New resources from APTA help explain how the health insurance exchanges (exchanges)-a fundamental component of the Affordable Care Act-will affect providers of physical therapy services. The health care reform law created exchanges to provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, service, and other factors. The primary purpose of the exchanges is to enhance competition in the health insurance market, improve choice of affordable health insurance, and give small business the same purchasing clout as large business. Find links to general resources, APTA comments and summaries of exchange rules, and related resources, particularly essential health benefits, on APTAs new Health Insurance Exchanges webpage. ...
New resources from APTA help explain how the health insurance exchanges (exchanges)-a fundamental component of the Affordable Care Act-will affect providers of physical therapy services. The health care reform law created exchanges to provide competitive marketplaces for individuals and small employers to directly compare available private health insurance options on the basis of price, quality, service, and other factors. The primary purpose of the exchanges is to enhance competition in the health insurance market, improve choice of affordable health insurance, and give small business the same purchasing clout as large business. Find links to general resources, APTA comments and summaries of exchange rules, and related resources, particularly essential health benefits, on APTAs new Health Insurance Exchanges webpage. ...
Zambia Health Insurance Exchanges News Monitoring Service from EIN News; Media Monitoring & Online News Monitoring of Zambia Health Insurance Exchanges
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By Robert B. Barnett Jr., J.D.. Qualified health plans for 2020 under the ACA are due for review in June 2019 with open enrollment to commence in November.. CMS has released its 2020 draft letter addressed to those issuers in the federally-facilitated exchanges that will be seeking to offer qualified health plans in 2020. While most of the requirements set forth in the letter are a continuation of prior year requirements, the letter incorporates additional standards set forth in CMSs proposed rule titled, Patient Protection and Affordable Care Act, HHS Notice of Benefit and Payment Parameters for 2020 (CMS Letter, CMS 9926-P, January 17, 2019).. Certification process. The certification process for issuers has not been changed from prior years. Key plan year 2020 dates, however, have been released. The initial qualified health plan application submission window for 2020 plans is April 25, 2019, through June 19, 2019. The optional Early Bird qualified health plan submission deadline is May 22, ...
On November 4, The Commonwealth Fund hosted a webinar on the state health insurance exchanges created by the Affordable Care Act. This 60-minute webinar, cosponsored by the National Academy for State Health Policy and Women in Government, was second in a series on realizing health reforms potential. Speakers addressed the major challenges to successful implementation of the exchanges and present policy options and recommendations for federal and state officials, as well as provide an update on the status of the regulatory process and state implementation. Presentations are available for download at left. View the archived webinar or listen to the audio. Michael T. McRaith, J.D., director, Illinois Department of Insurance has shared the draft of a model act authored by the the National Association of Insurance Commissioners (NAIC), titled "American Health Benefit Exchange Model Act." The purpose of this model act is to provide guidance for states in establishing insurance exchanges under the ...
This proposed rule provides payment parameters and provisions related to the risk adjustment, reinsurance, and risk corridors programs; cost sharing parameters and cost-sharing reductions; and user fees for Federally-facilitated Exchanges. It also provides additional standards for the annual open enrollment period for the individual market for benefit years beginning on or after January 1, 2016, essential health benefits, qualified health plans, network adequacy, quality improvement strategies, the Small Business Health Options Program, guaranteed availability, guaranteed renewability, minimum essential coverage, the rate review program, the medical loss ratio program, and other related topics. Comments on the proposed rule are due by December 22, 2014. ...
Health insurance exchanges are the centerpiece of the private insurance reforms in the Affordable Care Act. If the exchanges function as planned, they will expand coverage to more Americans, reduce insurance costs, and improve the quality of coverage and perhaps of health care itself. In a new report and blog post, Timothy Jost, professor of law at Washington and Lee University, outlines key policy issues for administrators at the Department of Health and Human Services and state policymakers as they implement the law and seek to avoid the problems that have undermined exchanges in the past ...
Health insurance exchanges, a crucial part of the federal Affordable Care Act, will have a great impact on Michigan residents. To better explain the
WASHINGTON - For the second time in a week, the Obama administration said Thursday that it was extending the deadline for states to decide whether they will establish and operate online markets where consumers can shop for health insurance under the new health care law. Friday was the original deadline. Now, the White House says, states do not have to decide until the middle of next month. The postponement came in response to a request from the Republican Governors Association and its chairman, Gov. Bob McDonnell of Virginia. Many Republicans had deferred action, hoping that Mitt Romney would oust President Barack Obama and work with Congress to repeal the health care law. In a letter to the Republican governors Thursday night, Kathleen Sebelius, the secretary of health and human services, said they would have until Dec. 14 to decide whether they wanted to establish their own health insurance exchanges. The federal government will create an exchange in any state that is unable or unwilling to do ...
Government hopes 254,095 health insurance agents and brokers will sign up to work with the new federal health insurance exchange system.
March 14, 2014The NFIB Health Insurance Exchange is the online marketplace used to shop and research health insurance plans using the latest technology to
Finding cheap health insurance can be difficult if you have a pre-existing condition. Learn about health insurance exchanges and how they can help.
Five states (Kentucky, New York, Nevada, Washington, West Virginia) have not yet addressed the type of exchanged that will be established. Marylands type of Health Insurance Exchange (HIE) will be decided by the Board of Directors. Among those who have already selected the type of exchanges, these States choose between active purchaser and clearinghouse models. The active purchaser model seeks to leverage the HIEs authority and market power to promote value for the consumer. Active purchasers can use a range of tools under its administrative authority from regulation, negotiation, and consumer education, to oversee the insurance market to minimize any gaming by insurers. In the clearinghouse model, the State does not directly negotiate rates with plans, rather all qualified insurers meeting minimum standards may participate in the Exchange. The HIE serves as a one-stop shop where consumers find accessible and useful easy to understand information on a wide variety of health plans. The list ...
Aetna CEO Mark Bertolini said in a public statement that the company has lost $200 million in its second quarter and has experienced pretax losses of more than $430 million from January 2014 till now. These financial losses have stimulated the health payer with moving out of most of its participation in the health insurance exchanges.. "More than 40 payers of various sizes have similarly chosen to stop selling plans in one or more rating areas in the individual public exchanges over the 2015 and 2016 plan years, collectively exiting hundreds of rating areas in more than 30 states," Bertolini explained in the release. "Providing affordable, high-quality health care options to consumers is not possible without a balanced risk pool.". "Fifty-five percent of our individual on-exchange membership is new in 2016, and in the second quarter we saw individuals in need of high-cost care represent an even larger share of our on-exchange population. This population dynamic, coupled with the current ...
The Obama administration on Thursday approved plans by seven states to create health insurance exchanges, the new marketplaces at the heart of the Affordable Care Act....
Gov. Chris Christie this afternoon vetoed legislation to establish a state-run health insurance exchange in New Jersey, citing a lack of information from the federal government on all options provided to states in the Affordable Care Act.
Ten insurers are seeking approval to sell 504 separate health plans next year on the Illinois health insurance exchange, a dramatic increase from 2014, Illinois said Thursday.
Some states have taken steps to implement health insurance exchanges, while others are attempting to block the healthcare reform law.
This list of Health Insurance Exchanges press releases is updated continuously by EIN Presswire, a press release distribution service.
Some 78 percent of small business owners said they were not familiar with health insurance exchanges and how they could impact their business.. Also, 77 percent of small employers said they were not doing any long-term planning regarding how health care reform might impact their business. The majority of small businesses, 68 percent, either incorrectly believe or arent sure whether they must provide health insurance to employees in 2014. And almost 70 percent either incorrectly believed or were not sure whether they would have to pay a tax for not providing health insurance. Beginning in 2014, the Affordable Care Act requires businesses with 50 or more full-time employees to provide health insurance coverage for their workers. Businesses with fewer than 50 employees are exempt from this requirement.. The survey was conducted anonymously online in August. eHealthInsurance is the countrys first and largest private health insurance exchange.. ...
Americans insistence on broad choices in health insurance raises both the cost and complexity of establishing insurance exchanges, an economist writes.
SEATTLE (Legal Newsline) -- Seattle Childrens Hospital has filed a lawsuit claiming the state Office of the Insurance Commissioner failed to ensure adequate network coverage in several health plans being sold through the states new online insurance exchange.
Colorado has been moving to set up an insurance exchange since the health care law was passed. The government, insurance industry and the hospitals say they are glad their work over the last year has been worth it.
As part of health reform implementation, states will create a large and complex new marketplace for the buying and selling of health insurance coverage. Through State Exchanges, individuals and small businesses may buy federally defined benefit packages from state licensed and certified Qualified Health Plans.. For health plans, this is a huge new market with potential enrollment of 25 million to 40 million or more. For individuals and small employers, it will create a new, highly regulated pathway to buy coverage and access subsidies. Some 16 million uninsured Americans are projected to be insured through State Exchanges. For states, implementation will present extraordinary policy, regulatory, administrative, and systems challenges.. Briefing on State Exchanges and Qualified Health Plans:. For members of the Medicaid Health Plans of America (MHPA), I recently conducted a webinar on State Exchanges and Qualified Health Plans. For a variety of reasons, Medicaid health plans are better positioned ...
following topics: the impact of 2012 political scenarios on health care reform; an overview of essential health benefits final recommendations ...
The two-year delay of the Cadillac tax may take some of the wind out of the sails of private health insurance exchanges, but experts say private exchanges will continue to attract customers.. The Cadillac tax, which is to impose a 40% excise tax on the portion of group health plan premiums over $10,200 for individual coverage and $27,500 for family coverage, has been a boon to enrollment in private health insurance exchanges, several benefit experts say.. Private exchanges have been one way for employers to cut health costs through a defined contribution model, while allowing employees to shop for the lowest price and greatest value.. But Congress last year passed and President Barack Obama signed legislation delaying implementation of the Cadillac tax by two years to 2020.. "Theres no question that the Cadillac tax was a tailwind for private exchanges, and with the pause button hit, private exchanges will need to rely on other tailwinds," said Jeff Yaniga, Chicago-based chief revenue officer ...
Covered California is a key component of the Affordable Care Act, the sweeping federal health reform law approved in 2010. At the core of health reform, often called Obamacare, is the tenet that most Americans have health insurance by Jan. 1, 2014, or pay a small penalty. Enrollment in exchange plans must occur by Dec. 15 for coverage to start at the first of the year ...
As we write this, we are about 50 days from January 01, 2014 , the date at which the law currently states you will be fined if you are not insured somehow for health insurance.. As of this same date, Californias health insurance exchange states: "Nearly 60,000 people have enrolled in health coverage through Covered California since October 1. In fact, in November people are enrolling at double the rate of October - at nearly 2,000 people a day.". Interestingly, Federal government released their numbers today and stated that, "Roughly 106,000 people are successfully enrolled in the new healthcare exchanges." According to an Orange County Register article, "Total signups represent only 1.5 percent of the governments 7 million target.". For those of us that play with numbers all day, that means that 56% of those that are insured nationally today through a health insurance exchange, are insured in California through Covered California. Wow!. You have probably heard about the glitches in the ...
HHS is using IT consulting firm CGI for much of the work on the exchanges and the federal data hub. CGI has their plate full since they are not only working on the federal exchange but also doing work ...
The Louisiana Department of Health protects and promotes health and ensures access to medical, preventive and rehabilitative services for all citizens of the State of Louisiana.
Twenty-nine million people are projected to gain access to health coverage through health care exchanges, according to a Robert Wood Johnson Foundatio
Press Release:. Social Interest Solutions and Microsoft Work Together to Leverage Social Interest Solutions Thought Leadership, Policy, Enrollment and Integration Expertise to Advance State and Government Health Insurance Exchange Initiatives. SACRAMENTO, Calif.--(BUSINESS WIRE)--Social Interest Solutions (SIS), a mission-driven, nonprofit organization dedicated to leveraging technology innovation to improve consumers access to health and human services, today announced a strategic alliance with Microsoft. The relationship will involve working collaboratively to help government entities save time and money in the design and deployment of the technology and processes underlying health insurance exchanges. "We are pleased to be working with Microsoft at this historic time". "We are pleased to be working with Microsoft at this historic time," said Claudia Page, co-director at Social Interest Solutions. "Both organizations have a successful track record of working closely with state agencies to ...
Are you planning to get married, change jobs, or move to a new state? If so, you might have to share your big news with HealthCare.gov.
Governors and legislatures are still grappling with the decisions over whether to grow their Medicaid programs and open new health insurance exchanges. Review state-by-state details.
Time is running out for states to decide whether theyre going to establish their own health insurance exchanges, a key part of Obamacare that - in th ...
AA and NHPI communities are extraordinarily diverse with dozens of different cultures and languages. Discrimination related to culture, language, affordability, and restrictions on legal immigrants continue to impose major barriers to accessing quality health care for AAs and NHPIs. The proposed regulations make clear that neither the Multi-State Plan Program (MSPP), nor issuers of Multi-State Plans (MSPs), nor MSPs can discriminate based on race, color, national origin, disability, age, sex, gender identity, or sexual orientation.1 Since robust enforcement of non-discrimination procedures including appropriate translation of health materials is crucial for our communities, APIAHF joins with The Leadership Conference on Civil and Human Rights in commending OPM for including the full range of classes protected against discrimination under the Affordable Care Act (ACA).. ...
As part of the 2010 health care law, members of Congress and many staffers were shifted out of the usual Federal Employee Health Benefits structure and into the new insurance exchanges set up by the law.. The Office of Personnel Management under President Barack Obama determined that the employer contribution portion of the premiums could flow through the District of Columbias health insurance exchange.. Trump has the authority to end lawmakers exemption, as several conservative political groups are urging him to do.. The first part of Trumps tweet appeared to be another threat to stop making cost sharing reduction payments to insurance companies under the 2010 health care law that help subsidize expenses for lower-income policyholders. Some Democrats and experts, however, warn that would amount to the president purposely hurting regular people in an attempt to force Democrats to cut a deal on health care.. - Niels Lesniewski contributed to this report. ...
The Centers for Medicare and Medicaid Services is reporting unauthorized access to consumer data in systems that support federal insurance exchanges.
The requirements of sections 2711 (other than subsections (c) and (e)) and 2712 (other than paragraphs (3), and (6) of subsection (b) and subsection (e)) of the Public Health Service Act, relating to guaranteed availability and renewability of health insurance coverage, shall apply to individuals and employers in all individual and group health insurance coverage, whether offered to individuals or employers through the Health Insurance Exchange, through any employment-based health plan, or otherwise, in the same manner as such sections apply to employers and health insurance coverage offered in the small group market, except that such section 2712(b)(1) shall apply only if, before nonrenewal or discontinuation of coverage, the issuer has provided the enrollee with notice of non-payment of premiums and there is a grace period during which the enrollees has an opportunity to correct such nonpayment. Rescissions of such coverage shall be prohibited except in cases of fraud as defined in sections ...
Health exchanges first emerged in the private sector in the early 1980s, and they used computer networking to integrate claims management, eligibility verification, and inter-carrier payments. These became popular in some regions as a way for small and medium-sized businesses to pool their purchasing power into larger groups, reducing cost. An additional advantage was the ability of small businesses to offer a range of plans to employees, allowing them to compete with larger corporations. The largest such exchange prior to the ACA is CaliforniaChoice, established in 1996. By 2000, CaliforniaChoices membership included 140,000 individuals from 9000 business groups. Obamacare maintained the concept of health insurance exchanges as a key component of health care. President Obama stated that it should be "a market where Americans can one-stop shop for a health care plan, compare benefits and prices, and choose the plan thats best for them, in the same way that Members of Congress and their ...
The Trump administration is extending open enrollment to buy health insurance through the federal health insurance exchanges. The new deadline is 3 a.m.
This expository paper describes the factors that contribute to failure of health insurance markets, and the regulatory mechanisms that have been and can be used to combat these failures. Standardized contracts and creditable coverage mandates are discussed, along with premium support, enrollment mandates, guaranteed issue, and risk adjustment, as remedies for selection-related market damage. An overall conclusion of the paper is that the design and management of creditable coverage mandates are likely to be key determinants of the performance of the health insurance exchanges that are a core provision of the PPACA of 2010. Enrollment mandates, premium subsidies, and risk adjustment can improve the stability and relative efficiency of the exchanges, but with carefully designed creditable coverage mandates are not necessarily critical for their operation. ...
Wed be remiss if we didnt take note of a positive health care reform law development: the surge in enrollment in public health insurance exchanges. The Obama administrations announcement this month that more than 7 million individuals have enrolled in the 51 exchanges administered by the states and the federal government is a huge achievement.. It was only a few months ago when many of the exchanges were so hampered by technical glitches that just getting on the exchange websites - let alone enrolling - was at many times nearly impossible.. Indeed, one month after the exchanges opened on Oct. 1, 2013, only a little more than 100,000 people had enrolled.. After that terrible start, state and federal exchange regulators, as well as outside vendors, worked hard to overcome enrollment glitches. The proof of the success of those efforts was obvious, especially in the final weeks before the 2014 open enrollment ended. During March alone, nearly 3 million people enrolled in exchange plans.. To be ...
Insurers who plan to participate in the new health insurance exchange are projecting their costs to cover Ohioans to be significantly higher, according to an analysis released Thursday by the Ohio Department ...
A majority of Americans without insurance plan to obtain coverage in response to the provisions of the Affordable Care Act, a new poll has found, but many remain unaware of key provisions of the law.. In a Gallup poll released on 30 September, 65% of uninsured Americans surveyed said that they intended to buy insurance by 1 January 2014 rather than pay the fine mandated by the Affordable Care Act.1. But the majority (51%) of those surveyed said that they were "not familiar at all" with new health insurance exchanges.. The Gallup poll was based on telephone interviews conducted between 17 and 26 September with a random sample of 5099 adults aged 18 and older living in all 50 US states and the District of Columbia.. The exchanges, which opened for … ...
More than 800,000 Georgians will be eligible for new government subsidies next year to buy coverage in a health insurance exchange, according to a report released Wednesday.. The subsidies or tax credits will help defray the cost of insurance for individuals and families on the new exchanges, set to launch in January under the Affordable Care Act.. The report, from consumer advocacy group Families USA, a longtime supporter of the 2010 health care law, also found that most Georgians eligible for credits are in working families and have incomes between two and four times the federal poverty level, or about $47,100 to $94,200 for a family of four.. The lower a persons income, the higher the subsidies will be. The money generally wont go directly to taxpayers but to insurers, with the consumer getting the benefit in reduced premiums.. The credits are "a game changer for individuals and families now uninsured or in the individual insurance market, said Ron Pollack, executive director of Families ...
able| |tbody| |tr||td|A look at the how states are putting in place President Barack Obamas health care law, including health insurance exchanges and expansion of Medicaid coverage, along with the number of people in each state who dont have health insurance:|/td| |/tr| |tr||td|STATE EXCHANGE OPTION MEDICAID OPTION UNINSURED RESIDENTS|/td| |/tr| |tr||td|Alabama Federal exchange Not expanding 696,000|/td| |/tr| |tr||td|Alaska Federal exchange Decision pending 128,000|/td| |/tr| |tr||td|Arizona Federal exchange Plans expansion 1,306,000|/td| |/tr| |tr||td|Arkansas Federal-state partnership Decision pending-x 545,000|/td| |/tr| |tr||td|California State exchange Plans expansion 7,471,000|/td| |/tr| |tr||td|Colorado State
As the health insurance exchanges opened for enrollment just days ago, the federal government, including the President and the Department of Health and Human Services (HHS), had to acknowledge that it was not technologically ready. The IT infrastructures by which individuals tried to sign up for health insurance crashed and were unavailable throughout the first day and the weeks after. Those same sights were supposed to track enrollment, but proved to not be as well tested and far more expensive than originally anticipated. However, despite the shortages and disappointments with government IT readiness for exchange websites, there was a surge in US-based startup companies that demonstrated just how innovative and forward thinking technology can be in the health care arena. Nine new companies, all curated through BluePrint Health were introduced at that same time three weeks ago on "Demo Day," and were ready to show the new frontier of health care, and how to transform care delivery through ...
The Centers for Medicare and Medicaid Services (CMS) paid its Zone Program Integrity Contractors (ZPIC) about $108 million in 2012. ZPICs reported spending most of this funding on fraud case development, primarily for investigative staff, who in 2012 reported conducting about 3,600 beneficiary interviews, almost 780 onsite inspections, and reviews of more than 200,000 Medicare claims.