Health insurers have become more profitable since the Affordable Care Act took effect, according to the White House Council of Economic Advisers, despite initial stumbles on the public exchanges.
Observers are wondering if Idaho officials are negotiating with the Trump administration behind the scenes to meld their proposal for cheaper, leaner individual-market plans with the administration's plan to let insurers offer short-term products.
A proposed rule to expand access to association health plans could lead to a spike in unpaid claims for providers, since members of those plans have a history of not paying their bills.
The White House is pushing Congress to adopt several conservative policies including allowing long-term use of short-term plans and seniors being charged higher premiums. In exchange, it will support bringing back cost-sharing reduction payments for individual market enrollees.
Health benefit managers have called on the CMS to continue a little-known Affordable Care Act provision that allows employers to offer limited, supplemental coverage for individual market plans.
The Idaho Blues' new state-based plans violate federal law and could subject the insurer to steep penalties if HHS chooses to enforce the Affordable Care Act. The plans also threaten to harm consumers who enroll and will likely prompt lawsuits, experts said.
Direct contracting, in which self-funded businesses eschew insurance companies to partner directly with a healthcare provider, can give the employer more control over the employee health benefit design.
Two chambers, two bills: House and Senate measures to fund reinsurance pools for the ACA individual markets vie for inclusion in an upcoming spending bill.
Maestro Health, a Chicago-based, healthcare-benefits company, sold for $155 million to AXA Group, a global insurance giant.
Higher prices—not the use of more healthcare services—drove increased healthcare spending in 2016 among patients covered by employer-sponsored plans.
Health insurers have paid $3.2 billion in rebates to consumers since 2011 under an ACA provision requiring the companies to spend a certain percentage of premium dollars on medical care and quality improvement.
While dealing with the physical and mental trauma of surviving a mass shooting, those who lived also face mounting medical bills.