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In the Health Reform Update for the past week, the U.S. Supreme Court declines to hear another legal challenge to the Affordable Care Act (ACA). A Congressional rule change threatens to cut federal disability payments by 20 percent, while the Senate investigates why two non-profit cooperatives created with ACA loans have already been forced to halt enrollment. ACA Marketplace enrollment continues on pace to meet 2015 targets. However, the Centers for Medicare and Medicaid Services Adminis...
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Read our latest update on Specialty Tiers!
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In the Health Reform Update for the past week, the new Congress immediately resurrects stalled legislation to increase the threshold for the employer mandate under the Affordable Care Act (ACA), as well as repeal payments to insurers that serve a costlier mix of patients. Marketplace enrollment continues to climb, exceeding 7.1 million sign-ups for the 2015 open enrollment period, as another study confirms that premiums for the qualified health plans have remained stable overall. A new not...
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Our latest Specialty Tier update is now available!
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In the Health Reform Update for the past week, the President signs a full-year spending bill that includes an exemption for expatriate plans covering American workers abroad from the individual and employer mandates under the Affordable Care Act (ACA). The President is also expected to sign separate legislation creating tax-free savings accounts for the disabled. A surge in ACA Marketplace enrollment before the deadlines to purchase January 1st coverage forces federal and state Marketplaces ...
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Our latest update on Specialty Tier is now available!
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In the Health Reform Update for the past week, the House averts a government shutdown with a full-year spending bill that largely extends current funding levels but targets select Affordable Care Act (ACA) provisions. However, it fails to include either a permanent Medicare “doc fix” or extension of the ACA’s two-year increase in Medicaid payments for primary care physicians. Marketplace enrollment through the first three weeks of the second open enrollment period far exceeds last year’s...
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In the Health Reform Update for the past week, the opening of the second enrollment period for the federally-facilitated Marketplace (FFM) brings in 765,000 new or returning subscribers in the first two weeks. However, modest premium increases resulting from a 25 percent increase in Marketplace competition may be offset by a dramatic increase in the use of specialty tier coinsurance to control drug costs. The Centers for Medicare and Medicaid Services (CMS) agrees with consumer advocates t...
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In the Health Reform Update for the past week, the federal appeals court for D.C. has delayed its review of the validity of Affordable Care Act (ACA) subsidies in federally-facilitated Marketplaces (FFMs) until the U.S. Supreme Court rules next year. Idaho becomes the only Republican-controlled state to transition to a state-based Marketplace, a move that could spare consumers from losing premium subsidies if the Supreme Court invalidates them for FFMs. Nevada and Oregon officials also cla...
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In the Health Reform Update for the past week, the U.S. Supreme Court shocks observers by agreeing to hear a challenge to Affordable Care Act (ACA) subsidies offered to more than 4.5 million consumers in federally-facilitated Marketplaces (FFM) before appellate challenges were resolved. Republican leaders promptly schedule repeal votes on the Affordable Care Act (ACA) after sweeping nearly all contested Senate races to gain control over both Congressional chambers. Broad Republican gains in ...
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