The deal with Centene Corp. in partnership with the Nevada-based Hometown Health will help ensure coverage is available to all Nevadans, after Anthem Blue Cross and Blue Shield pulled out of the state's healthcare exchange.
The CBO says that ending CSR payments to insurers would cost the federal government more than continuing to pay them, because insurers would hike premiums, and subsidies would then rise as well.
The CMS is pushing the rate-filing deadline to Sept. 5 to give insurers time to adjust their rates to account for changes to the ACA risk adjustment formula.
Health insurers' early ACA rate filings for the most popular plans show wide variation in premium changes for 2018, ranging from a 49% increase to a decrease of 5%, a Kaiser Family Foundation analysis shows.
A sizable number of Americans eligible for premium subsidies are passing them up by buying health insurance outside the Affordable Care Act's insurance exchanges. That could be affecting the health of the individual insurance market, particularly to the extent people are buying plans that do not...
More than two dozen risk-corridor lawsuits are pending in the federal court of claims, brought by insurers that were denied the payments. The federal court has split on the issue.
The Long Beach, Calif.-based health insurer, which fired its CEO and CFO in May, announced a plan to restructure the company after an ugly quarter driven by high medical costs and ACA marketplace losses.
The insurer chose to lower its initital individual rate increase request, saying the insurance market is less "volatile" now and marketplace members are using fewer healthcare services.
If approved, the lone insurer's proposed double-digit rate decrease would be the first time the average rate has decreased under the current federal healthcare law in Alaska.
Health insurers have warned for months that they will raise premiums if the Trump administration and Congress fail to fund crucial cost-sharing subsidies. Now, the Trump administration faces the threat that states will sue over the payments.
If Congress doesn't act by late September to protect cost-sharing subsidies for insurers, millions of Americans with government subsidies may find themselves with no plan options, Sen. Lamar Alexander said.
Marketplace insurers want to tweak the open-enrollment process and to make it easier to not cover certain drugs as part of their wish list of ways to stabilize the individual marketplace without involving Congress.