustainable funding, Medicaid managed care offers one pathway.