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King v. Burwell: Finding A Path Forward After An Executive Overreach

Editor's note: Watch Health Affairs Blog for more posts on King v. Burwell and the Supreme Court oral arguments in the case by Tim Jost and others. The Supreme Court justices had a lively discussion today during arguments in King v. Burwell about...

Published Wed, Mar 03 2015 10:40 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, States, Coverage, Health Law

King v. Burwell: Unpacking The Supreme Court Oral Arguments

Editor's note: Watch Health Affairs Blog for more posts by Grace-Marie Turner and others on King v. Burwell and the Supreme Court oral arguments in the case. One March 4, 2015, the United States Supreme Court heard oral arguments in King v. Burwell...

Published Wed, Mar 03 2015 10:21 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, States, Coverage, Health Law

How Many Americans Will Lose Coverage If The Supreme Court Kills The ACA Tax Credits?

In March, the U.S. Supreme Court is slated to hear King v. Burwell , a case that challenges the authority of the federal government to provide tax credits and other financial assistance to people who buy Affordable Care Act (ACA) coverage through the...

Published Mon, Mar 03 2015 7:16 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Coverage, Access, Medicaid, Health Law

State Expectations: Setting The Record Straight In King v. Burwell

On Wednesday, March 4 th , the Supreme Court will hear the latest attack on the Affordable Care Act (ACA): the case King v. Burwell . The King petitioners allege that the Internal Revenue Service overstepped its authority by issuing regulations authorizing...

Published Wed, Feb 02 2015 6:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Politics, Insurance, Health Care Costs, States, Coverage, Access, Health Law

Implementing Health Reform: Final 2016 Letter To Federal Exchange Issuers

Each year the Centers for Medicare and Medicaid Services (CMS) releases a letter to issuers (insurers) in the federally facilitated marketplace (FFM) setting out the ground rules for coverage through the FFM for the coming year. A draft letter is published...

Published Sun, Feb 02 2015 6:18 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Access, Pharma, Disparities

Implementing Health Reform: 2016 Benefit And Payment Final Rule, Insurance Provisions

On November 21, 2014, the Centers on Medicare and Medicaid Services of the Department of Health and Human Services released its final 2016 Benefit and Payment Parameter (BPP) Rule . (Fact sheet here .) My first post examined the provisions of this rule...

Published Sun, Feb 02 2015 2:26 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Employer-Sponsored Insurance

Implementing Health Reform: 2016 Benefit And Payment Final Rule, Consumer Provisions

On February 20, 2015, the Centers for Medicare and Medicaid Services (CMS) of the Department of Health and Human Services published its massive Notice of Benefit and Payment Parameters (BPP rule) for 2016 Final Rule , accompanied by a fact sheet . This...

Published Sun, Feb 02 2015 6:09 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Access, Pharma, Disparities

Implementing Health Reform: New Enrollment Opportunity For Those Subject To 2014 Penalty

In our Health Affairs Blog post of November 7, 2014, Brian Haile and I recommended that the Department of Health and Human Services (HHS) create a special enrollment period to allow individuals who had to pay the individual responsibility penalty for...

Published Fri, Feb 02 2015 11:26 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Payment, States, Coverage, Reform

Health Insurance Rate Setting: Time To Raise The Bar And Lift The Veil Of Secrecy

Over 15 million Americans stand to benefit from a strong health insurance rate review system, with the number growing each year. But in many states the rate review laws---and how they are carried out---fall short. Health insurance is one of the most expensive...

Published Wed, Dec 12 2014 7:00 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, Health Care Costs, States

New Health Policy Brief: Reenrollment

This year open enrollment under the Affordable Care Act (ACA) began on November 15, allowing new customers to sign up for health insurance. Open enrollment also provided current policyholders the chance to change plans and request a redetermination on...

Published Mon, Dec 12 2014 8:29 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Coverage, Health Law

Implementing Health Reform: Minimum Essential Coverage And The Multi-State Plan

Two earlier posts this past weekend analyzed the massive Department of Health and Human Services 2016 Benefit and Payment Parameter Proposed Rule, released on November 21. Also on November 21, the Internal Revenue Service of the Department of the Treasury...

Published Mon, Nov 11 2014 8:05 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Coverage, Medicaid

Implementing Health Reform: 2016 Benefit And Payment Parameters Proposed Rule, Insurance Provisions

On November 21, 2014, the Centers on Medicare and Medicaid Services of the Department of Health and Human Services released its proposed Benefits and Payment Parameters (BPP) Rule . Part I of this post examined the benefit provisions of this proposed...

Published Sun, Nov 11 2014 1:15 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Employer-Sponsored Insurance

Implementing Health Reform: 2016 Benefit And Payment Parameters Proposed Rule, Consumer Provisions; Hardship Exemptions

On November 15, 2014, the marketplaces reopened for 2015. Anecdotal reports indicate that in most places enrollment and reenrollment are running smoothly. But the Centers of Medicare and Medicaid Services (CMS) of the Department of Health and Human Services...

Published Sat, Nov 11 2014 1:59 PM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Access, Pharma, Quality, Children

Risk And Reform Of Long-Term Care

Editor’s note: This post is part of a series of several posts stemming from presentations given at “ The Law of Medicare and Medicaid at Fifty ,” a conference held at Yale Law School on November 6 and 7 . The 50 th Anniversary of Medicare and Medicaid...

Published Fri, Nov 11 2014 7:56 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Nonmedical Determinants, Consumers, Policy, Insurance, States, Medicare, Medicaid, Health Law, Long-Term Care

Implementing Health Reform: New HHS 2015 Marketplace Enrollment Estimates

On November 10, 2014, the HHS Assistant Secretary for Planning and Evaluation (ASPE) released an estimate of “ How Many Individuals Might Have Marketplace Coverage After the 2015 Open Enrollment Period .” ASPE estimates that 9.1 to 9.9 million will be...

Published Tue, Nov 11 2014 11:51 AM by Health Affairs Blog

Filed under: All Categories, Health Reform, Consumers, Policy, Insurance, States, Medicaid

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