What is a drug formulary? How do prescription tiers work? If you’re shopping for health insurance and take prescription drugs, you likely have questions about the prescription coverage offered by the various plans. The good news is that all of the plans available today have to cover your pre-existing conditions. They can’t deny your application… Read more about Prescription Drug Coverage: Terms and Concepts You Need to Know
HR 5447 is the Small Business Health Care Relief Act of 2016. It passed the House earlier this month, and is with the Senate now. This bill would allow employers to contribute to their employees’ individual health insurance premiums, up to a maximum of $5,130 for a single employee, or $10,260 if the reimbursement also includes… Read more about HR 5447 – Should employers be allowed to reimburse individual health insurance premiums?
At Health Affairs Blog, Chris Fleming hosted the Health Wonk Review this week, and it’s an excellent edition. Be sure to check it out if you’re looking for some weekend reading. Here are some of my favorites this time around: Joe Paduda’s summary of Hillary Clinton’s plans to enhance healthcare reform. Anthony Wright’s explanation of California’s… Read more about Health Talk at Health Affairs
EDIT, 9/25/2016: Rates were approved recently by the Colorado Division of Insurance. The following average rate changes (actual changes will vary by plan) will take effect January 1, 2017 for the seven carriers that will offer individual market coverage through the exchange. They will also apply off-exchange, as all of these carriers offer their plans both… Read more about 2017 Rate Increases for Colorado Individual Health Insurance Market
At Health Blawg, David Harlow hosts the Health Wonk Review this week, and it’s a great edition. Earlier this spring, David also started the idea of a video chat “Blab” to discuss each edition of the Health Wonk Review the week after it’s posted. The Blab for this HWR will be on Tuesday, June 7… Read more about The HWR is bustin’ out all over!
Earlier this month, Governor Hickenlooper signed HB1336 into law. The law directs the Colorado Division of Insurance to “study the impacts and viability” of merging the whole state of Colorado into a single rating area for health insurance premiums. DOI spokesman Vincent Plymell noted that the DOI was eager to get going on the study. Per… Read more about Should Colorado become a single rating area? DOI conducting study
Tinker Ready hosted last week’s Health Wonk Review at Boston Health News. It’s an excellent edition that runs the gamut of health wonkery, and there’s something for everyone. Be sure to check it out if you haven’t already!
Open enrollment for 2017 coverage starts on November 1, 2016. The schedule for open enrollment will follow the same November 1 – January 31 dates that were used last year (that schedule will continue to be used for 2018 coverage as well, but it will shorted to just a six week window in November/December for… Read more about Open enrollment for 2017 coverage, and HSA contribution and coverage limits
Last month, I wrote about the standardized plans that will be optional for insurers to offer on Healthcare.gov this fall. I noted that standardized plans do not signal the end of HSA-qualified health insurance, and outlined the basic details surrounding standardized plans. The standardized plan designs that HHS finalized in the 2017 Benefit and Payment Parameters… Read more about Simple Choice plans in the federally-facilitated exchange
Brad Wright hosted the Health Wonk Review this week at his blog, Wright on Health. There’s something for everyone in this edition, as the topics run the gamut from single payer to carriers’ financial outcomes in the exchange, and from the opioid crisis to end-of-life care. The ACA was signed into law more than six… Read more about Healthcare reform, six years in
Last week, the Colorado Senate passed SB2, with a vote of 18 to 17. All of the Democrats in the Senate opposed the bill, and it’s doubtful that it will pass in the Democrat-controlled House (it’s currently with the State, Veterans, and Military Affairs Committee in the House). I wrote about SB2 in February, when… Read more about SB2 passes Senate – but it’s still a waste of time
Jaan Sidorov did an excellent job with the Health Wonk Review this week. Surprisingly enough, none of the entries in this week’s edition have anything to do with the presidential campaign or the candidates’ views on healthcare reform, so Dr. Sidorov dubbed it the “presidential politics-free” edition. There’s lot of good stuff in this round… Read more about Health News at the Population Health Blog
Is the HSA (health savings account) an endangered species? Yes, if you believe this National Review article. But at InsureBlog, Hank Stern explains why a lot of the National Review’s points are essentially conjecture. I agree with Hank on this one, and there’s more to the story if you read the details in the 2017 Benefit… Read more about Standardized plans don’t signal the death of HSAs
I’m a bit behind the times here, but Charles Gaba hosted the Health Wonk Review at ACAsignups last week, and there’s plenty of good health wonkery over there for your reading pleasure. In addition, the Health Wonk Review is teaming up with David Harlow – of HealthBlawg fame – to begin hosting a “blab.” This… Read more about Last week’s HWR, and an upcoming “blab” chat
Earlier this month, lawmakers in Florida passed House Bill 221 in an effort to prevent surprise balance billing when patients are treated by out-of-network providers at in-network facilities. Governor Scott hasn’t yet signed HB221 into law, but details about how the law would work are outlined here. HB221 is being called a model for other states… Read more about We should eliminate balance billing at in-network hospitals
David Williams – who has been blogging for 11 years now – hosted the Health Wonk Review this week, with an excellent “Tales of the Trump” edition. There are plenty of great articles, so be sure to check it out. Here are a couple of my favorites this week: At healthinsurance.org, Rob Cullen explains how… Read more about Tales of the Trump
EDIT, March 29, 2016: In addition to having state-run exchanges, there’s another factor involved here, which is much more likely to be the correct explanation. California, Colorado, Connecticut, and Kentucky are the four states that have taken regulatory action to prevent health insurance carriers from cutting commissions. Although my initial hypothesis wasn’t bad, direct action… Read more about Commission cuts aren’t the same in states with state-run exchanges
Welcome to the Health Wonk Review! It’s been nearly six years since the ACA was signed into law. And although most aspects of the law have now been implemented, the debate over its merits have not let up. In this election year, healthcare reform continues to be a hot topic, even dividing Democrats in terms… Read more about Healthcare Reform: The Path Forward
At medicareresources.org, Steve Anderson did an outstanding job with this week’s Money Changes Everything edition of the Health Wonk Review (although I think we can all agree that it’s actually the “Broncos Won the Super Bowl!!” edition?). There are a ton of great reads from some great health wonks. Here are some of my favorites:… Read more about Money Changes Everything (and the Broncos won!) Edition of the HWR
Over the last several weeks, much has been said about the need to tighten up enforcement of the ACA’s special enrollment period eligibility. And CMS has said they will conduct audits this year to ensure that people enrolling through Healthcare.gov for the remainder of this year have a valid qualifying event. There is concern that people… Read more about Should we eliminate the penalty exemption for a short gap in coverage?
Last month, Colorado Senator Kevin Lundberg (R, Berthoud) introduced Senate Bill 2. In a nutshell, the bill calls out Connect for Health Colorado’s administrative fee as a violation of TABOR, since the fee is technically paid by people who aren’t enrolled through the exchange, could be considered a tax, and wasn’t voted upon by Colorado residents. Connect… Read more about Senate Bill 2 and Connect for Health Colorado’s Administrative Fee
Happy tenth birthday to the Health Wonk Review! We started writing about healthcare reform and related issues here on Colorado Health Insurance Insider in the summer of 2006, and quickly discovered the Health Wonk Review – which was in its infancy at that point. For nearly a decade, it’s been an excellent source of new ideas… Read more about The HWR is ten!
Hank Stern did an excellent job with the first 2016 edition of the Health Wonk Review. Be sure to check it out if you’re looking for some great thinking on health policy. Here are some of my favorites in this edition: Six health care trends to watch in 2016. Excellent Health Affairs article from Susan DeVore… Read more about Health policy insight to kick off 2016
Colorado will certainly be a state to watch in 2016. Not only is Colorado up for grabs in the presidential election, it’s also the only state in the country – so far – where voters will be asked to decide whether the state should switch to a single payer healthcare system, dubbed ColoradoCare. I explained… Read more about Would ColoradoCare be an adverse selection magnet for people moving to Colorado?
Julie Ferguson hosted the Holiday Edition of the Health Wonk Review today at Workers’ Comp Insider – don’t miss it! The HWR leads off with a piece in Health Affairs written by several notable ACA opponents. It outlines their alternate vision for reforming healthcare, and is sure to resonate with other ACA opponents. Some aspects… Read more about Holiday Health – Oh what fun it is!