Tag Archives: pre-existing conditions

Supreme Court case on Affordable Care Act could have far-reaching effects on Medicaid expansion, pre-existing condition protections

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 by dbking via Flickr

On Tuesday, the U.S. Supreme Court will hear oral arguments on whether it should strike down the individual mandate and the entire Affordable Care Act.

As always, SCOTUSblog has all the details on the case, California v. Texas and Texas v. California (both of which have been consolidated for oral arguments on whether the ACA’s requirement that Americans get health insurance is constitutional and, if not, whether the rest of the ACA can survive). Continue reading

Actuaries report on shortcomings of short-term, limited-duration health plans

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.

In a new study, Milliman actuaries compared costs under health insurance plans that comply with the requirements of the Affordable Care Act versus costs of short-term health plans that do not meet the ACA’s requirements.

Milliman actuaries compared costs under health insurance plans that comply with the requirements of the Affordable Care Act versus costs of short-term health plans that do not meet the ACA’s requirements.

New research about short-term, limited-duration health plans shows that none of the plans studied covered pre-existing conditions and all had coverage limits, according to a new report from Milliman, an actuarial consulting firm. Only one-third of the plans covered prescription drugs and only 42% covered mental health, according to the report.

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As name implies, short-term health plans may not be a good deal for some consumers

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.

For an article on short-term health plans, journalist Nancy Metcalf found an ideal source: Stewart Lamotte, a 64-year-old retired restaurateur from Lawrenceville, Ga.

In a story that Consumer Reports published in December 2017, “Is Short-Term Health Insurance a Good Deal?”, Metcalf explained that when LaMotte shopped for health insurance, he didn’t qualify for a tax credit under the Affordable Care Act. Also, he balked at the $1,000 monthly premium and a deductible of $6,500 that was required for an ACA-compliant health insurance policy. Continue reading

ACA lawsuit may cause chaos in the states

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, has been AHCJ’s topic leader on health reform and curated related material at healthjournalism.org. Follow her on Facebook.

Photo: Liz West via Flickr

We earlier told you about one lawsuit that aims to take down the ACA – or at least wipe out the law’s most popular provisions. A ruling could come at any time. The judge in oral argument seemed quite sympathetic to the conservative states bringing suit, but we won’t know for sure until his ruling, which likely will be appealed.

The question is what will happen if the court does strike all or part of the law, especially with open enrollment beginning Nov. 1 (assuming that decision is not stayed pending appeal). Continue reading

Pre-existing conditions re-emerge: Find out who might be affected

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, has been AHCJ’s topic leader on health reform and curated related material at healthjournalism.org. Follow her on Facebook.

Photo: Ted Eytan via FlickrA sign from a 2017 rally in support of the ACA in Washington, D.C.

The latest anti-Affordable Care Act lawsuit from a score of conservative state attorneys general – partly backed by the U.S. Department of Justice – brings protections for people with pre-existing conditions squarely back into the political and policy forefront. (And you should expect this lawsuit and pre-existing condition protection to come up in the Senate confirmation hearings for Brett Kavanaugh in early September).

So how many people really do have pre-existing conditions who are vulnerable to losing coverage?  And where are they?

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What to know about the DOJ’s latest whack at the ACA

Joanne Kenen

About Joanne Kenen

Joanne Kenen, (@JoanneKenen) the health editor at Politico, has been AHCJ’s topic leader on health reform and curated related material at healthjournalism.org. Follow her on Facebook.

Photo: Phil Roeder via Flickr

The Obamacare wars have re-ignited, thanks to Attorney General Jeff Sessions, the U.S. Department of Justice, and a surprising assault on the most popular part of the Affordable Care Act: the protections for people with pre-existing conditions.

A group of GOP state attorney generals, with Texas and Wisconsin in the lead, had filed in federal court what was generally regarded as a long-shot lawsuit to have the entire ACA scrapped. Continue reading