Like the Affordable Care Act (ObamaCare) or not, it’s impossible to deny that many exchanges — and consumers — are facing down a crisis. According to HHS, the number of participating insurers is down 38 percent this year. Just this month, Anthem BlueCross BlueShield announced it was leaving Nevada’s exchanges, and insurance companies nationwide are struggling with uncertainty over whether the Trump administration will pay out billions in expected federal subsidies.
Most worrisome is that the individual market itself appears to be shrinking, and 2.4 million Americans will have only one available insurance option. Average rate increases are, for the second straight year, expected to be in the double-digit range in 2018.
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Republicans in Congress haven’t repealed or replaced Obama Care, but the Trump Administration still has an obligation to help Americans facing higher premiums and fewer choices. One incremental improvement would be rescinding regulations on temporary health-insurance plans.
Sen. Ron Johnson (R., Wis.) this summer sent a letter to the Health and Human Services Department about an Obama rule on short-term, limited-duration health insurance plans, which as the name suggests offer coverage for certain periods, often insuring against hospitalizations or other unexpected events. A person could hold such a plan for 364 days, but a rule issued last year limited the duration of the policy to a mere 90 days, effective April 1.
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Conservatives in the House hope to revive the failed effort to gut the Affordable Care Act with a long-shot drive to force Speaker Paul D. Ryan (R-Wis.) to hold a vote to simply repeal the health-care law without a replacement. Members of the conservative House Freedom Caucus want to seize control of the health-care debate by petitioning Republicans to hold a vote on a version of a repeal bill that passed the House in 2015.
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Nearly 8 in 10 Americans say President Donald Trump should be trying to make the health law work, according to poll conducted by the Kaiser Family Foundation. This includes large majorities of Democrats (95 percent) as well as half of Republicans (52 percent) and President Trump’s supporters (51 percent).
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Wait, I thought Obamacare was supposed to solve the problem of access to affordable health coverage—especially for older Americans! Are Democrats now saying their signature legislation has made the problem worse?
Senator Debbie Stabenow (D-Mich.) has introduced the “Medicare at 55 Act” to allow Americans aged 55-64 to buy into the Medicare health insurance program. Seven other Democrats are original co-sponsors of the legislation.
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The collapse of the Senate’s repeal-and-replace effort does not mean that Congress should give up on health reform. Health costs are spiraling upward because of Obamacare. The American people need relief.
Congress must give it to them, even if it has to do so in piecemeal fashion. Together with some strategic executive actions from the Trump administration, a more gradual plan of attack would achieve far more than “skinny” repeal could have hoped to.
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The ACA is dead, long live the ACA. At a time when it seems that all we hear about in healthcare revolves around the political folly of legislating healthcare, there has been little attention paid to the underlying crisis that threatens access, quality and cost; a workforce that is exhausted, depressed, and clinically, burnt out.
This problem has been lurking behind all the grandstanding of repeal and replace and has been evolving and increasing at an alarming rate. Burnout, in this case, is defined as a syndrome characterized by a loss of enthusiasm for work (emotional exhaustion), a feeling of cynicism (depersonalization), and a low sense of personal accomplishment.
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The conservative House Freedom Caucus on Friday is planning a move to try and force a vote on an ObamaCare repeal bill.
A spokeswoman for the group said members plan to file a “discharge petition,” which would force a vote on a repeal bill if it gets signatures from a majority of the House.
The move is usually used to go around leadership and try to bring up a measure to the floor for a vote.
The plan comes as the Freedom Caucus, and some other Republicans, are pushing to keep the repeal effort alive, despite the Senate’s failed vote last month.
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If a bipartisan compromise is to be reached on health reform, it must go beyond the immediate crisis and (relatively) simple fixes that get the most attention in Washington. Bipartisan discussion should focus on stabilizing the market in the short run, improving support for the middle class, striking a compromise on Medicaid expansion and reform, exploring alternatives the individual mandate, improving the ACA’s delivery system reform agenda, repealing the IPAB, and making Consumer-Directed Health Plans available to all individual insurance market enrollees.
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The second-lowest silver plan is one of the most popular plan choices on the marketplace and is also the benchmark that is used to determine the amount of financial assistance individuals and families receive. Based on preliminary 2018 rate filings, the second-lowest silver premium for a 40-year-old non-smoker will range from $244 in Detroit, MI to $631 in Wilmington, DE, before accounting for the tax credit that most enrollees in this market receive.
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