Category Archives: Insurance

CBO releases score for Senate’s health care bill

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.

The Congressional Budget Office released its analysis of the Senate’s health care plan, the Better Care Reconciliation Act (BCRA), on Monday afternoon.

This came hours after Senate Republicans released a revised version of the bill that adds a provision to penalize people who let their insurance coverage lapse for an extended period. People who let their health insurance lapse for longer than 63 days but then wanted to re-enroll would have to wait six months. The CBO score does take that revision into account in its analysis.

The CBO found that, if this legislation were to be enacted, it would: Continue reading

Health plan execs fear Senate version of AHCA would gut Medicaid

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: Tax Credits via Flickr

The Better Care Reconciliation Act (BCRA), the Senate Obamacare repeal-and-replace bill unveiled Thursday, would do little to promote better care via Medicaid, the federal-state partnership program that insures 75 million primarily low-income Americans that include children, the disabled and certain seniors, according to some insurers that specialize in Medicaid coverage. Continue reading

Hospitals, health systems struggle to define population health

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.

Population health was a term that became popular as Congress was passing the Affordable Care Act in 2010. In the seven years since then, hospitals and health systems have struggled to define the term consistently.

For example, you see from this article by Tamara Rosin for Becker’s Hospital Review that health system administrators use the terms “population health” and its twin “population health management” to describe what they do to keep patients healthy and out of the hospital. The problem is that settling on one definition is a challenge, Rosin wrote. Continue reading

Revised HHS rules aim to shift more health plan control to states

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, is AHCJ’s topic leader on health reform and curates related material at healthjournalism.org. She welcomes questions and suggestions on health reform resources and tip sheets at joanne@healthjournalism.org.

Photo: knitsteel via Flickr

Before the Affordable Care Act, health insurance regulation in the individual market largely was managed by the states. The ACA saw a shift to a greater federal role. Now under the Trump administration, some responsibilities are going back to the states.

In a new tip sheet for AHCJ, Louise Norris, whom many AHCJ members know as a contributor to healthinsurance.org, explains the new responsibilities. One significant area is network adequacy – whether a plan has enough doctors, hospitals and other providers to meet the needs of beneficiaries. Continue reading

Aging experts assess priorities under a new administration

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in Kaiser Health News, The Atlantic.com, New America Media, AARP.com and other outlets. She is a senior fellow at the Center for Health, Media & Policy at Hunter College in New York City, and co-produces HealthStyles for WBAI-FM/Pacifica Radio.

Photo by Boris Bartels via Flickr

From the future of delivery system reform to controlling prescription drug costs to considering how states may handle proposed Medicaid cuts, there is significant concern these days among policy experts who focus on aging and health. Several of the addressed the issue at a recent panel in New York City on the future of aging policy under the Trump administration.

Developing a national aging strategy was high on the list for participants of the session, “Aging Priorities for a New Administration,” part of the d.health Summit 2017 on May 10. Moderating was Joanne Kenen, health care executive editor at Politico and AHCJ’s topic leader on health reform. Continue reading