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Additional Trump Administration Changes

Last week, the President took a number of actions that will impact the individual and small group markets.

Cost-Sharing Reduction Payments – The President instructed the administration to stop making cost-sharing reduction payments (CSR payments) to insurance carriers. While many carriers have either raised rates or exited markets in anticipation of this action, the fact that the President confirmed that the payments will no longer be made, changes the ground rules under which carriers have been operating since the ACA was implemented.… Read the rest

ACA Open Enrollment 2017 Information

Here is some helpful information regarding this year’s open health insurance enrollment period.

Changes to the 2017 Open Enrollment Dates

In 2018, the federal government’s current rule changes the open enrollment period from roughly 90 days to 45 days.  Though this change could be interpreted as an effort by the Trump administration to depress enrollment, such a reduction was already legislated for 2019 and beyond in the Code of Federal Regulations/Department of Health and Human Services (45 CFR 155.410).… Read the rest

Covered CA Announces Rate Increase for 2018

At a press event today, Covered California announced rates and plan participation for 2018. The weighted average rate increase is 12.5 percent this year, and all 11 health insurers will continue to offer coverage.

It should be noted that given the uncertainty surrounding the cost-sharing reduction (CSR) payment, Covered California may need to add an additional 12.4 percent surcharge on all Silver plans.… Read the rest

HealthCare.gov Will Add “Simple Choice’ Plans in Effort to Improve Value

Source: The New York Times

When the Affordable Care Act’s health insurance marketplace opens in two weeks, many consumers will have a new option for the law’s fourth open-enrollment period: standardized health plans that cover basic services without a deductible.

With many health plans on the marketplace coming with deductibles in the thousands of dollars, consumers have complained that they were getting little benefit beyond coverage for catastrophic problems.… Read the rest