A federal program designed to aid federally created health plans such as the Louisiana Health Cooperative Inc. instead became the final nail in the ailing nonprofit’s coffin.
Louisiana Health — taken over by state regulators on Sept. 1 — was one of 23 plans created nationally under the Affordable Care Act to ensure there would be competition among health insurers. Altogether the co-ops received more than $2.4 billion in low-interest federal loans to get started. Only two have proven to be profitable amid restrictions that experts say have hampered the co-ops’ development.
The New York State Department of Financial Services (NYDFS), the Centers for Medicare and Medicaid Services (CMS), and the New York State of Health (NYSOH) health plan marketplace today announced actions regarding the Health Republic Insurance of New York co-op. NYDFS is directing Health Republic to cease writing new health insurance policies and the co-op will commence an orderly wind down after the expiration of its existing policies.
A New York nonprofit health insurer with more than 200,000 patients is going out of business, becoming the fourth and, by far, the largest co-op created under the Affordable Care Act to collapse this year.
In October 2013, Oregon was just another state whose Obamacare exchange failed to achieve lift-off when its Democrat governor attempted to abet the President in the launch of his “signature domestic achievement.” Shortly thereafter, Governor Kitzhaber earned two additional distinctions not enjoyed by Obama’s other accomplices: He was the first to abandon his constituents to Healthcare.gov, and resigned pursuant to an ethics scandal. Before leaving office, however, Kitzhaber made what may be the most outrageous decision of his tawdry tenure—he sicced his Attorney General on the IT firm that built the exchange as well as some of its employees.
A judge has approved a plan to partially pay hundreds of medical providers who are owed money by a Seneca-based health insurer that shut down due to fraudulent letters of credit. A state Insurance Department receivership has paid a “quarter on a dollar” to about 1,700 providers stuck with claims totaling $11.1 million from the collapse of the S.C. Health Cooperative.
A circuit judge in Columbia signed the “rehabilitation plan” Friday in the receivership that was prompted by a discovery last year that the cooperative used two letters of credit totaling $8 million that turned out to be fraudulent. In December, a judge appointed state Insurance Director Ray Farmer to be receiver of S.C. Health Cooperative finances after an audit showed the insurer to be financially insolvent, with $10.6 million in liabilities and $250,000 in assets.
Massachusetts residents purchasing unsubsidized health insurance plans through the Massachusetts Health Connector should expect to see their premium costs rise, and some will see their co-pays and deductibles go up as well.
Between the end of March and the end of June, 29 states plus the District of Columbia lost Obamacare enrollees, based on an Americans for Tax Reform analysis of recently released data from the Centers for Medicare and Medicaid Services (CMS). In total, Obamacare exchanges had a net loss of 238,119 enrollees in the three-month period.
Iowa’s experience with Obamacare’s Medicaid expansion has been turbulent. In 2014, state officials agreed to expand Medicaid, despite the fact that the Obama administration denied virtually all of their requests for flexibility.
Iowa’s expansion was loosely modeled after Arkansas’ Obamacare expansion. Under Iowa’s “Marketplace Choice” waiver, able-bodied adults above the poverty line would receive Medicaid benefits through Obamacare exchange plans.
The price of the most popular health plans sold through Maryland’s insurance exchange will jump, on average, by about one quarter next year, fueling questions about whether coverage under the Affordable Care Act will remain affordable in the state and elsewhere.
The 26 percent average increase in monthly premiums are for CareFirst plans, which cover three-fourths of the state residents who have bought insurance under the federal health-care law. The price jump, scheduled for January, is among rate changes that the state’s insurance regulators have approved for plans sold to individual families and small businesses.
The state auditor says Hawaii Health Connector “wasted and abused” millions of dollars in public funds on an IT contractor.
In a report released this week, the auditor said the Connector awarded Mansha Consulting LLC $21.6 million in contracts, making Mansha its second-highest paid contractor.
The auditor said the Connector awarded multi-million dollar contracts based on personal recommendations instead of taking steps to ensure it selected the most qualified vendor at the best price.