When the ACA was signed into law almost five years ago (time flies!), one of its cornerstones was the expansion of Medicaid in every state, to cover everyone with incomes up to 133% of the poverty level (plus a 5% income disregard, which essentially makes the threshold 138% of poverty). That was to be implemented… Read more about Expanding Medicaid was the right move in the 80s and still is today
Healthcare spending is 17% of GDP; we should expect it to be a major line item in household budgets
This USA Today article by Laura Ungar and Jayne O’Donnell is well worth reading. In a nutshell, it’s all about rising deductibles, and the impact they have on consumers’ ability to pay for health care. The facts are sobering: wages have been flat for decades, with the inflation adjusted average hourly wage only increasing by… Read more about Healthcare spending is 17% of GDP; we should expect it to be a major line item in household budgets
The final Cavalcade of Risk
Jay and I started this little blog in the summer of 2006. We’d had our website up for three years at that point, but we wanted a place to be able to discuss the very dynamic health insurance market and regulations, and to be able to provide updates for our clients as things changed. To… Read more about The final Cavalcade of Risk
Open enrollment should continue into the new year – every year
The deadline to get a January 1 effective date has passed in Colorado and in most of the rest of the country (in six states you can still enroll and get coverage effective January 1). And that means that millions of people had their coverage automatically renewed on December 15. In the 37 states that… Read more about Open enrollment should continue into the new year – every year
An excellent HWR to wrap up 2014
Julie Ferguson did an outstanding job with the Health Wonk Review this week at Workers’ Comp Insider. Several of this week’s post qualify as “must-reads” in my opinion: Dr. Roy Poses takes a look at a hospital in TN that froze employee vacation time accruals last spring – along with cutting other benefits – and… Read more about An excellent HWR to wrap up 2014
Connect for Health Colorado glitch shows catastrophic plans to 30-year-olds
SEE UPDATES AT THE BOTTOM OF THE POST Yesterday, while running quotes for a client who turned 30 a few months ago, we noticed that Catastrophic plans were showing up for him in the quoting tool on Connect for Health Colorado. Catastrophic plans are a provision of the ACA, and are an extra level of… Read more about Connect for Health Colorado glitch shows catastrophic plans to 30-year-olds
Apres Turkey Day Health Wonking
Hank Stern hosted the Post-Turkey Day Health Wonk Review this week at InsureBlog, and you don’t want to miss it. There’s a great post from Roy Poses, looking at how Texas hospital leaders handled the Ebola crisis, and concluding that the interests of hospital management and public health are not always aligned. And my HealthInsurance.org… Read more about Apres Turkey Day Health Wonking
Make sure to know about cost sharing reduction plan eligibility
We’re more than two weeks into open enrollment now, and things are humming along – certainly compared with the first couple weeks of open enrollment last year. In the first two weeks, the exchange has enrolled nearly ten thousand people, including renewals and new enrollees. But keep in mind that the time frame is shortened… Read more about Make sure to know about cost sharing reduction plan eligibility
The five improvements I’d make to the ACA and its implementation
It’s open enrollment time again, and happily, this one is certainly off to a better start than last year. The downside is that there’s only a month between the start of open enrollment and the December 15 enrollment deadline for people who need their new coverage to be effective January 1 (this is the case… Read more about The five improvements I’d make to the ACA and its implementation
Subsidies safe from King v Burwell in Colorado
Last Friday, the Supreme Court announced that they would hear King v. Burwell. That case is essentially the same as Halbig v. Burwell, and the two cases have been wending their way through the court system for quite a while. The crux of their argument is that the ACA only authorizes the government to give… Read more about Subsidies safe from King v Burwell in Colorado
Election week musings from the Health Wonks
In case you missed the Health Wonk Review this week, now’s your chance to catch up on some weekend reading. Jennifer Salopek hosted this week at Wing of Zock, and it’s an excellent round-up. It’s the election week edition of the HWR, and Joe Paduda’s post looks into the implications for healthcare reform under a… Read more about Election week musings from the Health Wonks
All Treats No Tricks Cavalcade of Risk
Welcome to the Halloween edition of the Cavalcade of Risk! It’s the 220th Cav that’s been posted since the series began in 2006, and there’s always lots of good stuff to read. Technology is awesome Let’s start things off with an update on a new use for drones (they’re going to be everywhere sooner or… Read more about All Treats No Tricks Cavalcade of Risk
The skinny on Colorado health plan cancellations
Earlier this month, Colorado Insurance Commissioner Marguerite Salazar sent a letter to Colorado’s Senate Minority Leader, detailing the upcoming policy cancellations in Colorado. For 18,909 plan members, these policy cancellations are the result of a voluntary decision by the carriers. For another 3,849 for SeeChange small group members, the cancellation is happening because California has… Read more about The skinny on Colorado health plan cancellations
Health Wonk Review – the falling leaves edition
Welcome to the Falling Leaves edition of the Health Wonk Review! Grab your pumpkin-flavored whatever and pull up a chair – we’ve got lots of good stuff from the health wonks this week. The election is coming – don’t forget to vote! – and so is open enrollment, so there’s lots to talk about when… Read more about Health Wonk Review – the falling leaves edition
Colorado’s Senate Candidates Mark Udall and Cory Gardner on Contraceptives
Mark Udall and Cory Gardner are in a tight senate race right now, and one of the issues that has come up in several ads is contraception. Here’s what women in Colorado need to know about the two candidates and how their positions would impact our access to contraceptives: Udall supports the ACA. One of… Read more about Colorado’s Senate Candidates Mark Udall and Cory Gardner on Contraceptives
Weekend reading from the health wonks
In case you missed this week’s excellent Health Wonk Review, be sure to head over to Managed Care Matters for a little weekend reading. Joe Paduda has put together a great collection of health policy articles. Healthcare reform has been heavily partisan for the last several years (decades, really – remember the Clintons’ efforts to… Read more about Weekend reading from the health wonks
Connect for Health Colorado getting more user-friendly
Connect for Health Colorado has been one of the most successful exchanges in the country during the first year of operation. The exchange had enrolled nearly 146,000 people in private plans as of the end of August, and Colorado’s uninsured rate dropped by six percentage points from the end of 2013 to mid-2014. But despite… Read more about Connect for Health Colorado getting more user-friendly
Weekend reading from some great health wonks
Have you scrolled through the latest Health Wonk Review yet? Billy Wynne hosted this week over at Healthcare Lighthouse, and his “Thank God It’s Recess” edition is excellent. A few articles were particularly interesting to me. At the National Center for Policy Analysis, John R. Graham wrote about how the second open enrollment is going… Read more about Weekend reading from some great health wonks
Average rates only increasing 0.71% in the Colorado individual market for 2015
The Colorado Division of Insurance released 2015 health insurance rates this morning, and things are looking pretty good. The average increase across all carriers in the individual market is less than one percent: 0.71% to be exact. We’ve been in the health insurance industry since 2002, and we’ve certainly never seen an average even close… Read more about Average rates only increasing 0.71% in the Colorado individual market for 2015
How to avoid frustration with the exchange during open enrollment
Our guide to being prepared.
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Summer Reading Program – learn something new about ACA implementation and gear up for open enrollment!
Brad Wright hosted this week’s Health Wonk Review over at Health Policy Analysis – be sure to check it out. Two of my favorites this time around are from Health Affairs and Healthcare Lighthouse. At Health Affairs, John Kingsdale and Julie Lerche have an outstanding piece on some upheaval that could cause headaches for consumers… Read more about Summer Reading Program – learn something new about ACA implementation and gear up for open enrollment!
Fixed Indemnity Plans – buyer beware; regulations begin soon
In early 2013, we worked with a client shortly after he had received a sales pitch for what sounded like a very sketchy health insurance product. We followed up on the issue, talking with an agent for the carrier in question, as well as the Colorado Division of Insurance. At that time, full ACA implementation was still… Read more about Fixed Indemnity Plans – buyer beware; regulations begin soon
Bundled payments and other risky endeavors
Jaan Sidorov of the Disease Management Care Blog did an excellent job with the latest edition of the Cavalcade of Risk. There’s plenty of good reading there, so don’t miss it. I thought one of the most interesting posts was from Dr. Sidorov himself, writing about bundled payments. He makes some really going points, explaining… Read more about Bundled payments and other risky endeavors
Lost your job? Apply for Medicaid ASAP to have a qualifying event when you get another job
Job loss and short periods of unemployment are a relatively common part of life. But with the new open enrollment rules in the individual health insurance market, it’s important that people understand exactly how the system works in order to avoid finding themselves stuck without health insurance. Recently we’ve had several clients in this position,… Read more about Lost your job? Apply for Medicaid ASAP to have a qualifying event when you get another job