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Groups ask CMS to stop dialysis facilities from steering patients into private health plans

April 18, 2018

A coalition of consumer groups, health care insurers, and unions are urging CMS to re-issue a final rule intended to stop dialysis facilities and other third parties from steering Medicare-eligible patients with end-stage renal disease into individual market plans in instances when the facilities or third parties either directly or indirectly have a financial interest in doing so.

'Silver-loading' helped save the ACA's exchanges in 2018. Now, the Trump admin might ban it.

April 16, 2018

Despite the predictions of many pundits last year, the Affordable Care Act's exchanges have not imploded—but analysts are raising red flags all over again in light of the Trump administration's plans for the 2019 open enrollment period.

CBO projects trillion-dollar deficits, rising spending on Medicare and Medicaid

April 11, 2018

The Congressional Budget Office report states that "health care costs per beneficiary are projected to grow faster than the economy over the long term, contributing to growth in spending for Medicare and Medicaid in particular."

CMS gives states more say on exchange plans—but experts say that could scale back coverage

April 10, 2018

CMS Administrator Seema Verma says the Trump administration's newly released final rule for health plans sold through the Affordable Care Act's exchanges for the 2019 coverage year includes changes intended to give insurers more flexibility to "create plans that more directly address the needs of (states') citizens," instead of "a one-size fits all D.C. mandate."

Judge deals 'a pretty serious blow' to Blue Cross Blue Shield insurers

April 10, 2018

Tim Greaney, a professor at the University of California Hastings College of the Law, says a federal judge's ruling that some Blue Cross Blue Shield insurers' practices likely violate federal antitrust law is "both substantively and tactically … a very big deal," calling it "a pretty serious blow to" the health plans.

CMS' 2018 open enrollment sign-up tally is out. Here are the details.

April 4, 2018

CMS data show exchange plan sign-ups during the 2018 open enrollment period were down slightly from 2017, despite a far shorter open enrollment period and fewer federal dollars spent on outreach.

Inside Iowa's proposal to allow insurers to skirt ACA coverage requirements

March 30, 2018

Iowa's Legislature sends Gov. Kim Reynolds (R) a bill that would allow health insurers to sell plans that do not comply with certain coverage requirements under the Affordable Care Act.

Why 3 US families rejected health insurance—and how they're making do for now

March 29, 2018

Thousands of U.S. residents seeking coverage on the individual market have decided not to enroll in health insurance this year because of the cost, and Bloomberg is profiling a dozen uninsured families to "understand the trade-offs when a dollar spent on health insurance can't be spent on something else."

What’s more worrisome to US residents than immigration, drug use, or guns? Health care, poll finds

March 28, 2018

A Gallup survey finds 55% of respondents worry "a great deal" about the availability and affordability of health care, and researchers predict that, given Republicans' recent changes to the Affordable Care Act, "Americans' anxiety about the health care situation should persist."

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