WASHINGTON (Reuters) - Two prominent Republican lawmakers from the U.S. Senate and House of Representatives on Tuesday proposed short-term measures to stabilize Obamacare health insurance markets that would compete with bipartisan legislation under discussion in the Senate.
Reported by Reuters 5 hours ago.
Republican lawmakers propose more conservative Obamacare fix
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Christie officials point finger at NJEA for teachers' big health insurance hike
The NJEA accused the Christie administration of using misusing public money by sending the letter.
Reported by NJ.com 2 hours ago.
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Three weeks and counting: As Congress dithers on children's health program, more states face crisis
Congress has hardly slathered itself with glory in its current session, but among its most shameful failures surely is its failure to renew funding for the Children’s Health Insurance Program, which provides coverage for about 9 million low-income children and pregnant women.
As we’ve reported... Reported by L.A. Times 10 hours ago.
As we’ve reported... Reported by L.A. Times 10 hours ago.
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New health care plan approved for Fargo city employees
FARGO, N.D. (AP) — The city of Fargo’s health insurance premiums for city employees will drop next year by nearly 34 percent. KFGO radio reports that city commissioners voted Tuesday to switch from Sanford Health Insurance to Blue Cross Blue Shield of North Dakota. The estimated cost of premiums will drop from around $10 million […]
Reported by Seattle Times 10 hours ago.
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Online ‘window shopping’ for 2018 health-law plans underway
WASHINGTON — The Trump administration says consumers can start previewing plans and premiums online Wednesday for health insurance under the Affordable Care Act in 2018. Open enrollment starts Nov. 1. Although President Donald Trump has made no secret of his disdain for the program, officials at the federal Health and Human Services department say the […]
Reported by Seattle Times 8 hours ago.
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Online ‘window shopping’ for 2018 health law plans underway
WASHINGTON (AP) — The Trump administration says consumers can start previewing plans and premiums online Wednesday for health insurance under the Affordable Care Act in 2018. Open enrollment starts Nov. 1. Although President Donald Trump has made no secret of his disdain for the program, officials at the federal Health and Human Services department say […]
Reported by Seattle Times 9 hours ago.
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Online 'window shopping' for 2018 health law plans underway
WASHINGTON (AP) — The Trump administration says consumers can start previewing plans and premiums online Wednesday for health insurance under the Affordable Care Act in 2018. Open enrollment starts Nov. 1. Although President Donald Trump has made no secret of his disdain for the program, officials at the federal Health and Human Services department say the goal is for consumers to have a smooth sign-up experience. About 10 million people currently have private coverage through government-sponsored markets like HealthCare.gov. More than 8 in 10 customers receive tax credits to help pay their premiums, and that aid is still available despite the political turmoil over "Obamacare.
Reported by SeattlePI.com 9 hours ago.
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State says new insurance rates will include a ‘Trump tax’
PROVIDENCE, R.I. (AP) — Rhode Island officials say they’ve adopted higher health insurance rates for next year because the Trump administration ended cost-sharing subsidies to insurers. The state’s health insurance exchange, HealthSource RI, and the Office of the Health Insurance Commissioner said Wednesday that ending the payments was “reckless” and individual market rates for 2018 […]
Reported by Seattle Times 8 hours ago.
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MSP Validation momentum continues for Discovery Health Partners with new customer wins in Q3
Blue Cross and Blue Shield plans headline new client roster
ITASCA, Ill. (PRWEB) October 25, 2017
LaunchPoint division Discovery Health Partners, a provider of payment and revenue integrity solutions for healthcare payers, added three Blue Cross and Blue Shield plans in Q3 to its growing roster of clients. More than 50 health plans, including 4 of the top 10 insurers, are MSP Validation clients.
Honored two years in a row as a top 100-finalist in the Chicago Innovation Awards, MSP Validation helps Medicare Advantage plans recoup millions of dollars to their bottom lines by ensuring the accuracy of healthcare premiums paid by Centers for Medicare and Medicaid Services (CMS) for members with other health insurance. To date, Discovery has restored more than $200 million in underpaid premiums for its clients, including more than a dozen Blues plans.
MSP Validation analyzes plans’ open MSP records, validation of primacy, ECRS submissions, response monitoring, and premium reconciliation. The solution is typically delivered as an outsourced business process with Discovery experts managing the entire process on behalf of the client. It is often provided as a supplemental offering that complements clients’ existing efforts to help restore more. Clients can also subscribe to the service as cloud-based software to manage the MSP process in-house with their own staff. Many choose to take over ongoing maintenance after Discovery manages the initial restoration effort.
About Discovery Health Partners
Discovery Health Partners, a division of LaunchPoint, offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member experience. We offer a unique combination of deep healthcare expertise and analytics-powered technology solutions to help our clients improve operational efficiency, achieve financial integrity, and generate measurable results. More information is available at http://www.discoveryhealthpartners.com. Reported by PRWeb 8 hours ago.
ITASCA, Ill. (PRWEB) October 25, 2017
LaunchPoint division Discovery Health Partners, a provider of payment and revenue integrity solutions for healthcare payers, added three Blue Cross and Blue Shield plans in Q3 to its growing roster of clients. More than 50 health plans, including 4 of the top 10 insurers, are MSP Validation clients.
Honored two years in a row as a top 100-finalist in the Chicago Innovation Awards, MSP Validation helps Medicare Advantage plans recoup millions of dollars to their bottom lines by ensuring the accuracy of healthcare premiums paid by Centers for Medicare and Medicaid Services (CMS) for members with other health insurance. To date, Discovery has restored more than $200 million in underpaid premiums for its clients, including more than a dozen Blues plans.
MSP Validation analyzes plans’ open MSP records, validation of primacy, ECRS submissions, response monitoring, and premium reconciliation. The solution is typically delivered as an outsourced business process with Discovery experts managing the entire process on behalf of the client. It is often provided as a supplemental offering that complements clients’ existing efforts to help restore more. Clients can also subscribe to the service as cloud-based software to manage the MSP process in-house with their own staff. Many choose to take over ongoing maintenance after Discovery manages the initial restoration effort.
About Discovery Health Partners
Discovery Health Partners, a division of LaunchPoint, offers payment and revenue integrity solutions that help health payers improve revenue, avoid costs, and enhance the member experience. We offer a unique combination of deep healthcare expertise and analytics-powered technology solutions to help our clients improve operational efficiency, achieve financial integrity, and generate measurable results. More information is available at http://www.discoveryhealthpartners.com. Reported by PRWeb 8 hours ago.
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Bipartisan Obamacare fix would cut U.S. deficit: nonpartisan analysis
WASHINGTON (Reuters) - A bipartisan Senate proposal to shore up Obamacare insurance marketplaces would cut the U.S. deficit by $3.8 billion over the next decade and would not substantially change the number of Americans with health insurance, a nonpartisan arm of Congress said on Wednesday.
Reported by Reuters 6 hours ago.
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Maryland approves larger rate increases on some health exchange plans
The Maryland Insurance Administration has approved new rate increases for some health insurance plans sold on the state's health care exchange, set to go live in only a few days. CareFirst BlueCross BlueShield and Kaiser Permanente had asked for larger rate increases on top of what was initially approved this summer due to the Trump administration ending some subsidy payments to insurers. CareFirst has been approved for a 27 percent additional hike on its HMO plan, and a 24 percent additional…
Reported by bizjournals 6 hours ago.
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Maryland agency approves higher health insurance rates
BALTIMORE (AP) — Maryland residents purchasing individual health insurance coverage under the Affordable Care Act can expect to pay higher premiums next year. The Maryland Insurance Administration on Wednesday approved rates increases that are expected to affect roughly 96,000 people who buy silver plans through the state’s health insurance exchange. The administration approved a 27 […]
Reported by Seattle Times 6 hours ago.
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Nonpartisan Analysis: Bipartisan Obamacare Fix Would Cut US Deficit
A bipartisan Senate proposal to shore up Obamacare insurance marketplaces would cut the U.S. deficit by $3.8 billion over the next decade and would not substantially change the number of Americans with health insurance, a nonpartisan arm of Congress said on...
Reported by Newsmax 5 hours ago.
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The Klein Law Firm Reminds Investors of Commencement of a Class Action on Behalf of Health Insurance Innovations, Inc. Shareholders and a Lead Plaintiff Deadline of November 13, 2017 (HIIQ)
NEW YORK, NY / ACCESSWIRE / October 25, 2017 / The Klein Law Firm announces that a class action complaint has been filed on behalf of shareholders of Health Insurance Innovations, Inc. (NASDAQ: HII...
Reported by FinanzNachrichten.de 4 hours ago.
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Health premiums to rise 27 percent in Michigan market
LANSING, Mich. (AP) — Premiums will rise an average of 27 percent for the hundreds of thousands of Michigan residents who buy their own health insurance. Consumers eligible for income-based tax credits will be protected from the increasing premiums. The state Department of Insurance and Financial Services published the rates Wednesday. Enrollment for 2018 begins […]
Reported by Seattle Times 4 hours ago.
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Best’s Briefing: President Trump’s Executive Order – More Changes Impacting Health Insurers
OLDWICK, N.J.--(BUSINESS WIRE)--President Trump’s health care executive order and its directive to consider changes to short-term medical policies, association health plans and health reimbursement accounts could impact health insurance carriers according to a new A.M. Best briefing. The Best’s Briefing, titled, “President Trump’s Executive Order – More Changes Impacting Health Insurers,” states that employer groups, especially small employers, could move to association health plans under expan
Reported by Business Wire 4 hours ago.
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Bill would bar sex-change surgery in children’s health plan
HARRISBURG, Pa. (AP) — The Pennsylvania Senate is advancing legislation to bar coverage for gender or sex reassignment surgery in the federally subsidized Children’s Health Insurance Program. The Republican-penned bill passed Wednesday, 37-13, over the protests of Democratic lawmakers who called it discriminatory. It goes to the House for consideration. Senate Republicans say Pennsylvania can’t […]
Reported by Seattle Times 3 hours ago.
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Some Affordable Care Act Premiums Set to Jump for 2018
Some consumers who get health insurance through the Affordable Care Act exchanges next year will face sharp premium increases and have fewer insurer options.
Reported by Wall Street Journal 3 hours ago.
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Some Affordable Care Act Premiums Set to Jump for 2018
Some consumers who get health insurance through the Affordable Care Act exchanges next year will face sharp premium increases and have fewer insurer options.
Reported by Wall Street Journal 20 hours ago.
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Here's How Much Your Obamacare Rates Are Going Up In 2018 (Hint: It's A Lot And It's All Trump's Fault)
A new study conducted by Avalere and released earlier today found that Obamacare rates will surge an average of 34% across the country in 2018. Of course, this is in addition to the 113% average premium increase from 2013 and 2017, *which brings the total 5-year increase to a staggering 185%.*Meanwhile, and to our complete shock no less, Avalere would like for you to know that the rate increases are almost entirely due to the Trump administration's "failure to pay for cost-sharing reductions"...*which is a completely reasonable guess if you're willing to ignore the fact that 2018 premium increases are roughly in-line with the 29% constantly annualized growth rates experienced over the past 4 years before Trump ever moved into the White House*...but that's just math so who cares?
*New analysis from Avalere finds that the 2018 exchange market will see silver premiums rise by an average of 34%.* According to Avalere’s analysis of filings from Healthcare.gov states, exchange premiums for the most popular type of exchange plan (silver) will be 34% higher, on average, compared to last year.
*“Plans are raising premiums in 2018 to account for market uncertainty and the federal government’s failure to pay for cost-sharing reductions,” *said Caroline Pearson, senior vice president at Avalere. “These premium increases may allow insurers to remain in the market and enrollees in all regions to have access to coverage.”
Avalere experts attribute premium increases to a number of factors, including *elimination of cost-sharing reduction (CSR) payments, lower than anticipated enrollment in the marketplace, limited insurer participation, insufficient action by the government to reimburse plans that cover higher cost enrollees (e.g., via risk corridors), and general volatility around the policies governing the exchanges.* The vast majority of exchange enrollees are subsidized and can avoid premium increases, if they select the lowest or second lowest cost silver plan in their region. However, some unsubsidized consumers who pay the full premium cost may choose not to enroll for 2018 due to premium increases.
Of course, not all residents are treated equally when it comes to premium hikes. So far,* Iowa is winning the award for greatest percentage increase at 69%*, with Wyoming, Utah and Virginia close behind.
On an absolute basis, Wyoming wins with the average 50 year old expected to drop nearly $1,200 per month (or roughly the cost of a mortgage) on health insurance premiums.
So what say you? *Have we finally reached the tipping point where enough full-paying Obamacare customers will simply forego insurance that they can no longer afford and cause the whole system to come crashing down?* Reported by Zero Hedge 22 hours ago.
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