AHCA: The Aye or Nay? Edition of the Health Wonk Review

Seven years ago today, President Obama signed the Affordable Care Act into law, ushering in a host of reforms for the U.S. health care system. And today, House Republicans are planning to vote on the American Health Care Act (AHCA), which would repeal many of the ACA’s spending-related provisions and implement replacements for some aspects of […]

The latest Health Wonk Review is up!

Trying to keep up with healthcare policy? The Health Wonk Review is hot off the press from our friend David Williams at the Health Business Blog. Enjoy!

What do the proposed HHS regulations mean for Colorado’s individual market?

HHS Secretary Tom Price was confirmed by the Senate last week, and the agency wasted no time in drafting new proposed regulations under his leadership. The new regulations are intended to stabilize the individual and small group health insurance markets. The comment period is only three weeks (it closes on March 7, 2017), which is […]

Health Wonks Wonder… Will ACA Repeal Really Happen?

Steve Anderson hosted this week’s “#Alternative_Facts” edition of the Health Wonk Review, at medicareresources.org. It’s an excellent edition, and each entry in framed in terms of an #alternative_fact… of course, the alternative-ness depends a bit on your perspective. My favorite? Joe Paduda’s assessment that ACA repeal isn’t actually going to happen soon, and might not […]

Joe Paduda has an excellent Health Wonk Review

It’s a crazy time in healthcare and even the biggest health wonks are struggling to keep up. Get up to speed with the concisely written Health Wonk Review from our friend Joe Paduda. Hot off the press.

Health Wonks know: Words Matter

Julie Ferguson hosted the “Words Matter” edition of the Health Wonk Review this week, at Workers’ Comp Insider. Julie did an excellent job, as always, and there’s plenty of good stuff in this edition of the HWR. Some of my favorites are: Joe Paduda’s at-a-glance summary of the direction the GOP is likely headed in terms […]

Connect for Health Colorado and the OIG Audit Report

On December 27, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) released an audit report (the full report is here) regarding Connect for Health Colorado’s use of federal start-up funding. This funding was provided for state-run exchanges to get their operations up and running in 2013 and 2014. To make a […]

PEAK Issues

As of now, it appears that PEAK has various errors. If you’ve had coverage through PEAK in the past, submitting a financial determination for 2017 also re-determines your 2016 financial eligibility. This can cause major problems with your 1095-A, your billing, and your insurance plan. **NO Confirmed Fix Yet** I will update this page when there […]

Puppies and kittens and the future of healthcare reform

Hank Stern hosted the Health Wonk Review this week, with a theme — Puppies and Kittens — designed to unite us around something we can all agree on, after a rough election season. There are tons of great entries in this edition of the HWR. Since I’m particularly focused on the future of healthcare reform, […]

Don’t Get Caught By The ACA Individual Mandate Penalty – It’s much higher than it used to be

This post was originally written in March 2014, but was updated in November 2015 to reflect the changes in the penalty calculation for 2016, and again in November 2016 to address the penalty for 2017. The penalty in 2017 will remain unchanged from 2016, but it’s considerably higher than it was in 2014 or 2015, […]

You’re eligible for cost-sharing subsidies. Does that mean you should always pick a silver plan?

A recent article published by the Colorado Center on Law and Policy (CCLP) caught my attention on Twitter today. One part of the article stood out, and I wanted to address it here. The article states that “Anyone who purchases insurance on Connect for Health Colorado would be wise to check eligibility for assistance and, […]

Election Season Edition of the HWR

Peggy Salvator hosted this week’s Health Wonk Review yesterday, at her Health System Ed blog – be sure to check it out, if you haven’t already. Peggy did a great job of hosting, and there are lots of great entries. My favorites from this edition are from Health Affairs (all about the future legislative improvements […]

New Benefits in Colorado for 2017 – Bariatric Surgery, Infertility, Chiro?

Open enrollment is just around the corner, and you may have started receiving information from your health insurer regarding changes to your premium and coverage for 2017. I maintain a detailed overview of Colorado’s exchange at healthinsurance.org, so if you have questions, you might find answers there. But after receiving our own family’s renewal packet […]

Pre-Election Health Wonk Musings

Joe Paduda hosted last week’s Health Wonk Review at Managed Care Matters. It’s a great edition, with excellent articles from several of our favorite health wonks. I highly recommend Brad Wright’s article, detailing how the ACA has expanded coverage. My own article in this edition explains why so many health insurance carriers are leaving the exchanges at the […]

The “We’re Ten!” Edition of the Health Wonk Review

Welcome to the Health Wonk Review! The ten-year anniversary of our first blog post here at the Colorado Health Insurance Insider was earlier this month. I didn’t notice it at the time, but as I read through the entries for this edition of the Health Wonk Review, I was struck by how many changes we’ve witnessed […]

Short and Sweet Health Wonk Review

Jason Shafrin has the latest Health Wonk Review at Healthcare Economist. You’ll find some of the greatest writing by healthcare experts about health insurance, pharmaceuticals, the ACA, mental health, and physician pay.

Pregnancy and Special Enrollment Periods

A year ago, I wrote an article about a Change.org petition in Colorado that was trying to get pregnancy added to the list of things that make people eligible for a special enrollment period during which they can enroll in a health insurance plan. Nothing has changed in Colorado on this issue since then, but I wanted […]

Prescription Drug Coverage: Terms and Concepts You Need to Know

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. Colorado residents only: Compare how each health insurance company covers your medication with our exclusive prescription drug formulary transparency tool. The good news is that all […]

HR 5447 – Should employers be allowed to reimburse individual health insurance premiums?

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 […]

Health Talk at Health Affairs

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 […]

2017 Rate Increases for Colorado Individual Health Insurance Market

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 […]

The HWR is bustin’ out all over!

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 […]

Should Colorado become a single rating area? DOI conducting study

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 […]

An Acronym Salad of Health Wonkery

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, and HSA contribution and coverage limits

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 […]