Posts Tagged ‘Affordable Care Act’

Infographic: The Impact of Cost-Sharing Reduction Payments on Insurance Markets

November 6th, 2017 by Melanie Matthews

The loss of cost-sharing reduction (CSR) payments in the health insurance marketplaces would destabilize insurance markets and add to the federal deficit, according to a new infographic by NEJM Catalyst.

The infographic examines the impact of ending the CSR payments on premiums of silver plans on the exchange as well as for Medicaid expansion and non-expansion states and the impact on the federal deficit through 2026.

Trends Shaping the Healthcare Industry in 2018: A Strategic Planning SessionUncertainty regarding the future of the Affordable Care Act (ACA), combined with industry market forces, including consolidations and strategic partnerships, positioning for value-based healthcare, cost containment efforts, an emphasis on technology and efforts to understand and address the whole patient as part of population health management have been the key drivers in the healthcare industry this year.

With the efforts to repeal and replace the ACA now focused on the elimination of the cost-sharing reduction (CSR) payments to insurers and changes to regulations governing association health plans, short-term, limited-duration insurance and health reimbursement arrangements, the healthcare industry can put aside the uncertainty of this year and move forward with the market forces in play.

During Trends Shaping the Healthcare Industry in 2018: A Strategic Planning Session, a 60-minute webinar on December 7th, two industry thought leaders Cynthia Kilroy, principal at Cynthia Kilroy Consulting and Brian Sanderson, managing principal, healthcare services, Crowe Horwath, will provide a roadmap to the key issues, challenges and opportunities for healthcare organizations in 2018.

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President Trump Halts CSR Payments, Signs Executive Order on ACA Components

October 12th, 2017 by Melanie Matthews

The Trump Administration has called for the discontinuation of cost-sharing reductions (CSR) payments to health insurance companies based on a legal opinion from the Attorney General. President Trump also signed three executive orders directing the appropriate federal agencies to examine three Affordable Care Act (ACA) components: association health plans (AHPs), short-term, limited-duration insurance (STLDI), and health reimbursement arrangements (HRAs).

“CSR payments are prohibited unless and until a valid appropriation exists,” said HHS Acting Secretary Eric Hargan, referring to the legal opinion from the Attorney General’s Office regarding CSR payments.

According to August 2017 estimates from the Congressional Budget Office and the Joint Committee on Taxation on the impact of ending CSR payments, the number of people uninsured will be approximately 1 million higher than under the baseline in 2018 but about 1 million lower in each year starting in 2020. In 2018, under the policy, the largest effect on coverage would derive from the drop in the number of insurers participating in the non-group market.

The CBO and JCT also estimated that by 2020, the effect on coverage would stem primarily from the increases in premium tax credits, which would make purchasing non-group insurance more attractive for some people. As a result, a larger number of people would purchase insurance through the marketplaces, and a smaller number of people would purchase employment-based health insurance.

President Trump also signed Executive Orders that direct the:

  • Secretary of Labor to consider expanding access to AHPs;

  • Departments of the Treasury, Labor, and Health and Human Services to consider expanding coverage through low cost STLDI; and

  • Departments of the Treasury, Labor, and Health and Human Services to consider changes to HRAs.

Each of these components will be subject to the federal government’s rulemaking process and will not have an impact on this year’s open enrollment period under ACA.

Industry reaction was mixed to the Executive Orders:

  • “Health plans remain committed to certain principles. We believe that all Americans should have access to affordable coverage and care, including those with pre-existing conditions. We believe that reforms must stabilize the individual market for lower costs, higher consumer satisfaction, and better health outcomes for everyone. And we believe that we cannot jeopardize the stability of other markets that provide coverage for hundreds of millions of Americans. We will follow these principles – competition, choice, patient protections and market stability – as we evaluate the potential impact of this executive order and the rules that will follow. We look forward to engaging in the rulemaking process to help lower premiums and improve access for all Americans,” said Kristine Grow, Senior Vice President, Communications, America’s Health Insurance Plans (AHIP).

  • The American Hospital Association (AHA) said while the “Executive Order will allow health insurance plans that cover fewer benefits and offer fewer consumer protections. No one can predict future health care needs with complete certainty and such plans could put patients at risk when care is needed most.”

    In addition, said the AHA, these provisions could destabilize the individual and small group markets, leaving millions of Americans who need comprehensive coverage to manage chronic and other pre-existing conditions, as well as protection against unforeseen illness and injury, without affordable options. And, regarding consolidation, respected economic studies demonstrate that the hospital field’s trajectory has resulted in both cost savings and quality improvements. The AHA is encouraging the Administration to achieve the goal of ensuring that individuals and small businesses have affordable, comprehensive healthcare coverage options without sacrificing critical consumer protections by stabilizing the individual and small group markets.

Infographic: Large Healthcare Gains for Women Under ACA

October 9th, 2017 by Melanie Matthews

The number of working-age U.S. women without health insurance has been cut nearly in half since the Affordable Care Act (ACA) was enacted, according to a new infographic by the Commonwealth Fund.

The infographic also examines other ACA impacts on healthcare for women.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: A Look Back at Healthcare Steps in Trump’s First 100 Days

May 15th, 2017 by Melanie Matthews

In the first 100 days of his administration, President Donald J. Trump has taken a number of actions that could impact healthcare, including filling a Supreme Court seat and taking steps to repeal the Affordable Care Act, according to a new infographic by AJMC.

The infographic examines some of the most notable healthcare-related happenings in Trump’s first 100 days in office.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: Navigating Risk Adjustment Headwinds

April 28th, 2017 by Melanie Matthews

More than half of respondents (60%) to a recent survey by SCIO Health Analytics indicated that their organizations have hit at least the half way point when it comes to implementing the changes needed to support the Encounter Data Processing System (EDPS)/Risk Adjustment Payment System (RAPS), according to a new infographic by SCIO Health Analytics.

The infographic looks at where organizations are on their path for implementing changes needed to support EDPS/RAPS, the discrepancy between RAPS and EDPS scores and some predictions on the future of the Affordable Care Act.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: U.S. Public Opinion on Healthcare Reform

April 7th, 2017 by Melanie Matthews

Both Democrats and Republicans give top priority to lowering out-of-pocket costs for healthcare as a key tenet needed in healthcare reform, according to a new infographic in the Visualizing Health Policy series by the Kaiser Family Foundation and the Journal of the American Medical Association.

The infographic details other health reform priorities by the U.S. population in general and by political affiliation.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

American Health Care Act Fails to Deliver for U.S. House of Representatives’ Vote

March 27th, 2017 by Melanie Matthews

The American Health Care Act, designed to repeal and replace parts of the Affordable Care Act (ACA), was pulled from a vote by the U.S. House of Representatives on Friday, March 24th, by House Speaker Paul Ryan.

With mounting opposition to the bill from the House Freedom Caucus and Democrats, the bill did not have the votes to pass.

Healthcare industry groups, including the American Medical Association, the American Hospital Association and AHIP had also voiced concern over key aspects of the legislation (see Healthcare Reacts to AHCA: Providers ‘Cannot Support Legislation As Drafted’).

The White House has indicated it will now take a wait and see approach to health reform.

What’s your take on the failure of the American Health Care Act to achieve the support of the U.S. House of Representatives and the Trump Administration’s steps to repeal and replace the ACA? What aspects of the ACA are working? What needs to be fixed? Share your thoughts in our comments section below.

Infographic: Comparing the Affordable Care Act and the House Republican Bill

March 8th, 2017 by Melanie Matthews

Comparing the Affordable Care Act and the House Republican BillRepublicans in the U.S. House of Representatives released on Monday legislation to repeal and replace the Affordable Care Act (ACA).

A new infographic by the New York Times compares the key features of ACA with what has been proposed by the House Republicans.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today. Have an infographic you’d like featured on our site? Click here for submission guidelines.

HINfographic: Healthcare Industry Trends for 2017

February 8th, 2017 by Melanie Matthews

Value-based healthcare, the drive for quality and the uncertainty regarding the Affordable Care Act under the President Donald Trump administration are just some of the factors impacting the healthcare industry this year, according to HIN’s Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry.

A new infographic by HIN examines the key trends that will impact the healthcare industry this year.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today.

Have an infographic you’d like featured on our site? Click here for submission guidelines.

Infographic: Effects of President Donald Trump’s Healthcare Reform Proposals

January 25th, 2017 by Melanie Matthews

There are four options under President Donald Trump’s Affordable Care Act repeal and replace, according to a new infographic by NEJM Catalyst.

The infographic examines the impact of each of these options on: the number of uninsured, the number of individuals in poor health; the annual average out-of-pocket expenses for the individual market; and the impact on the federal deficit.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN’s 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today. Have an infographic you’d like featured on our site? Click here for submission guidelines.