Paying high-risk employees to buy exchange plans is declared illegal.
The new proposed rule would bar such plans that had once qualified under a federal calculator.
Consumers who get health insurance through their employers need to pay close attention this year to their enrollment materials.
Some large employers will face penalties if they don’t offer workers health insurance in 2015. In addition, workers can expect to see increased cost-sharing and employers pushing them to “private exchanges” to save money.
Moving to close what many see as a major loophole in Affordable Care Act rules, the Obama administration will ban large-employer medical plans from qualifying under the law if they don’t offer hospitalization coverage.
he Obama administration may reverse course on an online spreadsheet that lets large employers comply with the health law by offering what consumer advocates call substandard insurance.
Some insurance pros say the administration intended such coverage to meet Obamacare’s “minimum value” standard. Others disagree, and the government stays silent.
Problems with a government calculator that companies use to prove that their insurance meets health law standards could allow substandard policies, consumer advocates say.
Health and social spending as measured by the Census Bureau grew by only 3.7 percent from the second quarter of 2013 to the same quarter of 2014.
This KHN story can be republished for free. (details) In preliminary but encouraging news for consumers and taxpayers, insurance filings show that average premiums will decline slightly next year in 16 major cities for a benchmark Obamacare plan. Prices for a benchmark “silver” or mid-priced plan sold through the health law’s online marketplaces aren’t all moving […]
The National Business Group on Health also found, based on 136 large employers’ responses, a continued move toward high-deductible, “consumer-directed” plans.
A little-known office tests ways to improve care, but some wonder whether its achievements will match its budget.
Hints of cost spikes matter because much is riding on spending forecasts.
This KHN story can be republished for free. (details) UnitedHealthcare, the insurance giant that largely sat out the health law’s online marketplaces’ first year, said Thursday it may sell policies through the exchanges in nearly half the states next year. “We plan to grow next year as we expand our offering to as many as two […]
By paying primary care doctors to cut specialist and hospital revenue, CareFirst BlueCross BlueShield is helping to alter the medical spoils system.
Justice Samuel A. Alito Jr., writing for the majority, favors a tight definition for businesses that can be exempted from the health law’s contraceptive mandate. Justice Ruth Bader Ginsburg suggests the consequences may be farther reaching.
Health costs will accelerate next year, but changes in how people buy care will help keep them from attaining the speed of several years ago, PricewaterhouseCoopers says in a new report. The prediction, based on interviews and modeling, splits the difference between hopes that costs will stay tame and fears that they’re off to the […]
A growing economy and an Obamacare spending surge, many suspected, had ended five years of moderate health-spending growth. Early government figures showed medical-cost acceleration at the beginning of the year. “Health care spending rose at the fastest pace since 1980 in the first quarter as the new health insurance law prompted many more Americans to […]
Expanded coverage for young adults under the Affordable Care Act substantially raised inpatient hospital visits related to mental health, finds a new study by researchers at Indiana and Purdue universities. That looks like good news: Better access to care for a population with higher-than-average levels of mental illness that too often endangers them and people […]
How to expand Americans’ health insurance choices under the Affordable Care Act without sabotaging employer coverage? The Obama administration is still working to get the balance right. The latest tweak from the Internal Revenue Service essentially prohibits employers from giving workers tax-free dollars to buy policies in the online public marketplaces created by the health law. […]