Category Archives: Insurance

Albany reporter fills in the holes that state report left out

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: Norman Mosjos via Flickr

How often has this happened to you? Over the transom comes a report you believe will be the basis for a section-front story or maybe warrant page one. Many times, you’re right. You read the report, collect the highlights, conduct a few interviews, and fire off the story on deadline.

However, occasionally what you thought might be a solid report leaves important questions unanswered. Continue reading

Despite ‘repeal and replace’ vow, Republicans pull health care bill before vote

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.

Paul Ryan

Obamacare is the law of the land. … We’re going to be living with Obamacare for the foreseeable future.” – Paul Ryan

That was the speaker of the U.S. House of Representatives after pulling the GOP health care bill from consideration because it was clear there weren’t enough votes to pass it.

The Associated Press sums up the range of emotion after the decision was announced: After health care bill’s withdrawal, elation and anger. It also points out the “winners, losers and a few in between.”
Continue reading

Health care repeal bill would have dealt death blow to ‘essential health benefits’

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.

A variety of fixes aimed at appeasing resistant conservative House members failed to save the GOP’s Affordable Care Act repeal bill, which was pulled from consideration late Friday.

Among last-minute changes to the GOP’s proposed American Health Care Act (ACHA) was language that would have repealed 10 so-called “essential health benefits” in the individual market, letting states decided which mandates they wanted. Continue reading

Keep employer plans in focus as ACA ‘repeal-and-replace’ proposals are rolled out

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: Katy Warner via Flickr

Most of the coverage offered under the Affordable Care Act (ACA) is through the individual market (plans sold in the exchanges) or Medicaid. But as Jay Hancock of Kaiser Health News explains in a new AHCJ tip sheet, that doesn’t mean the employer-sponsored insurance system won’t be touched by any plan to repeal and replace the ACA.

Changes to how health care is subsidized – directly through tax credits or indirectly through tax breaks – may have a profound impact on the job-linked insurance that covers more than 150 million people. Continue reading

Close eye on SEC filings uncovers DOJ targeting of another Medicare Advantage insurer

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.

Bob Herman

We reported last month that the U.S. Department of Justice was investigating the risk-adjustment practices of UnitedHealth Group and WellMed Medical Management. At the time, a question remained about whether the DOJ would look into the risk-adjustment or claims-coding activities of other health insurers.

Turns out that Bob Herman, the health care business reporter for Axios, already had the answer. Continue reading