Category Archives: Insurance

One big question remains as single-payer coverage gains popularity: how to pay for it

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Graphic: ACAsignups.net

The idea behind a single-payer health care system is simple: Have one entity pay for all health care. The result would be universal health insurance or coverage for all. This idea has long been politically unfeasible because it was considered to cost too much, disrupt almost 20 percent of the economy, and eliminate the need for employer-sponsored health insurance, which covers about half of all Americans. Continue reading

2017 AHCJ-National Library of Medicine fellows selected

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates AHCJ's social media efforts and edits and manages production of association guides, programs and newsletters.

Six journalists have been named to this year’s class of AHCJ-National Library of Medicine fellows. The fellowship program was created to increase reporters’ access and understanding of the considerable resources available at NLM and the National Institutes of Health.

Their visit to the NIH campus, scheduled for the week of Sept. 24, will include hands-on workshops about how to use and get the most from several government research databases, such as PubMed, MedlinePlus, ClinicalTrials.gov and ToxNet. Fellows also will meet with senior NLM and NIH researchers and officials for exclusive informational sessions.

Read more about the fellows.

CBO: If Trump kills Obamacare subsidies, expect premiums and deficit to soar

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Donald J. Trump

In a report that aligns with predictions by health insurers and groups such as the Kaiser Family Foundation, the Congressional Budget Office on Tuesday forecast that ending cost-sharing reduction (CSR) subsidies under the Affordable Care Act not only would raise premiums for some low-income Americans, but also increase the federal deficit by $194 billion by 2026.

Congressional Democrats had asked both the CBO and the Joint Committee on Taxation to estimate the effect of cutting CSRs after this December – as President Trump has threatened – on the federal budget, health insurance coverage, market stability and premiums. Continue reading

Lawsuit claims UnitedHealthcare concealed Medicare Advantage enrollment fraud complaints

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Credit: Kaiser Family Foundation
UnitedHealthcare has 4.6 million Medicare Advantage members, 24 percent of the U.S. Medicare Advantage market.

A recently unsealed whistleblower lawsuit claims that UnitedHealthcare concealed from federal officials hundreds of complaints of enrollment fraud and other misconduct in its Medicare Advantage program.

Brought by two UnitedHealthcare sales professionals in Wisconsin, this suit is worth watching because it is the third in recent months that whistleblowers have brought using knowledge they gained while working for Minnetonka, Minn.-based health insurance giant. Continue reading

Report on Cruz amendment shows how one option would affect insurance market

Joseph Burns

About Joseph Burns

Joseph Burns (@jburns18), a Massachusetts-based independent journalist, is AHCJ’s topic leader on health insurance. He welcomes questions and suggestions on insurance resources and tip sheets at joseph@healthjournalism.org.

Photo: Matt Johnson via Flickr

With efforts to repeal and replace the Affordable Care Act sidelined, for now, it may be a good time take a closer look at a Sen. Ted Cruz (R-Texas) proposal in case similar attempts to change insurance market regulation resurface when Congress returns from its August break.

Vox’s Dylan Scott has written that any significant reforms to Obamacare will not come until September at the very earliest, although some bipartisan discussion of ways to stabilize the individual market exchanges has begun. My AHCJ colleague Joanne Kenen in a recent blog post outlined various options going forward. Continue reading