Tagged with ACA Affordable Care Act

Senate Appropriations Committee Approves FY18 HHS Funding Bill

The Senate’s Appropriations Committee has approved its fiscal 2018 bill for Department of Health and Human Services (HHS) funding. The bill provides $36.1 billion for National Institutes of Health (NIH), as well as allocates monies for research on Alzheimer’s disease, the Brain Research through Advancing Innovative Neurotechnologies Initiative®, and the Precision Medicine Initiative’s (PMI’s) All of Us Research Program.

States to Receive $200M in Funding to Combat Infectious Diseases

CMS and the CDC have announced that all 50 state health departments as well as local health agencies in several large metropolitan areas including Chicago and New York will receive some of the money under the agency’s Epidemiology and Laboratory Capacity for Infectious Diseases Cooperative Agreement program.

OH – State Developing 1332 Innovation Waiver

The Ohio Department of Insurance is developing a 1332 Innovation Waiver which would exempt Ohio from the individual and employer mandates established under the Affordable Care Act (ACA).

Medical Liability Reform Bill Passes House

In a vote of 218-210, the Protecting Access to Care Act of 2017 (H.R. 1215) has passed the House of Representatives and will now advance to the Senate for consideration.

IN – Request for Medicaid Recipients to Work Could Face Challenges

The Governor of Indiana is seeking permission from CMS to require some Medicaid beneficiaries to be employed or searching for work to be eligible for the Healthy Indiana 2.0 (HIP) plan, but since public comments were not permitted, the state request could be facing some legal challenges.

CMS Releases 1991-2014 Health Care Spending by State

CMS’ Office of the Actuary (OACT) has released its ‘State Health Expenditure Accounts’ report detailing state-level health care spending data for the period 1991-2014. The data reveals large differences of personal healthcare spending from region to region as well as growth in spending in non-expansion states that show similar rates in Medicaid expansion states.

OH – Anthem BCBS to Exit Ohio ACA in 2018

Anthem Blue Cross Blue Shield has announced it will leave the Affordable Care Act market in Ohio in 2018 and will reduce its footprint in the state to one off-exchange product in one county.

Anthem Leaves Ohio ACA Exchange

Anthem has announced that it will pull out of Ohio’s Affordable Care Act (ACA) individual insurance marketplace for the 2018 plan year.

FY 2018 Budget Released

The White House has released its budget proposal for fiscal year (FY) 2018 and presented it to Congress. Totaling at $4.1 trillion, the proposal requests $69 billion in discretionary budget authority and $1,046 billion in mandatory funding to help the Department of Health and Human Services (HHS).

NJ – Governor Seeking Increased Control over Horizon BCBS

New Jersey is perusing increased oversight of the state’s largest health insurer, Horizon Blue Cross Blue Shield, after the Horizon Foundation for New Jersey declined to add $300 million to the state addition-treatment fund.

WI – State Seeks CMS’ Permission to Implement Medicaid Eligibility Limit

Wisconsin has announced plans to seek federal approval to implement eligibility and other changes to its Medicaid program. According to the waiver summary, Wisconsin plans to submit an application to amend its Medicaid demonstration that would enable the state to impose monthly premiums for beneficiaries with incomes above 20% of federal poverty level, ranging from $1 to $10 per household based on household income.

CT – State Insurers Request Rate Increases on Individual and Group Plans

Health insurers in Connecticut have submitted health insurance rate request individual and small group plans in 2018. A total of 10 health insurance companies have made 14 filings on individual and small group plans that provide coverage to approximately 270,000 people in the state. The average rate requests range from 3.6% to 33.8%.

Aetna to Exit all ACA Insurance Marketplaces in 2018

Aetna has announced plans completely withdraw from the ACA insurance exchanges for 2018, citing financial losses as the deciding factor, specifically its individual commercial products lost nearly $700 million between 2014 and 2016 and could lose another $200 million this year.