While these waivers are related to private health insurance, there are several ways these waivers could affect Medicaid and CHIP coverage. This analysis describes how new federal guidance on these waivers provides some guardrails designed to protect the Medicaid and CHIP populations.
A weight is lifted for Sudan, a bodybuilder, thanks to the Affordable Care Act’s marketplace insurance.
Sudan works as a personal trainer for members of the military and their families at an air force base in Georgia. She loves helping people get in shape and stay healthy, but for many years, Sudan felt that her own health was at risk.
Last month, HHS and the Department of the Treasury issued new guidance on state innovation waivers that includes stronger protections for low-income and vulnerable consumers. We believe many of its provisions should be added to federal rules.
Last July, four insurance giants announced proposed mergers. Anthem is proposing to purchase Cigna, and Aetna to purchase Humana. A merged Anthem-Cigna would cover 53 million people, and a merged Aetna-Humana would cover more than 33 million people. Together, these merged companies, along with United Health Group’s approximately 46 million insured consumers, would concentrate the coverage of 132 million lives in just three companies.
This is the second year that everyone who files taxes must indicate whether they have health insurance. The good news is that this process is straightforward for most people. The majority of Americans have health coverage and many will simply have to check a box to indicate that they have it. Those who do not have health insurance must either pay a fine or claim an exemption from the requirement. This is all done through the tax filing process.
At our Health Action conference last month in Washington, D.C., we heard about the great work advocates are doing in their legislatures and communities to improve access to high-quality, affordable health care. Hear from advocates working in Colorado, Connecticut, New York, and Tennessee about their priorities for 2016.
There's a lot to like in the new “Notice of Benefit and Payment Parameters” rule from the federal government, both about what insurers must offer in the health plans they sell on the federal marketplace in 2017 and about other issues related to enrollment. However, we had hoped the government would release its originally proposed, firmer standards for provider networks and make other parts of this rule mandatory, not voluntary, for insurers.
Overall, the rule, released by the Centers for Medicare and Medicaid Services (CMS) last week, takes significant steps toward making health insurance and care more affordable and making it easier for consumers to compare health plans. In this blog we discuss a number of specific provisions of the rule that will most affect people who buy health insurance through the marketplace.
This week, the House Ways and Means Committee in Congress will vote on legislation that would eliminate caps on how much money marketplace consumers must repay the federal government if they receive more premium tax credits (a form of financial assistance) than they should based on their projected annual income. Families USA is concerned that the bill could deter people from signing up for health insurance if there is no longer a reasonable cap on how much they could be required to repay.
Early this week, House Budget Committee Chairman Tom Price (R-GA) released the Republican budget, “A Balanced Budget for a Stronger America.” But the name is a marketing ploy. A close look at the plan reveals that, on the contrary, it would weaken millions of American families by taking away access to affordable health coverage.
The House Republican budget plan includes disastrous health care cuts and program restructuring that would mean significant health insecurity for children, working families, seniors, and people with disabilities.
The big news from Capitol Hill this spring comes courtesy of House Republicans, who are still mulling over plans to replace the Affordable Care Act. As we’ll explain, although no formal plan has been released, several harmful proposals have sprung up. But this spring also brought some fresh ideas from members of Congress that would, if passed, improve our health care system.