$12B Supreme Court Win for ACA Insurers

In a 8-to-1 decision on Monday, the Supreme Court ruled in favor of insurers on the Affordable Care Act (ACA) marketplaces in Maine Community Health Options v. United States. The court held that the federal government was obligated to pay the more than $12 billion in unpaid risk corridor payments from 2014 to 2016. (more…)

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Rising Unemployment During COVID-19 Precipitates States Opening Marketplaces

Last week, 3.3 million Americans filed for unemployment as industries buckled under COVID-19, according to the Department of Labor (DOL). This is the highest number of jobless claims since the DOL started tracking the data in 1967. 

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Keeping up With the Dizzying Pace of New COVID-19 Policies

The COVID-19 pandemic has brought an unprecedented strain on health care communities worldwide as we rush to flatten the curve. Federal and state governments in the United States have been putting out a flurry of new policies to help facilitate care and coverage of care. We have compiled these policies and will discuss how insurers, with the right technologies in place, can best respond to the policies to quickly solve this crisis.

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How the Presidential Candidates Plan to Control Health Care Costs

Per capita, the United States spends more on health care than any other developed country. Despite growing awareness over the issue, new reports show the numbers are getting worse. According to the Health Care Cost Institute’s 2018 Health Care Cost and Utilization Report, average health care spending for people with employer-sponsored insurance rose to an all-time high in 2018, costing $5,892 per person annually. From 2014 to 2018, total annual spending per person increased 18.4%. Average out-of-pocket spending increased to $907 per person annually.

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Open Enrollment 2020 Reflection

Open enrollment officially ended on December 18. The original closing date was December 15, but on this last day, the website glitched, preventing consumers from enrolling. This was the second time the site glitched during the enrollment period. During the first day of open enrollment on November 1, consumers also had trouble enrolling prompting members of Congress to write a letter to Administrator Seema Verma of Centers for Medicare and Medicaid Services (CMS).

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Acceleration in National Health Care Spending and Why

The Centers for Medicare and Medicaid Services (CMS) released new data showing that national spending on health care increased to $3.6 trillion in 2018, or $11,172 per person. 2018’s growth rate was 4.6 percent, where 2017’s was 4.2 percent.

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