The House GOP has released a new version of the American Health Care Act (AHCA) which makes draconian cuts to Medicaid and leaves millions to struggle with higher premiums and deductibles.
The Trump administration just released a final policy that will substantially increase the number of Americans who could be sold junk insurance in the form of “Association Health Plans,” or “AHPs.” This new and very dangerous step in the administration’s ongoing campaign to sabotage the Affordable Care Act could greatly reduce people’s access to essential health care, especially for those with preexisting conditions and older adults.
Basic Health Programs are one one of several options in the Affordable Care Act for states to further expand affordable health coverage to low and modest-income residents. Basic Health Programs can be more affordable than marketplace coverage, making care accessible to people who may otherwise forego coverage and care.
New Guidance on Section 1332 waivers, issued in October 2018, can undermine key consumer protections and pave the way for federal dollars to subsidize plans that provide few benefits. The public can comment on the federal guidance through December 24, 2018. People should also find out if their states are developing waiver proposals, and comment on those to both the state and federal governments. This analysis explains what issues to watch.
Communities of color continue to face a limited availability of health care providers and facilities. By including at minimum these seven features in their provider networks, insurers can help consumers in communities of color gain access to timely, high-quality, language-accessible, culturally competent health care.
On July 7, the Centers for Medicare and Medicaid Services (CMS) announced a policy change that could fundamentally undermine the individual market, endangering health care for millions of people who get health care through the individual marketplace. CMS announced it will not distribute more than $10 billion out of a "risk adjustment" pool which is funded by insurers who participate in the individual and small-business markets. The risk adjustment program collects funds from insurers that cover healthier people and redistributes those funds to plans that have sicker enrollees.
On April 18, 2019, the Trump Administration finalized the Notice of Benefit and Payment Parameters for 2020 (NBPP). This rule will govern health insurance marketplaces and set the framework for insurance companies to propose plans and premium rates for 2020. Consumer advocates achieved several important victories in the final 2020 NBPP. Contrarily, the final rule also establishes harmful changes that will decrease access to high-quality, affordable coverage and care for families across the country.
On July 9, 2019, the Fifth Circuit Court of Appeals in New Orleans will hear oral arguments in the case Texas v. United States. This case threatens access to health care and financial security for millions of Americans. In December 2018, U.S. District Court Judge Reed O’Connor issued a dangerous ruling that would strike down the entire Affordable Care Act (ACA), including provisions that:
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.