Articles on the implementation of ObamaCare.
The Medicare Advantage Value-Based Insurance Design Model kicks off Jan. 1, 2017 and will run for five years.
Value-based insurance design, or VBID, refers to health plans that waive or lower out-of-pocket costs for healthcare and prescription drugs that are proven effective for patients with chronic health conditions.
The CMS wants feedback on ways to promote quality of care and reduce cost of care for enrollees in the Medicare Advantage program.
The Food and Drug Administration said this month that it will delay enforcement of menu labeling rules – again – until next year. Passed as part of the health care overhaul in 2010, the rules will eventually require restaurants and other establishments that sell prepared foods and have 20 or more locations to post the calorie content of food “clearly and conspicuously” on their menus, menu boards and displays.
The Centers for Medicare and Medicaid Services released a white paper detailing the Centers for Medicare and Medicaid’s risk adjustment model Thursday.
“CMS has implemented a risk adjustment program to mitigate the effects of risk selection on health insurance premiums for non-grandfathered plans in the individual and small group markets,” the paper concludes. “The risk adjustment program, supports market stability by pooling risk and transferring funds from plans with more low-risk (i.e., healthier and lower cost) enrollees to those plans with more high-risk (i.e., less healthy and higher cost) enrollees.”
The paper also suggests potential modifications for the 2018 and 2019 benefit years.
The Congressional Budget Office reduced the projected number of people who will enroll on the federal insurance exchanges to 12 million from 21 million in a report released Thursday.
Still, between 2017 and 2026, the CBO projects the number of insured people in the U.S. will grow from 246 million to 253 million. While the number of uninsured is expected to grow from 26 million to 28 million, the portion of uninsured people younger than 65 is expected to stay around 10 percent, according to the report.
When I first answered God’s call to join the Little Sisters of the Poor and vow myself to Him and to the care of the elderly, I never dreamed of the happiness I would experience in serving, living with and caring for the aging poor until God calls them to Himself. I also never thought one day, I would be walking up the white marble steps of the Supreme Court to attend a legal proceeding in which the high court will decide whether the government can force my order to help offer health care services that violate my Catholic faith and that are already available through existing government exchanges.
A controversial federal health program that helps insurers withstand the ebbs and flows of the new insurance exchanges will be put under the microscope this week with the hope of making it fairer in the long term.
The CMS will host a public meeting Friday in which health insurers, state officials and others will offer their input on how to change the Affordable Care Act’s risk-adjustment methodology for 2018 and beyond. Under the permanent risk-adjustment program, which is a zero-sum game, the federal government redistributes money from plans that have lower-cost, healthier members to companies that have higher-cost, sicker members.
On Wednesday the Supreme Court will hear oral arguments in Little Sisters of the Poor v. Burwell, a landmark case challenging the Department of Health and Human Services contraceptive mandate under the Affordable Care Act.
It is common knowledge that the Catholic Church has taught the immorality of abortion and contraceptive use for millennia. Yet the regulations in question force our institutions to pay for insurance that covers abortifacients like Ella and Plan B, plus prescription contraceptives and surgical sterilizations.
The United States was founded on the concept of religious freedom. The First Amendment says clearly that “Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof.”
The Obama administration is trying once again to address a criticism that has dogged the president ever since his health care bill passed six years ago: they need to sell it better.
On Tuesday, the US Department of Health and Human Services is rolling out a new promotional video, which was provided to STAT first, to explain the changes the administration is making to the health care delivery system through the law.
It’s a three-minute, rapid-fire, visually driven attempt to make terms like “care coordination” and “electronic health records” something that an average person who is getting his or her knee operated on can actually understand.
The White House is looking to avoid a partisan flare-up as it rings in the sixth anniversary of ObamaCare.
In a series of events this week, the Obama administration will look beyond the law’s central issues of access and affordability and explore the “next chapter” of healthcare reform.
The White House’s weeklong focus on system-wide reforms — rather than the record low uninsured rate or popular provisions like banning insurance providers from denying coverage based on a pre-existing condition — reflects growing confidence in the administration that the law will stay on the books after Obama leaves office.
The House Ways and Means Committee advanced a bill Wednesday that would require people who improperly receive insurance subsidies under the Affordable Care Act to repay the overpayments.
The bill, offered by Rep. Lynn Jenkins (R-Kan.), was approved by a vote of 22-14.
Jenkins told the committee the measure was a “simple bill,” about “good governance” and the “duty to protect the tax dollars of hardworking Americans.”