Author: Kalup Alexander
The Trump administration proposed new rules on Thursday to make it easier for small businesses and individuals to buy a type of health plan long favored by conservatives that could bypass some of the insurance protections built into the Affordable Care Act.
In an unusual move, state regulators are ordering nine health plans to terminate their contracts with Employee Health Systems Medical Group Inc. and transfer 600,000 patients to different health care providers, after a company affiliated with Employee Health Systems was accused of blocking patients' access to specialists to hold down costs.
Since the Affordable Care Act went into effect, employers in the small group health insurance market (generally, employers with 50 employees or less) have faced rising costs and limited coverage options. This is because, under the ACA, the small group and individual markets require plans to include essential health benefits and community rating.
Congress' official budget analysts have eased one stumbling block to lawmakers' fight over renewing a program that provides health insurance for nearly 9 million low-income children.
The ObamaCare doomsday scenario that many Republicans and Democrats predicted for 2018 is unlikely to come to pass, with insurers having adapted to the uncertainty that marked President Trump’s first year in office.
Flu is widespread in 46 states, including California, according to the latest reports to the U.S. Centers for Disease Control and Prevention (CDC). Nationally, as of mid-December, at least 106 people had died from the infectious disease. At least 27 Californians younger than 65 had died as of Friday, seven of them during the week before Christmas. And states across the country are reporting higher-than-average flu-related hospitalizations and emergency room visits.
Democrats are shifting to offense on health care, emboldened by successes in defending the Affordable Care Act. They say their ultimate goal is a government guarantee of affordable coverage for all.
Some states are facing a mid-January loss of funding for their Children’s Health Insurance Program (CHIP) despite spending approved by Congress in late December that was expected to keep the program running for three months, federal health officials said Friday.
In recent years Obamacare’s Medicaid expansion has created a financial fault line in American health care. Hospitals in states that enacted the expansion got a wave of newly insured patients, while those in states that rejected it were left with large numbers of uninsured individuals.
The Trump administration is preparing to release guidelines soon for requiring Medicaid recipients to work, according to sources familiar with the plans, a major shift in the 50-year-old program.