Policy Update- Week of 8/15/16

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In the Health Reform Update for the past week, Aetna becomes the latest major insurer to withdraw from most Affordable Care Act (ACA) Marketplaces for 2017, causing the number of rural counties that will have only one insurer to more than triple.

The Centers for Medicare and Medicaid Services (CMS) attempts to keep other insurers in the Marketplace by agreeing to consider limits on third-party premium assistance from non-profits affiliated with providers or provider groups.  The agency also hints that it may create a permanent reinsurance program to compensate Marketplace insurers with an exceptional number of high-cost claims. 

Six of the seven surviving non-profit insurance cooperatives created with ACA loans are now suing the federal government over the ACA’s temporary premium stabilization program that is largely blamed for causing 16 cooperatives to already collapse.

California fails to become the second state in the nation to pass legislation requiring greater consumer transparency for prescription drug pricing. 

You can find the full Health Reform Update here and help with advocacy by joining our PSI Patient Coalition.



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