A lawsuit accuses President Donald Trump's Treasury, Labor and HHS secretaries of weakening Americans' access to life-saving medical care by letting the rule regarding short-term plans bypass the ACA's essential health benefit and pre-existing condition requirements, according to reports. According to the Trump Administration: This final rule amends the definition of short-term, limited-duration insurance for purposes of its exclusion from the definition of individual health insurance … [Read more...] about Trump Administration Sued Over Short-Term Health Plans Offering Limited Benefits
$8.6 Million in State Flexibility Grants Awarded by CMS to 30 States For Obamacare
The $8.6 million in State Flexibility Grants announced by the Centers for Medicare & Medicaid Services (CMS) that would be allocated to 30 states and the District of Columbia comes with the Trump Administration' approval despite recent attempts to disassemble the ACA. The funding from Obamacare, which is part of $250 million for State Rate Review Grants provided by the Patient Protection and Affordable Care Act (PPACA) to improve the process for how States review proposed health … [Read more...] about $8.6 Million in State Flexibility Grants Awarded by CMS to 30 States For Obamacare
$434 Million in Financial Payments Improperly Issued by CMS to Insurers
In a new report by The HHS Office of Inspector General, the Centers for Medicare & Medicaid Services (CMS) was found to have wrongly funded $434.4 million in financial assistance payments to qualified health plan (QHPs) issuers for 461,127 policies. The audit revealed that the improperly authorized funding occurred in 2014, the first year the ACA law’s health insurance marketplaces went online. According to the report, CMS relied on insurers to verify that their enrollees were confirmed and … [Read more...] about $434 Million in Financial Payments Improperly Issued by CMS to Insurers
Proposed Rule for Permanent Risk Adjustment Program for 2018
A new Centers for Medicare & Medicaid Services (CMS) Press release details the proposed additional rule to address risk adjustment program for the 2018 benefit year. The rule would give payers the ability to receive 2018 risk adjustment payments by resolving legal contentions of the program’s operation and give CMS the ability to issue risk adjustment payments without interruptions for the current plan year. According to reports the risk adjustment payments also reimburse health insurers … [Read more...] about Proposed Rule for Permanent Risk Adjustment Program for 2018
Trump proposes new rule for affordable Healthcare: Limited duration health plan for 364 day
Health and Human Services Secretary Alex Azar and the Trump administration are proposing new regulations for short-term health insurance plans, focusing on value-based care as a priority. According to reports, Azar's speech focused on value-based care, an approach in which doctors and hospitals are reimbursed by private health insurance and the government for how well patients emerge after a medical procedure versus the amount of care provided. The proposed rule — which would allow people to … [Read more...] about Trump proposes new rule for affordable Healthcare: Limited duration health plan for 364 day
Texas, and 19 other states battle Affordable Care Act as “unconstitutional” in Federal Court
More than 8.8 million Americans are enrolled in the Affordable Care Act healthcare law spearheaded by President Barack Obama. An unpopular mandate of the Affordable Care Act, a tax penalty for the uninsured was repealed by a bill passed by Congress and signed by President Trump in December. Now, Texas is among 20 states where 20 Republican state attorneys general are suing to overturn the law, asking a federal court to hold the Affordable Care Act's individual mandate and the … [Read more...] about Texas, and 19 other states battle Affordable Care Act as “unconstitutional” in Federal Court
Proposed Women’s Health Care Law Requires Insurers to Cover Women’s Preventative Care
With the looming threats by the Republican-led White House to repeal the federal health care law (Obamacare), a new health care bill, Defending Access to Women’s Health Care Services Amendment Act, was introduced to prevent insurance companies from charging more specifically for women's health services like cancer screenings or contraceptive costs. According to news sources, Washington officials signed legislation requiring all insurance companies in the Washington, D.C. to cover a list of … [Read more...] about Proposed Women’s Health Care Law Requires Insurers to Cover Women’s Preventative Care
New Law gives Healthcare providers and Nurses Religious Protections
According to reports, a newly created division of the Department of Health and Human Service’s Office for Civil Rights will oversee and protect health care workers who decline to partake in certain medical procedures for patients due to moral or religious objections. HHS’ Centers for Medicare & Medicaid Services (CMS) released a proposed rule on "protecting life" and “conscience rights” that will further protect health-care providers who think they are being punished or discriminated … [Read more...] about New Law gives Healthcare providers and Nurses Religious Protections
The New Senate Tax Bill and its effect on Medicare costs
The Senate Tax Bill (HR 1 )recently passed will expand the break for high medical costs. According to reports, the bill preserve the deduction for medical expenses and lower the threshold for claiming it to 7.5% of adjusted gross income, from the current 10% but this would be temporary. By 2019 the threshold would return to 10% effectively only lasting 1 year. People aged 65 and older who previously had a medical expense deduction of 7.5% will now see it rise to 10% with the Affordable Care … [Read more...] about The New Senate Tax Bill and its effect on Medicare costs
Physician shortage in Texas spells major issues for aging population
43 US states have a higher proportion of primary care physicians to residents than Texas and 35 out 80 Texas counties have no doctors at all. According to news reports, there are not enough doctors in Texas, especially in certain rural stretches of South Texas. The shortage will require training — and retaining — more physicians in Texas but one main problem is that the state needs to add more residency slots for post-graduate medical training to remain competitive — a problem that has plagued … [Read more...] about Physician shortage in Texas spells major issues for aging population