Private insurance plans typically require some form of cost sharing, or out-of-pocket costs, such as copayments, coinsurance, and deductibles. This brief shows the cost sharing in plans sold to individuals through Healthcare.gov for 2016, with a focus on the variation in the ways plans may set cost sharing for services, such as physician visits, prescription…Details
According to a new Mercer study of 134 large employers (5,000 or more employees), 15% say that their onsite or near-site worker clinics will push them into the bracket where they will be required to pay the Cadillac Tax. But most of the respondents, 46%, either didn’t know how the clinics will affect their Cadillac…Details
According to HealthPocket.com, Bronze plan deductibles are rising on the Obamacare federal exchanges by an average of 11% to $5,731 and Silver Plan deductibles are rising by 6% to an average of $3,117. A survey by the Commonwealth Fund published last November found that three in five low-income adults and about 50% of adults with…Details
A recent National Bureau of Economic Research (NBER) study reveals that ObamaCare Marketplace plans are a bad deal, even for near-poor enrollees receiving large subsidies from the federal government. The study confirms that net premiums (after subsidies) were still several times what enrollees might have paid out-of-pocket for medical expenses had they remained uninsured.
From November 15 to December 15, a small business that purchases a plan in the Obamacare-created Small Business Options Program marketplace does not have to meet participation requirements, which require that businesses with up to 50 employees ensure that at least 75 percent of their employees enroll. The annual window comes at a time when…Details
According to findings from the Kaiser Family Foundation, Americans who bought the least expensive plans on the most popular tier of insurance sold on HealthCare.gov will see premium increases an average of 15% next year unless they switch to a different health plan. In nearly three-fourths of the counties where consumers can purchase insurance through…Details
The Obama administration and leading members of Congress are clashing over a new Medicare payment rule that could compromise patient care, impede development of a fledgling part of the biologics industry, and make it more difficult to track patient safety issues. At issue is government payment policy for a new class of drugs called “biosimilars”—drugs…Details
Lessons in basic economics, simple arithmetic, and crony capitalism can be learned as a result of the ACA co-op failures. In the meantime, more than 800,000 patients have had their health insurance suddenly dropped and are scrambling to find new policies from other insurers.
Gallup’s latest poll shows the majority of Americans still oppose the ACA, even two years after its full implementation. Those who are uninsured oppose the health care law by nearly 30 points.
A slight majority of Americans (52%) say they disapprove of 2010 healthcare law known as the Affordable Care Act or “Obamacare.” Disapproval of the law, which has generated public opposition from its outset, is up four percentage points since July. Approval of the ACA now stands at 44%, down slightly from 47% this summer.