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One potential ACA replacement strategy could include punting health care reform to the states. The incoming administration could accomplish this is by significantly relaxing the 1332 innovation waiver requirements.
From a security perspective the last 24 months have proven to be quite detrimental to the health care industry with dozens of successful and very public and costly cyber / malware attacks. These attacks are relentless and increasing. As the health care industry explores solutions to mitigate and defend against attacks, one technology that is […]
Risk adjustment in its simplest form is a process that transfers funds from issuers with relatively lower risk enrollees to issuers with relatively higher risk enrollees to protect against adverse selection. However, the mechanics behind this process are quite complex and from its inception there was a lot of uncertainty and debate about how effective […]
CMS announced that approximately 12.7 million individuals selected a health plan through the federal and state-based marketplaces during the third year of the ACA’s open enrollment period, which ended on January 31, 2016. However, CMS’ estimate falls short of the Congressional Budget Offices (CBO) original estimates for marketplace enrollment. In fact, just prior to the […]
One of the primary goals of the Affordable Care Act (ACA) is to provide consumers with increased access to health insurance. While both healthcare.gov (hc.gov) and state-based marketplaces (SBMs) have made significant progress towards this goal, it has been a costly endeavor with several SBMs dealing with ongoing financial and technology challenges that still persist […]
Dan Schuyler contributed to a StarTribune article entitled “MNsure says private insurance enrollment tops 31,150”. According to Dan, the enrollment tally thus far signals that MNsure will easily enroll 60,000 in private coverage by Feb. 15.
In a recent Kaiser Health News article entitled “With 1.5 Million Sign-Ups So Far, Obamacare Enrollment Is Brisk”, Dan Schuyler said that state exchanges are performing much better than they did last year, though there have been minor glitches. He also cautioned that many consumer who are automatically re-enrolled may be shocked to learn their plans have raised rates or changed their benefits.
Dan Schuyler weighed in on the repercussions a Supreme Court decision to upend health insurance markets in at least 24 states could have on states. Dan noted, building an exchange today would cost a typical state $40 million to $60 million and take between a year (if a state expedited its contracting schedule) and 18 months. The commentary appeared in a New York Times article entitled “Many States Will Be Unprepared if Court Weakens Health Law”.
According to Dan Schuyler, some additional confusion regarding password reset for Healthcare.gov may have been introduced by an April request from the CMS to reset passwords, which some consumers received but others didn’t. Dan provided the commentary for a recent Modern Healthcare article entitled “Exchange websites suffer blips, but no train wrecks” and noted that he would characterize this as a very minor issue.
Dan Schuyler provided insight into the HealthCare.gov website for a Modern Healthcare entitled “Window shopping HealthCare.gov reveals improvements, some problems”. Dan said that the ability to browse plans before enrolling was a “vast improvement”, but noted there were still problems.