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CMS Releases results for third year “2016, (ACA) Marketplace Reinsurance & Risk Adjustment Data”

Posted by on Jul 27, 2017 in News | 0 comments

Results were released by CMS for the 3rd year 2016, of the reinsurance & risk adjustment programs on June 30th, 2017. This is 2 of the (ACA) Affordable Cares Act’s “Three R’s” (premium, stabilization programs). The “third R” (2016 results) which is from the (risk corridor program) is to be announced, most likely later in the year.   ACA’s (Three R) Programs which were modeled after Part D of Medicare only they are more controversial and weaker than the Part D counterparts.   ACA’s Three R programs had been modeled from...

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CBO says 22 million more uninsured if the Senate health bill passed

Posted by on Jul 27, 2017 in News | 0 comments

The nonpartisan Congressional Budget Office (CBO) estimates 22 million less people will have health care coverage by 2026 with the health care overhaul bill that is being considered by the Senate.   It was previously estimated that under the bill passed by the House in May it would be 23 million less people. Weeks ago, Trump had told senators their House bill was (mean) and that he wants the Senate bill to have more (heart).   Number compare to the estimate for coverage we have under current law, the ACA Affordable Care Act or...

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Children’s Access to Vital Services Threatened by the Senate’s Health Care Bill

Posted by on Jul 27, 2017 in News | 0 comments

A significant public outcry over possibilities of dissolving the Prevention and Public Health Fund as well as eliminating some AHCA American Health Care Act health benefits that are essential of which both proposals were included in the BCRA, the Senates (Better Care Reconciliation Act).   The Medicaid’s Early and Periodic Screening Diagnosis & Treatment (EPSDT) benefits treatment has seen much less attention even though you see the AHCA and BCRA will make it for care to be received for many children. This includes different services...

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Legislative developments for State Single Payer and Medicaid Buy-In models

Posted by on Jul 27, 2017 in News | 0 comments

There is a growing discontent and an unease that surrounds the health care reform creating a pressure to act with the rise insurance premiums, no access, and the uncertainty for repeal of the Affordable Care Act.   Companies like United Healthcare, Humana, and Aetna rolling back participation in the ACA marketplaces, then Anthem announcing it’s exiting the Ohio health insurance marketplace which could leave 18 counties with no exchange plan for next year. Other states like Missouri and Washington State face Marketplace participation...

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