Back To The Future: Insurance Pools For High-Risk Patients Could Be Revived
Trump and leading Republicans like the idea. Some policymakers and experts say it wasn鈥檛 viable in the first place.
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Trump and leading Republicans like the idea. Some policymakers and experts say it wasn鈥檛 viable in the first place.
The effect of 鈥渞epeal and replace鈥� could have greatest consequences for hospitals. They accepted lower federal funding under the law because their uncompensated care was expected to fall as more people became insured.
The company鈥檚 CEO also dismisses Trump鈥檚 notion of selling insurance plans across state lines, calling it 鈥榩erplexing.鈥�
President-elect Donald Trump has suggested that he would like to keep the health law鈥檚 ban on preexisting conditions. But that only works if insurers can be guaranteed a robust market, so Republicans must figure out a way to coax in healthy customers.
KHN's Julie Rovner joins a panel on 'NewsHour' to talk about how the new Trump administration and congressional Republicans might seek to repeal and replace the federal health law.
Republican efforts to get rid of the federal health law are expected to take some time to work through Congress and leaders have promised to give consumers time to adjust to those changes.
Republicans will likely chip away at the ACA piecemeal and say they will try to provide a soft exit.
Dire dental needs and other health problems keep Remote Area Medical鈥檚 pop-up free clinics busy in states like Virginia that haven鈥檛 expanded Medicaid.聽
The insurer is on the hook for $25 million in refunds to about 240,000 enrollees with employer coverage.
The bronze plans鈥� lower premiums -- coupled with the health law鈥檚 out-of-pocket-spending protections -- may make these policies an attractive option.
Some major insurance companies are opting not to pay commissions for plans sold on the Affordable Care Act鈥檚 marketplaces. Will this decision make enrollment season more difficult for consumers?
Despite fears of rising costs and fewer insurers on the health law鈥檚 marketplaces, consumers can find the best deals by carefully evaluating plans and checking out the fine print.
Insurers charge that hospitals and other health providers are using third-party groups to help some low-income patients buy marketplace plans, which bring higher reimbursement rates.
Researchers at the Robert Wood Johnson Foundation found more bronze and gold offerings off the exchange and better out-of-network options. But there are no subsidies.
Some insurers have been allowed to move customers on the health law's marketplaces into their Medicare Advantage plans when they become eligible for Medicare, but seniors complain they didn鈥檛 always know it was happening.
UCLA health policy expert Gerald Kominski says a 鈥減ublic option鈥� health plan would look a lot like private insurance, and politics will determine whether it would happen on a state or national level.
The federal government's first in-depth review reveals errors such as wrong addresses and incorrect phone numbers riddle many directories used by Medicare Advantage beneficiaries.聽
Health and Human Services Secretary Sylvia Burwell announces that federal officials expect the number of people picking plans will grow by 1 million this year to nearly 14 million people, but she acknowledges that rising prices and fewer insurers are challenging the marketplaces.
A new study on Oregon鈥檚 famed Medicaid experiment eight years ago shows no decline in emergency room care even after two years of coverage.
Other insurers complain that Blue Cross Blue Shield plans have bloated overhead costs and reap too much from the Obamacare risk-adjustment fund, paid for by insurers. The companies deny it.
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