Failed Co-ops Add Ammunition to G.O.P. War on Health Law

New York is not alone in failed co-ops. Washington — The financial failure of more than half the nonprofit health insurance companies created under the Affordable Care Act has handed Republicans a new weapon in their campaign against the health law, thrown the Obama administration on the defensive once again and left more than a […]

Health Insurance and Medicaid Enrollments High

About two million New Yorkers have signed up for insurance under the Affordable Care Act, with three out of every four of them poor enough to qualify for Medicaid, according to figures released Wednesday by the Cuomo administration. While Gov. Andrew M. Cuomo heralded the overall numbers as a sign of the success of the […]

New Goals Shift to Value-Based Medicare Payments

In a “historic” announcement, the Department of Health and Human Services on Monday set new goals for tying Medicare payments to quality or value through alternative payment models. The news received widespread print and online media coverage and is portrayed as an ambitious step by the Administration. Most sources also report on the generally positive […]

ACA Rates for 2015 Did Not Rise

The Hill    (12/22, Viebeck) reports that insurance premiums for ACA exchange plans “did not rise on the whole for 2015, though 10 states saw double-digit increases, according to a new analysis.” Researchers at the University of Chicago found that the average monthly premium for benchmark exchange plans went unchanged from 2014 to 2015, while […]

Court Rules: No Subsidies for Individuals for Health Insurance

A federal appeals court has ruled the Obama administration cannot subsidize insurance premiums for nearly 7 million Americans, dealing a serious blow to the Affordable Care Act (this does not impact state funded exchanges like New York and Connecticut). The ruling sets up an almost-certain appeal to the U.S. Supreme Court. Two judges with the D.C. […]

The Obama Adminstration Setting Standards for Health Plan Networks

The Obama administration and state insurance regulators are developing stricter standards to address the concerns of consumers who say that many health plans under the Affordable Care Act have unduly limited their choices of doctors and hospitals (mostly individual, not group plans), leaving them with unexpected medical bills. Carriers are looking to further stratify their […]