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Tacking on an after-hours surcharge to an emergency department bill strikes some consumers as unfair, since the facilities are open 24 hours a day.
In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Sarah Kliff of Vox.com, Stephanie Armour of The Wall Street Journal and Paige Winfield Cunningham of The Washington Post discuss the Trump administration’s latest effort to revise rules for next year’s Affordable Care Act marketplaces. They also discuss state efforts to stabilize their individual markets in light of some of the changes being made at the federal level.
In states that are instituting work requirements for Medicaid coverage, refusing to get a job will not likely make you eligible for subsidies to buy a marketplace plan.
States aren’t getting nearly as much federal money this year to explain and campaign for Affordable Care Act policies. Some are trying to make up the shortfall; others lack the cash or political will.
This year’s Obamacare open enrollment will be marked by a number of changes. KHN helps you navigate them.
Covered California authorized a 12.4 percent average surcharge on silver-tier plans, the second-least expensive option sold on the exchange. It brings the total average premium increase on those plans to nearly 25 percent next year.
The nation’s second-largest insurer is shrinking its presence on Obamacare exchanges and in the broader individual market in response to prevailing uncertainty. California is just the latest — and the biggest — example.
The figure could be higher if President Trump ends an important consumer subsidy, which he has threatened to do. The exchange also announced that Anthem Blue Cross will pull out of Covered California and the overall individual market in 16 of the 19 regions it currently serves.
One of two insurers in this tiny state has announced it will not be back in the marketplaces next year, leaving customers concerned about the prices they will pay.
CEO Paul Markovich said he opposes the Republican plan because it would allow insurers to once again discriminate against people with preexisting conditions. “We are better than that,” he said.
The federal health law has opened up new options for young adults but it can sometimes be confusing. A quick guide to the choices.
People who do not get insurance through their job or the government have long battled a difficult market.
Despite political peril, Obamacare business is brisk in California, New York, Connecticut, Massachusetts and Colorado.
In a number of states, including big ones such as New York and Texas, leading cancer centers aren’t included in insurers’ provider networks.
Republicans’ plans to overhaul the federal health law are not expected to take effect immediately, so consumers can still sign up for 2017 coverage.
Clinton has offered detailed plans to preserve and expand the law, while Trump has vowed to “repeal and replace Obamacare so quickly.”
The report describes steps that states could take to address a number of drug-coverage issues in the commercial insurance market.
A double-digit increase, which follows two years of moderate rate hikes, is likely to resonate across the country in debate over Obamacare.
Enrollment is nearly double where the state expected to be at the seven-month mark.
The president made the proposal as part of a comprehensive look at the Affordable Care Act’s legacy in an article under his byline in the Journal of the American Medical Association.