• Obamacare does have a backup plan which calls for the government to contract with several insurers that would operate in all 50 states, but that plan is way behind schedule, and only Blue Cross Blue Shield has been willing to participate so far. (ctnewsjunkie.com)
  • That was the whole idea of Obamacare, to make certain that everyone had access to coverage and to health care. (ctnewsjunkie.com)
  • But Obamacare doesn't exist without the exchanges, and the exchanges are dying. (ctnewsjunkie.com)
  • Massachusetts' Obamacare exchange has failed, even though Massachusetts adopted an individual health-insurance mandate in 2006, and thus had a built-in advantage over other states in handling Obamacare's requirements. (cei.org)
  • As Politico notes , before Obamacare, the state's health insurance exchange worked. (cei.org)
  • The RomneyCare exchange, which helped the state provide health coverage to more than 97 percent of residents," was a precursor to "the Obamacare version. (cei.org)
  • As we discussed earlier, Maryland spent $125 million on an Obamacare exchange that didn't work and is "broken beyond repair. (cei.org)
  • Washington, D.C. has imposed a one-percent health insurance tax to pay for its costly Obamacare exchange. (cei.org)
  • And state Obamacare exchanges have cost an awful lot more than expected per enrollee. (cei.org)
  • In the first open enrollment period, the State of Hawaii spent nearly $25,000 in federal funds per enrollee who signed up for coverage on its Obamacare Exchange. (cei.org)
  • What we have seen in states that have enacted laws like ObamaCare, with community rating and price controls where you can't charge sick people more than you can charge healthy people, is an exodus of insurers from the marketplace. (foxbusiness.com)
  • Now that states have decided what they are going to do about health insurance exchanges-those new shopping carts created by Obamacare to help consumers find health insurance who do not get it through their employers-the really tough part begins. (kevinmd.com)
  • Since Obamacare asks states to create their own health insurance exchanges, you would like to avoid that option. (kevinmd.com)
  • The clever crafters of the Obamacare law recognized that they needed a fallback position-that if states weren't going to come through with exchanges of their own, the federal government would need to take over. (kevinmd.com)
  • That means if Republican governors like you stand tough against Obamacare, and refuse to create your own state exchange, you are handing control over to the federal government. (kevinmd.com)
  • The Department of Homeland Security needs to verify that people coming into the exchanges are legal citizens, since Obamacare does not offer health insurance subsidies to undocumented residents. (kevinmd.com)
  • Under Obamacare, this process is assigned to a bureaucracy-the state exchanges. (theincidentaleconomist.com)
  • Fox News exaggerated the implications of insurance giant Aetna's decision to reduce its participation in health insurance exchanges created by the Affordable Care Act (ACA), also known as "Obamacare," by claiming that the announcement was proof of an impending "death spiral" in insurance markets. (mediamatters.org)
  • Citing Lack Of Profitability, Aetna Will Stop Participating In Most Obamacare Exchanges. (mediamatters.org)
  • Aetna, the third largest health insurance company in the United States, announced it would cease to participate in Obamacare health insurance exchanges next year in roughly 70 percent of the counties in which it operated in 2016. (mediamatters.org)
  • Aetna sustained a second-quarter pre-tax loss of $200 million on its individual health care plans, though that figure includes results from insurance offered outside of the Obamacare exchanges. (mediamatters.org)
  • Francis concluded that, in light of the supposed "death spiral," the entire Obamacare insurance system is "falling apart" and can only be salvaged with a "single-payer" system run by the government, which she claimed would result in "terrible care" for most Americans. (mediamatters.org)
  • Gov. Rick Snyder is negotiating with the federal Department of Health and Human Services over the details of an Obamacare "partnership exchange," which may be a blessing in disguise for those who oppose the law. (mackinac.org)
  • Plaintiffs argue - and they appear to have a strong case - that Obamacare only authorizes distributing subsidies through a state exchange. (mackinac.org)
  • Moreover, as the Cato Institute's Michael Cannon wrote in a recent column giving nine reasons legislators should still just say no: "Creating an exchange sets state officials up to take the blame when Obamacare increases insurance premiums and denies care to the sick. (mackinac.org)
  • State-based health insurance exchanges are a key element of the Patient Protection and Affordable Care Act, the controversial health reform legislation championed by President Barack Obama. (healthday.com)
  • The guidance is from the Centers for Medicare & Medicaid Services , which oversees the insurance marketplaces set up by the Affordable Care Act. (wfdd.org)
  • Whither Health Insurance Exchanges Under The Affordable Care Act? (statecoverage.org)
  • Health insurance exchanges were established as a part of the 2010 Patient Protection and Affordable Care Act to enable individuals to purchase health insurance in state-run marketplaces. (wikipedia.org)
  • For months, journalists and politicians fixated on the number of people signing up for health insurance through the federal exchange created as part of the Affordable Care Act. (propublica.org)
  • Maryland, another eager adopter of the Affordable Care Act, is turning to Connecticut to right its failed exchange. (cei.org)
  • With just two weeks until the insurance exchange marketplace is set to open under the Affordable Care Act, insurance companies are fleeing some state's individual marketplaces. (foxbusiness.com)
  • 2014-04-21T08:34:50-04:00 https://ximage.c-spanvideo.org/eyJidWNrZXQiOiJwaWN0dXJlcy5jLXNwYW52aWRlby5vcmciLCJrZXkiOiJGaWxlc1wvODVkXC8yMDE0MDQyMTA4MzUyMDAwMV9oZC5qcGciLCJlZGl0cyI6eyJyZXNpemUiOnsiZml0IjoiY292ZXIiLCJoZWlnaHQiOjUwNn19fQ== Jay Hancock talked about health insurance industry response to the Affordable Care Act. (c-span.org)
  • Jay Hancock talked about health insurance industry response to the Affordable Care Act. (c-span.org)
  • Jon Gabel talked about the the impact of the Affordable Care Act thus far on health insurance plans. (c-span.org)
  • Premium rates for "benchmark" Affordable Care Act health plans will rise an average of 7.5 percent next year, the Centers for Medicare & Medicaid Services announced. (fiercehealthpayer.com)
  • The next major threat to the Affordable Care Act could come from an unlikely, and seemingly benign, source: New accounting recommendations for state and municipal employee pensions. (fiercehealthpayer.com)
  • Despite the Supreme Court's ruling to uphold a key provision of the Affordable Care Act, funding cuts have led some states to reduce their efforts to help people sign up for health insurance through either federal or state-based exchanges. (fiercehealthpayer.com)
  • A primary mission of the Affordable Care Act is to provide universal health coverage through the creation of health insurance exchanges or marketplaces. (physicianspractice.com)
  • Tolbert is charged with monitoring state implementation of the Affordable Care Act and the establishment of state insurance exchanges for Kaiser. (physicianspractice.com)
  • Aetna said that in 2017 it would cease offering health care insurance options through the Affordable Care Act exchanges in 68.9% of the counties where it offered plans in 2016. (mediamatters.org)
  • The term does not exist in the "Affordable Care Act," and for purposes of that law the entity would be considered a federal exchange, not a state one. (mackinac.org)
  • Last week, the federal government granted conditional approval of insurance exchanges in another eight states and the District of Columbia, where significant progress has been made in setting up those health insurance marketplaces. (healthday.com)
  • Soon after California's exodus, Wellmark Blue Cross and Blue Shield opted out of Iowa's exchange, and other carriers followed suit across the 16 states and District of Columbia that had decided to launch their own state-run marketplaces. (foxbusiness.com)
  • As I read the story in Kaiser Health News about the possible rebranding, I found myself nodding along with the premise: Health insurance exchanges are intended to be consumer-friendly online marketplaces where individuals and small businesses can compare and purchase health insurance - but the word "exchange" doesn't clearly convey that message. (business2community.com)
  • One of the most important of these is the creation of new state-based health insurance marketplaces, called exchanges. (pirg.org)
  • States thus have an important opportunity to improve their health care marketplaces through the creation of an exchange. (pirg.org)
  • Coverage through the marketplaces and the expanded Medicaid program (where approved by individual states) will begin Jan. 1, 2014, when insurance market rules also go into effect. (physicianspractice.com)
  • The decision comes after the company announced a "pre-tax loss of $200 million on its individual health care plans" in the second quarter of 2016, many of which were obtained via insurance marketplaces established by the ACA to help low-income and previously uninsurable customers obtain affordable health coverage. (mediamatters.org)
  • Fox Business host Melissa Francis claimed that Aetna's decision to leave the marketplaces was an example of "the death spiral that we've heard so much about" as she attributed the insurer's profit losses to "the way the system is set up" and the requirement that people with pre-existing conditions could not be charged prohibitive rates for adequate health insurance. (mediamatters.org)
  • With enrollment for the exchanges set to begin Oct. 1, 2013, the Obama administration and its contractors face the mammoth task of building a federal exchange that can be rolled out in states that have no insurance exchange and creating a central data hub where states can verify a person's eligibility for tax credits, premium subsidies and other health programs, such as Medicaid and the Children's Health Insurance Program. (healthday.com)
  • Northrop Grumman will set up Tennessee's new eligibility system to handle Medicaid and Children's Health Insurance Program (CHIP) benefits. (civsourceonline.com)
  • Congress enacted the State Children's Health Insurance Program as part of the Balanced Budget Act of 1997. (cdc.gov)
  • Funny this is where United Healthcare is located and they ran out to get to buy the company QSSI who did part of the Federal exchange project but we don't see any action in their own home state do we. (blogspot.com)
  • CMS is encouraging states to allow the sale of plans outside of those exchanges that don't incorporate a surcharge insurers started tacking on last year. (wfdd.org)
  • In general, federal rules require that insurers charge the same rates for identical qualified health plans that are sold on and off the exchanges. (wfdd.org)
  • If fewer insurers add the CSR load to silver plans sold off the exchange, those plans may be more affordable next year than they were in 2018. (wfdd.org)
  • Some experts suggest checking with insurers that are selling on the marketplace in an area, because it's possible that they'll also be selling plans off the exchange. (wfdd.org)
  • And it is worth noting that the health care reform bill requires insurers that offer plans on exchanges to charge the same premiums on comparable plans outside the exchanges. (financialhighway.com)
  • Overseers are expected to make sure that the insurers listed on their exchanges follow certain rules. (financialhighway.com)
  • State health insurance regulators must have rubrics for determining which insurers certify to offer their products on the exchange. (financialhighway.com)
  • However, states are authorized to demand that insurers justify rate increases and prices. (financialhighway.com)
  • Insurers will have to be more transparent about their pricing, and how they spend their revenues, especially if they want to be included on the exchanges. (financialhighway.com)
  • The authors of this legislation hope that the health care reform bill, with state health exchanges as a key part of the transition to a new system buying health insurance, will create more competition among health insurers and plans (lowering health insurance prices), while providing more people with access to affordable health care. (financialhighway.com)
  • But insurers complained about the plan, and several members of the exchange board expressed concerns about the cost - an estimated $121 million, on top of tens of millions already spent on the broken exchange, known as the Health Connector. (cei.org)
  • These insurers continuing to flee the individual marketplace sends a confusing message to consumers, says Michael Cannon, director of Health Policy Studies at the CATO Institute. (foxbusiness.com)
  • Cannon also worries that despite the subsidies available to insurers under the health-care law, they still aren't willing to work under the new law. (foxbusiness.com)
  • He discussed the number of enrollees through the state online health care exchanges, rates for 2015, what some of the larger insurers are doing in the state exchanges, public opinion of the health care law, and what might happen when exchange enrollees start to use their insurance. (c-span.org)
  • The rise of public health insurance exchanges has ramped up Americans' engagement with their health plans, signaling an opportunity for insurers who are able to adapt to a more consumer-centric market. (fiercehealthpayer.com)
  • When it comes to health care, there are few magic-bullet solutions for the many problems consumers face in the marketplace: insurers don't compete for their business, leading to higher prices and lower quality. (pirg.org)
  • And the health reform law gives the states substantial leeway to define critical aspects of the exchange, including who is eligible to buy coverage through it, how aggressively it will set standards and negotiate with insurers, and who will run it. (pirg.org)
  • Active purchasing: the exchange must have the power to negotiate with insurers and push them to deliver higher-value care. (pirg.org)
  • States would then need to work with insurers to establish a system to identify the truly high-risk cases among the state's insured population. (theincidentaleconomist.com)
  • To prevent abuse, states would need to create disincentives for excessive referrals for high-risk funding, perhaps by penalizing insurers for seeking subsidization for people who are found unqualified. (theincidentaleconomist.com)
  • The states could work with all licensed insurers and brokers to require the standardization of comparison information and then require insurers as well as employers not offering insurance to participate in the broad distribution of that information to the tax-credit-eligible public. (theincidentaleconomist.com)
  • The outcome of any lawsuit is speculation, but Gov. Snyder's partnership negotiation may also alleviate concerns of health insurers and large health care providers, who have been lobbying for a state exchange in part because they fear a federal version could disrupt the state's insurance market in ways damaging to their interests. (mackinac.org)
  • Even though open enrollment has ended, enrollment and plan changes continue on the federal health insurance exchange, which covers 36 states. (propublica.org)
  • ProPublica requested data on the number of daily enrollment transactions on the federal exchange last year under the Freedom of Information Act because the Obama administration had declined to release this information, a key barometer of the exchange's performance, to the public. (propublica.org)
  • The data shows so-called "834" transactions, which insurance companies and the government use to enroll new members, change a member's enrollment status, or disenroll members. (propublica.org)
  • Charles Gaba, who runs the website acasignups.net that tracks enrollment numbers, estimates that between 6,000 and 7,000 people have signed up for coverage each day on the federal exchange after the official enrollment period ended. (propublica.org)
  • According to Kaiser Health News, CMS Office of Communications Director Julie Bataille, CMS is not recommending the use of the word exchange in enrollment materials, based on focus group results in seven major cities that showed the word is confusing to consumers. (business2community.com)
  • Following the news that enrollment on the federal insurance exchange Healthcare.gov had been somewhat tepid, data on some of the. (civsourceonline.com)
  • For people who make too much money to qualify for health insurance subsidies on the individual market, there may be no Goldilocks moment when shopping for a plan. (wfdd.org)
  • It was a response to the Trump administration's announcement that it would no longer pay the companies for the "cost-sharing reduction" subsidies required under the health law. (wfdd.org)
  • If you can't afford to purchase health insurance , under the health care reform bill you can see if you are eligible for subsidies from the government to help you pay the premiums on the insurance you purchase. (financialhighway.com)
  • Maximus, of Reston, Va., is the lead contractor on the $46 million project, while IBM's Curam software determines each applicant's eligibility for Medicaid and state and federal subsidies and tax credits. (blogspot.com)
  • For every dollar in premiums for Exchange-provided coverage, federal taxpayers paid 94 cents in various subsidies to either enroll people or encourage them to purchase coverage on the Exchange. (cei.org)
  • The IRS needs to verify consumer income information to see who qualifies for insurance subsidies. (kevinmd.com)
  • Exchanges" are the mechanism by which Obamacare's trillions of dollars in subsidies will be administered, and one operated by either the state or the federal government must exist in every state by 2014 for the law to work. (mackinac.org)
  • So if there is no state exchange there would be no subsidies, and if no subsidies then the mandate on a state's employers could not be enforced. (mackinac.org)
  • PPACA expanded health care coverage by increasing access to private health insurance and expanding eligibility for Medicaid. (colorado.gov)
  • In the 2020 session, the Colorado General Assembly considered measures related to health insurance benefits, reinsurance, the Colorado Option health plan, and Medicaid. (colorado.gov)
  • Earlier this month the Centers for Medicare and Medicaid Services started considering a name change for one of the healthcare reform law's most important consumer-facing provisions: health insurance exchanges. (business2community.com)
  • The triad of employer-sponsored coverage, marketplace insurance exchanges, and expanded Medicaid coverage should cover most Americans under 65 years old, with some exceptions. (physicianspractice.com)
  • Unfortunately, there will be coverage gaps for low-income people who fall between certain income levels and live in states where the Medicaid expansion was rejected, according to Jennifer Tolbert, director of state health reform for the Kaiser Family Foundation. (physicianspractice.com)
  • This program targets uninsured children under 19 with family incomes below 200% of poverty that are not currently eligible for Medicaid or covered by private insurance. (cdc.gov)
  • States can expand coverage to uninsured low-income children through either a separate state program, or by broadening Medicaid eligibility, or both. (cdc.gov)
  • States can have a separate plan, and expansion of Medicaid coverage, or a combination plan. (cdc.gov)
  • Authorized under Title XIX of the Social Security Act (1965), Medicaid is a means-tested entitlement program financed by the state and federal governments and administered by the states. (cdc.gov)
  • The Centers for Medicare and Medicaid Services (CMS) administers Medicare, the nation's largest health insurance program. (cdc.gov)
  • States cannot set premiums, though. (financialhighway.com)
  • Insurance companies can set their own premiums and they can decide which plans of declining coverage (in declining levels of expense and offers encompassing "platinum," "gold," "silver," and "bronze") they will offer. (financialhighway.com)
  • Health insurance exchanges are intended as one-stop shopping sites for people buying their own health coverage to compare plans, enroll and qualify for tax credits to reduce premiums. (govtech.com)
  • The impact of the new numbers isn't clear because the Obama administration has not released details of how many consumers failed to pay their premiums and thus were dropped by their health plans. (propublica.org)
  • Premiums on the Exchanges would have more than doubled in 10 states had the federal amounts used to set up the Exchanges been incorporated into premiums rather than paid separately by taxpayers. (cei.org)
  • Delivery and payment reforms: by promoting innovations like emphasizing primary care and paying for quality rather than quantity, the exchange can reduce premiums and improve value. (pirg.org)
  • For example: A 40-year-old pre-school teacher making $30,750 - or 250 percent to 300 percent of the federal poverty level - would be required to pay 8 percent to 9.5 percent of her income for healthcare premiums on the exchange. (physicianspractice.com)
  • Connecticut has awarded a $15 million contract to MAXIMUS to run the customer contact center operations for the state's health. (civsourceonline.com)
  • Four states will have only one carrier in 2017. (ctnewsjunkie.com)
  • In a July 5 letter to the Justice Department, Aetna CEO Mark Bertolini threatened to "immediately take action to reduce our 2017 exchange footprint … [I]nstead of expanding" if the government did not approve its controversial merger with insurance giant Humana. (mediamatters.org)
  • Each exchange will operate a website where uninsured residents of the state and small employers can compare various health-plan options offered by insurance companies, much in the same way that consumers shop online for hotel rooms and airplane tickets that suit them best. (healthday.com)
  • Most currently insured people will probably still get their health insurance through their employers, and those who don't have that access can purchase plans on state health insurance exchanges, due to be operating by 2014. (financialhighway.com)
  • The law also increased regulations on health insurance providers, made changes to how the health insurance market operates, required individuals to have health care coverage, required employers to offer health insurance to employees, and established health insurance exchanges. (colorado.gov)
  • Those of us who have been lucky enough to receive health insurance through our employers in recent years have typically received three, maybe four, choices. (kevinmd.com)
  • It's not hard to imagine the damage to Michigan's economy if by creating a state exchange lawmakers made employers here subject to a costly federal insurance mandate that doesn't apply to their competitors in other states. (mackinac.org)
  • Find Patient and Privacy-Protecting Legislation - Share it with your State Legislature. (cchfreedom.org)
  • The Washington State Health Benefit Exchange was to be "an easily accessible, online marketplace for individuals, families and small businesses in Washington State to compare and enroll in qualified health insurance plans. (washingtonstatewire.com)
  • Carriers gave staff various reasons for staying away from the small business market in the Exchange, even though small businesses who enroll in Exchange plans for 2014 will be eligible for a 50 percent tax credit. (washingtonstatewire.com)
  • The board of the broken Massachusetts health insurance exchange voted on Thursday to support a state plan to buy new software to help people enroll in coverage, while also preparing to join the federal marketplace if the system is not ready by fall. (cei.org)
  • Massachusetts is the latest state that was gung-ho on health overhaul to concede that it had failed to make it simple for people to enroll online. (cei.org)
  • Consumers will be able to shop and enroll in new insurance plans through the federal government's website ( www.healthcare.gov ), or their own state's website if available, beginning Oct. 1, 2013. (physicianspractice.com)
  • Many states moved last fall to limit silver loading to plans sold on the exchanges, while allowing or, in the case of California, requiring, very similar plans to be sold off the exchanges without the extra premium charge. (wfdd.org)
  • This blogpost discusses what it means to be an active purchaser, and offers a case study comparing Covered California, which uses an active purchaser model, to two other exchange models and some early indications of the benefits of active purchasing. (statecoverage.org)
  • More than $130 million has gone to California-based Oracle Corp., the main exchange IT vendor, under contracts that, according to the federal report, do "not have any leverage" to hold the firm accountable for missed deadlines or shoddy work. (govtech.com)
  • Aetna (NYSE: AET) has announced it has opted out of New Jersey's state exchange on Sept. 10, after pulling out of exchanges in other states, including California and New York. (foxbusiness.com)
  • This exit trend began in May, when Aetna, Cigna and UnitedHealthcare (NYSE:UNH) announced they would not be participating in California's exchange, Covered California. (foxbusiness.com)
  • Connect for Health Colorado or Covered California in California). (cdc.gov)
  • The Health Insurance Marketplace is the name for the federally run exchange. (cdc.gov)
  • The State Coverage Initiatives program has ended as of February 2016. (statecoverage.org)
  • Consumers were most satisifed with their health plans in markets where there was more competition, but they also favor having to make fewer choices when it comes to their health plan options, according to the J.D. Power 2016 Member Health Plan Study. (fiercehealthpayer.com)
  • That is also when the individual mandate to have insurance coverage begins. (physicianspractice.com)
  • Among those is the potential under an Oklahoma lawsuit of exempting Michigan businesses from the law's "employer mandate," which imposes penalties on job providers that can't afford to offer government-approved health insurance. (mackinac.org)
  • If successful, the Oklahoma lawsuit may also exempt most Michiganders from the law's "individual mandate" to buy health insurance. (mackinac.org)
  • Dr. Daniel Derksen, chair of public health policy and management at the University of Arizona in Tucson and former director of the New Mexico Office of Health Care Reform, expects the federal government to 'work hard' to get those systems in place but anticipates 'hitches' along the way. (healthday.com)
  • Health Care Reform: How Will State Insurance Exchanges Work? (financialhighway.com)
  • Earlier this week, the health care reform bill was passed. (financialhighway.com)
  • The exchanges, part of the federal health care overhaul, create new online markets where consumers will be able to buy individual private health insurance coverage. (wkyufm.org)
  • Many Republican lawmakers ran for office on a platform of opposing President Barack Obama's health care plan. (wkyufm.org)
  • Your product has not delivered promised functionality and has seriously hindered Minnesotans' abilities to purchase health insurance or apply for public health care programs through MNsure,' Dayton wrote. (blogspot.com)
  • State health insurance exchanges were supposed to be the centerpiece of federal health care reform at the state level. (washingtonstatewire.com)
  • Pursuant to Section 10-16-221, Colorado Revised Statutes, the Statewide Health Care Review Committee was created to study health care issues across the state. (colorado.gov)
  • The General Assembly adopted several measures during the 2021 legislative session related to health care and insurance. (colorado.gov)
  • In the 2020 session, the Colorado General Assembly considered measures related to the regulation of health care facilities, behavioral health and substance use, prescription drug costs, and abortion. (colorado.gov)
  • As NPR notes , "The state passed its own health care law back in 2006 mandating near-universal insurance coverage," so "Massachusetts had a head start in bringing health coverage to the uninsured. (cei.org)
  • Massachusetts built the model of a state-run exchange in 2006, a result of the health care reform" law passed by a Democratic legislature and signed into law by then-Gov. Mitt Romney. (cei.org)
  • In July, Aetna sent out a letter to its policyholders, informing them that the new law had revamped the health-care system "as we know it"and that policyholders should brace for higher prices. (foxbusiness.com)
  • Coventry Health Care pulled out of W. Va's exchange. (foxbusiness.com)
  • Texas Rep. Ron Paul, a doctor, was asked a hypothetical question by CNN host Wolf Blitzer about how society should respond if a healthy 30-year-old man who decided against buying health insurance suddenly goes into a coma and requires intensive care for six months. (hubpages.com)
  • Health care exchanges, authorized by 2010's health reform law, offer the states the chance to address the twin problems of cost and quality, and help consumers get a fair shake when buying insurance. (pirg.org)
  • Yet there are policy solutions that can make a difference and give consumers a better deal on health care. (pirg.org)
  • A weak exchange could wind up taking its cues from the insurance industry, not consumers, and do little to shift the fundamental problems in most states' health care markets. (pirg.org)
  • A strong exchange, though, can be just the tool states need to revolutionize their health care systems and improve quality while lowering costs. (pirg.org)
  • This report assesses the progress that the states have made, and for the states that have begun to set up their exchange, evaluates them on the myriad policies and criteria that will determine whether it is ultimately successful in improving health care for consumers. (pirg.org)
  • Despite Aetna's claim that its decision to end participation in most health care exchanges next year is purely a business decision, the withdrawal appears to be "directly related to a Department of Justice decision to block the insurer's potentially lucrative merger with Humana" as a form of political retribution, which The Huffington Post reported on August 17. (mediamatters.org)
  • In one of the first major contract moves since the Supreme Court's health care ruling on health care reform, Minnesota. (civsourceonline.com)
  • Health services also include health care purchased from more than two thousand private providers. (cdc.gov)
  • Medicare Part A Medicare Part A provides coverage for inpatient hospital services, skilled nursing facilities, home health services, and hospice care. (cdc.gov)
  • The Balanced Budget Act of 1997 (BBA) created Medicare + Choice, Part C of Medicare, which expands the range of private health plans that may contract with Medicare to provide care to Medicare beneficiaries. (cdc.gov)
  • As with all mobile populations, United States hinders development of public health policy, education, and provision of adequate clinical care. (cdc.gov)
  • She told Kaiser Health News that the word can have a number of different meanings to consumers, including "the idea that they may have to swap something. (business2community.com)
  • As a University of Georgia professor told Kaiser Health News, the word marketplace may encourage the idea that the lowest price policy is the best one, which doesn't hold true in the health insurance arena. (business2community.com)
  • We're looking forward to Jan. 1, 2014, when consumers and small businesses will be enrolled through the exchanges in private health insurance plans and millions more Americans will have the coverage they need and deserve,' Sebelius wrote. (healthday.com)
  • Conversely, on the exchanges nearly two-thirds of people bought silver plans in 2018 while 29 percent bought bronze plans, according to federal data . (wfdd.org)
  • Consumers who want to consider off-exchange plans have to find them first. (wfdd.org)
  • While eleven health insurance carriers have filed small group plans to be sold outside the exchange, only one tentatively filed a small group plan to be sold inside the Exchange - and that plan would only be available in four counties. (washingtonstatewire.com)
  • The federal government has informed staff that if any small group plan files in the middle of the year, then all plans inside and outside the Exchange must refile. (washingtonstatewire.com)
  • When news broke that Kentucky Health Cooperative will stop selling policies at the end of the year, it was yet another sign that the prognosis for consumer-operated and-oriented health plans isn't encouraging. (fiercehealthpayer.com)
  • In other words, it is going to take a Herculean effort just to get the exchanges ready to sort out which insurance plans at what cost are available to whom. (kevinmd.com)
  • People are not used to choosing among a slew of health insurance plans. (kevinmd.com)
  • Specifically, states would need to establish a process by which individuals could make their selection of health insurance, and the state would forward those selections to the federal government so that the credits could be paid directly to the insurance plans chosen. (theincidentaleconomist.com)
  • Consumers who wish to get a ballpark estimate of the costs of different plans can use the Health Insurance Subsidy Calculator provided by Kaiser. (physicianspractice.com)
  • The company's decision, which it blamed on heavy losses tied to the insurance plans, follows similar moves by competitors such as UnitedHealth Group, the nation's largest insurer. (mediamatters.org)
  • Medicare Advantage is intended to increase beneficiary participation in Health Maintenance Organizations (HMOs) and other private plans. (cdc.gov)
  • By providing better options and better information, and negotiating on behalf of its enrollees, the exchange can level the playing field for consumers. (pirg.org)
  • The risks associated with this level of (time and materials) contracting for critical project resources is very high," the Maximus report stated. (govtech.com)
  • By default, the federal government will implement health insurance exchanges in the 25 states that are not moving forward, helping the uninsured gain coverage. (healthday.com)
  • Tracing what type of coverage is purchased off the exchange is difficult because there is no centralized source. (wfdd.org)
  • Additionally, if you do not wish to purchase health insurance you can pay a penalty and avoid actually getting coverage. (financialhighway.com)
  • The coming of health insurance that isn't tied to employment has allowed many who couldn't even dream of coverage before to actually access it. (ctnewsjunkie.com)
  • All told, between the federal exchange and 14 state exchanges, more than 8 million people signed up for coverage. (propublica.org)
  • The second important role for the states would be reducing the burden that citizens eligible for the tax credit will face when they want to find and sign up for coverage. (theincidentaleconomist.com)
  • As leaders in the health community, it is important for physicians to be knowledgeable about the coming changes in health insurance coverage. (physicianspractice.com)
  • There are a few states that have expanded coverage to parents of eligible children and other adults. (cdc.gov)
  • Although the coverage varies from state to state, a minimum standard of benefits the program must be offered. (cdc.gov)
  • A health insurance company that provides exchange coverage in a particular state. (cdc.gov)
  • Federal financial assistance is provided to states for coverage of specific groups of people and benefits through federal matching payments based on the state's per capita income. (cdc.gov)
  • There are a lot of regulations in the law that make health insurance costly for companies, but the big number to keep in mind is $1 trillion. (foxbusiness.com)
  • But this is beginning to sound like tweaks to the current exchange regulations than wholesale replacement of them. (theincidentaleconomist.com)
  • PERSPECTIVE ventions geared toward promoting health and well-being Health Regulations for Visitors and Temporary for the visitors and temporary residents and public health Residents to the United States protection to host communities. (cdc.gov)
  • Washington DC is working to modernize its health and human service eligibility processes in order to offer integrated case management. (civsourceonline.com)
  • This issue brief provides information about Colorado's health insurance exchange, which is called Connect for Health Colorado (exchange). (colorado.gov)
  • This issue brief discusses recent federal guidance related to 1332 state innovation waivers, the required criteria that must be met for approval of a waiver, the components of federal law that can be waived, the application process for a waiver, the monitoring and review process for an. (colorado.gov)
  • Imagine, for example, that you are the Republican governor of a state that voted for Romney in the recent presidential election. (kevinmd.com)
  • State and exchange officials recently declined to discuss the contracting in detail, citing a soon-to-be released review of the fiasco by a consultant hired by Gov. John Kitzhaber. (govtech.com)
  • And while the state is starting to part ways with Oracle, officials haven't agreed on a future path. (govtech.com)
  • A whistleblower's March 2013 complaint alleging weak contracting and poor vendor oversight sparked no follow up by then-OHA director Bruce Goldberg or other state officials. (govtech.com)
  • State officials promised to issue a contract in six weeks, a process that normally could take six months or more. (govtech.com)
  • Officials tacked the exchange project onto an information-technology modernization project already contemplated by the Oregon Health Authority and its sister agency, the Department of Human Services. (govtech.com)
  • OHA officials consulted with DAS in June 2011 about its initial plan to use Oracle for its software products and some training for state workers. (govtech.com)
  • In Utah, officials are considering changing the name of its already-operating exchange because they think the name "carries negative connotations" and doesn't resonate with consumers. (business2community.com)
  • Security and compliance shortcomings have taken Vermont's state-run health insurance marketplace offline according to local officials. (civsourceonline.com)
  • Massachusetts officials announced to reporters following a meeting today that the state will be cutting its relationship with CGI over. (civsourceonline.com)
  • State officials won't want their names on this disastrous mess. (mackinac.org)
  • Regulators could be forced to choose between approving agonizing rate hikes or killing off what was once called the best exchange in the entire country. (ctnewsjunkie.com)
  • Although the state Department of Administrative Services expressed concerns about the contracting process used by OHA, it had no control because of an exemption granted to OHA by the state Legislature. (govtech.com)
  • However, that plan was scuttled in favor of allowing states to manage their own exchanges (or have non-profit organizations manage for them). (financialhighway.com)
  • I request that you immediately deploy whatever people or resources are needed to correct the defects in your product that are preventing Minnesotans from obtaining health insurance through MNsure. (blogspot.com)
  • That leaves plenty of people with very little choice for insurance - or no choice at all. (ctnewsjunkie.com)
  • For a lot of people, the exchanges are a godsend. (ctnewsjunkie.com)
  • The exchange enables people and small businesses to purchase health insurance at federally subsidized rates. (wikipedia.org)
  • The researchers, led by Anna Sinaiko (a post-doctoral fellow at the Harvard School of Public Health) surveyed people who purchased healthcare through the Massachusetts health insurance exchange, also known as the Massachusetts Connector. (kevinmd.com)
  • But how easily do people in Massachusetts make their health insurance choices? (kevinmd.com)
  • TUESDAY, Dec. 18, 2012 (HealthDay News) -- Half of the states in the nation have rebuffed a key provision of the Obama administration's health reform law: the creation of state-based health insurance exchanges, according to data compiled by the Henry J. Kaiser Family Foundation. (healthday.com)
  • At the other end of the policy spectrum, the exchange serves as an "active purchaser" of health insurance on behalf of its clients, the individual consumers. (statecoverage.org)
  • State and federal governments need to make sure that consumers understand their health insurance choices. (kevinmd.com)
  • Potentially lost in this pile of work will be the important task of making sure the exchanges present insurance choices to consumers in a manner that helps them understand and sort through their options. (kevinmd.com)
  • Size of the exchange: the exchange should be open to larger businesses so more consumers can see its benefits. (pirg.org)
  • Stakeholder input: consumers should be consulted as the exchange forms its policies. (pirg.org)
  • Standardization of products: to help make consumers' choices more understandable, the exchange should be able to standardize plan offerings. (pirg.org)
  • But some analysts say they're unsure if the new federal policy will make a difference since states have already implemented similar strategies. (wfdd.org)
  • The first thing we could do is try to tweak the laws to make the exchanges more competitive, and to keep them from failing. (ctnewsjunkie.com)
  • Yet Massachusetts threw in the towel Tuesday on the problem-plagued online marketplace that was supposed to make health insurance shopping a snap. (cei.org)
  • We want to make sure that the exchange is resonating as a market-based solution," Patty Connor, director of the Utah Health Exchange advisory board, told The Salt Lake Tribune . (business2community.com)
  • You see, states had a difficult decision to make about whether to create their own exchanges or, instead, to rely on the federal government to run their exchanges. (kevinmd.com)
  • It also allows physicians to make informed choices about the types of new insurance they will participate in, and the numbers of new patients they take into their practices. (physicianspractice.com)
  • As a strong supporter of public exchanges as a means to meet the needs of the uninsured, we regret having to make this decision," Aetna CEO Mark Bertolini said in a statement. (mediamatters.org)
  • Tea party supporters protested the idea of a state-run exchange outside the Capitol last week, deriding it as "Haslamcare. (wkyufm.org)
  • Connecticut News from your locally owned & operated news source at the state Capitol since 2005. (ctnewsjunkie.com)
  • First, you should know that, though I'll be focusing on the exchange-alternative provisions, Capretta has a full ACA replacement plan, about which you can read in more detail here , here , and here . (theincidentaleconomist.com)
  • States may initially apply in this announcement for either Level One or Level Two Establishment grants. (topgovernmentgrants.com)
  • These arrangements will allow states to share the administrative burden of exchange implementation with the federal government. (healthday.com)
  • A "partnership" exchange leaves the burden on the level of government that created this mess, while mitigating the risks. (mackinac.org)
  • Members of federally recognized Indian tribes and their decedents are eligible for services provided by the Indian health Service (IHS). (cdc.gov)
  • Another seven states, according to the Kaiser Foundation's count, will operate exchanges in federal-state partnerships. (healthday.com)
  • Rather than creating government controlled health insurance, the bill instead required everyone to purchase health insurance. (financialhighway.com)
  • In its cover letter, OHA stated "Dollars must be split between four (purchase orders) because of ADPICS controls," referring to state contracting rules. (govtech.com)
  • In all, 18 states and the District of Columbia intend to run their own exchanges. (healthday.com)
  • This Funding Opportunity Announcement (FOA) provides States, the District of Columbia, and consortia of States with financial assistance for the establishment of State-operated health insurance Exchanges (Exchanges). (topgovernmentgrants.com)
  • Throughout this announcement, States, the District of Columbia, and consortia of States will all be referred to as ?State(s). (topgovernmentgrants.com)
  • Every state and the District of Columbia have an CHIP program in place. (cdc.gov)
  • Exchanges give individuals and small businesses the same advantages that large businesses generally enjoy when it comes to buying health insurance. (pirg.org)
  • In much the same way, exchanges give individuals and small businesses the ability to band together and gain the same benefits of size, negotiating power, and information. (pirg.org)
  • The Department of Health and Human Services (HHS) has conditionally approved New Hampshire's plan for a partnership health insurance exchange. (civsourceonline.com)
  • even if your own patients don't need this information, most everyone has a family member who may benefit from knowing the facts, e.g. a young adult child who does not receive health insurance from her workplace, or perhaps a single professional who does freelance work or is self-employed. (physicianspractice.com)
  • We will continue to evaluate our participation in individual public exchanges while gaining additional insight from the counties where we will maintain our presence, and may expand our footprint in the future should there be meaningful exchange-related policy improvements. (mediamatters.org)
  • It also mitigates the risks of an unmoderated federal exchange, and so eases the pressure on legislators to create what would be a large state-level bureaucracy managing intricate details related to individual residents' most personally sensitive area of concern. (mackinac.org)
  • A recent study in Health Affairs reveals how difficult this will be. (kevinmd.com)
  • These protocols are adopted after consultations with a bi-partisan group of legislators, non-partisan legislative staff, the Colorado Department of Public Health and Environment, the National. (colorado.gov)
  • After visitors and temporary residents to the United States may these issues and needs are clarifi ed, intervention programs represent a risk for public health through introduction of should be developed to increase access and decrease the infections or vaccine-preventable diseases. (cdc.gov)
  • The move was significant, as the Golden State had been aggressively setting up its exchange leading up to the Oct. 1 launch deadline. (foxbusiness.com)
  • Work for a company that does not provide health insurance. (financialhighway.com)
  • I love the exchanges, and I use Access Health CT, but it's clear to me that they don't work the way they are currently constituted. (ctnewsjunkie.com)
  • She canceled a plan to hire a "system integrator" firm to serve as general contractor for the exchange, instead giving all the work to Oracle as the main IT vendor. (govtech.com)
  • Massachusetts is the second state to begin that transition. (cei.org)
  • Free Health Payer Daily Newsletter More than 38,000 health plan executives read FierceHealthPayer to stay current on trends in healthcare payment reform, cost containment strategies, the ICD-9/ICD-10 transition, fraud prevention, and more. (fiercehealthpayer.com)
  • Gov. Bill Haslam has decided not to create a state-run health insurance exchange, leaving the operation to the federal government. (wkyufm.org)
  • The "partnership" model appeared last year as a federal response to the reluctance of many governors and legislatures to create a state-run exchange. (mackinac.org)
  • The IHS operates a comprehensive health service delivery system for approximately 75% of the nation's American Indians and Alaska Natives. (cdc.gov)
  • Health insurance exchanges have been the source of much debate, but largely among governors and statehouses trying to figure out. (civsourceonline.com)
  • According to The Huffington Post, "Aetna's posture on the exchanges changed pretty radically" after the DOJ sued to block the merger on antitrust grounds, and Bertolini had argued that participation in the exchanges was "a good investment" as recently as April. (mediamatters.org)