“CO-OP enrollment for the first-quarter of 2015 was 869,677 compared to 478,152 for the fourth-quarter of 2014,” said Kaminski. “This increase in enrollment on future financial performance is significant, because it demonstrates that interest is growing, along with a better understanding of how these CO-Ops operate. Additionally, for the smaller plans, the increase has allowed them to build up some scale, which is crucial for their viability going forward. However, the CO-Ops are challenged with operating efficiencies that are below par, having combined ratios as a group of over 110%. ”Details
Earlier this week, Wisconsin governor and 2016 GOP presidential hopeful Scott Walker released his version of an Obamacare “repeal and replace” plan.
There’s also versions out there from Senator Marco Rubio (R-Florida) and Governor Bobby Jindal (R-La.) There are yet others on Capitol Hill: the Republican Study Committee plan, the plan advanced by House Budget Committee Chairman Tom Price (R-Ga.), and the so-called “Burr-Hatch-Upton” plan. Republicans are often accused of having no alternative to Obamacare, but they actually have many.Details
An unprecedented House lawsuit against President Obama that was once derided as a certain loser looks stronger now and may soon deliver an early legal round to Republican lawmakers complaining of executive branch overreach.
A federal judge is expected to decide shortly whether to dismiss the suit, but thanks to an amended complaint and a recent Supreme Court ruling, the Republican-backed case has a much better chance of proceeding, attorneys agree.
When it comes to their views of the Affordable Care Act (ACA) this month, the American public remains divided in their opinion of the law; 44 percent say they have a favorable view and 41 percent say they have an unfavorable view.Details
A majority of registered voters want Congress to repeal or reform Obamacare’s so-called “Cadillac tax” on employers that offer expensive, more generous health-insurance plans for their workers.
A new Morning Consult poll shows 34 percent of registered voters want Congress to repeal the tax, and 31 percent want it changed to prevent out-of-pocket costs from rising too high. Fifteen percent support the tax without modifications, and 19 percent say they are unsure or have no opinion.Details
The Patient Protection and Affordable Care Act (ACA) has substantially reformed the health insurance industry in the United States by establishing health insurance marketplaces, also called health exchanges, to facilitate the purchase of health insurance. The ACA has increased transparency in insurance pricing and in issuer pricing behavior. Using 2014 and 2015 Unified Rate Review (URR) data, this study examines changes in health insurance premiums made by individual health insurance issuers in 34 federally facilitated and state-partnership health insurance exchanges.Details
A new Avalere analysis finds that more than 2 million exchange enrollees eligible for cost-sharing reductions (CSRs) are not receiving the subsidies because they have selected a non-qualifying plan. In addition to the more publicized tax credits that lower consumers’ monthly premiums, exchange enrollees with incomes between 100 and 250 percent ($11,770 – $29,425) of the federal poverty level are eligible for CSRs. Exchange consumers must enroll in a plan on the silver metal level to access CSRs.Details
Two leading Republican presidential candidates, Scott Walker and Marco Rubio, recently released concept papers that promise to provide “all Americans” with government-subsidized access to health insurance. This is a monumental development for both the campaign and for the conservative movement, one that breathes Ronald Reagan’s soul into the Republican nomination fight.Details
Louisiana Health Cooperative was among the 24 not-for-profit companies nationally to accept loans from the federal government to provide insurance coverage called for in the Affordable Care Act. The Metairie-based business was formed in 2011, secured $56 million in federal loans and sold plans in 2014 and 2015.Details
Obamacare health insurance plans limit consumers’ access to physicians and specialists, according to a new report.
Avalere Health, a strategic advisory firm, says average provider networks for plans offered on the health insurance exchanges created by Obamacare have about 34 percent fewer providers than the average commercial plan offered outside the exchange. The new data quantify anecdotal reports saying exchange networks include fewer providers than traditional commercial plans.Details