Well if nothing else at least I get to use the speech to text tool on my Mac for the first time. I found out the hard way this morning that if you're going to punch a wall in frustration, at the very least make sure not to hit a wall stud in the process.

That's right, I managed to dislocate my finger and fracture my knuckle. Or possibly the other way around.

In any event, I may require surgery; I have an appointment with an orthopedic surgeon this week; and either way typing is going to be very difficult and I'm going to have to rely on a lot of voice activation for the next few weeks.

As a result, while I'll still be posting, the entries will likely be shorter than usual and less frequent for a while. Typing actually isn't too bad thanks to speech to text, but using apps like Excel, Photoshop etc. Is gonna be a real pain for a bit.

Thanks for your understanding.

via the Centers for Medicare & Medicaid Services (CMS):

CMS Announces Data RFI to Improve Data Sharing and Enhance Competition 

On December 7, the Biden-Harris Administration announced new actions to promote competition in health care, including increasing transparency in the Medicare Advantage (MA) insurance market and strengthening MA programmatic data. Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), is continuing momentum in this area by releasing a Request for Information (RFI) to solicit feedback from the public on how best to enhance MA data capabilities and increase public transparency.

Among the most celebrated & ballyhooed provisions of the ACA are the Guaranteed Issue and Community Rating rules:

...Prohibits a health plan ("health plan” under this subtitle excludes any “grandfathered health plan” as defined in section 1251) from: (1) imposing any preexisting condition exclusion; or (2) discriminating on the basis of any health status-related factor. Allows premium rates to vary only by individual or family coverage, rating area, age, or tobacco use.

Requires health plans in a state to: (1) accept every employer and individual in the state that applies for coverage; and (2) renew or continue coverage at the option of the plan sponsor or the individual, as applicable.

Prohibits a health plan from establishing individual eligibility rules based on health status-related factors, including medical condition, claims experience, receipt of health care, medical history, genetic information, and evidence of insurability.

Connecticut

An interesting article via Jamil Ragland of CT News Junkie:

Six Democratic lawmakers went on the offensive today against what they believe is a better alternative to Association Health Plans.

(Note: The phasing of this lede is confusing...it makes it sound like the lawmakers oppose the better alternative, which the article makes clear is not the case.)

Association Health Plans, which are not currently allowed in Connecticut, would allow small businesses to form a group and purchase health insurance in bulk. However, that health insurance doesn’t come with the protections of the Patient and Affordable Care Act. 

It's been quite awhile since I've written about the "Ass" part of #ShortAssPlans; here's a few basics via Robert Pear of the New York Times:

Mississippi is one of the ten states where ACA Medicaid expansion still hasn't gone through a full decade after it could have.

A few years ago, Medicaid expansion in Mississippi looked like it might actually happen: While the states GOP Governor and Republican supermajority-controlled state legislature opposed it, in May 2021 there was a strong grassroots effort to put a statewide initiative on the ballot to push it through regardless, exactly how it happened in other deep red states like Utah, Nebraska, Idaho and South Dakota.

Unfortunately, just a few weeks later, the Mississippi Supreme Court crushed that effort:

Hmmm...that's the actual headline in the press release, but the actual numbers may tell a slightly different story...

via Covered California:

SACRAMENTO, Calif. — Heading into the final week of open enrollment, Covered California has continued to see signups surge. As of Jan. 20, over 243,000​ Californians have newly enrolled in coverage for 2024, a 13 percent increase over the same period last year. Over 1.5 million Covered California enrollees have renewed their coverage.

There is still time for uninsured Californians to sign up for coverage through Covered California, but only until Jan. 31.

“If you don’t have health insurance for yourself or your family, now is the time to enroll,” said Covered California Executive Director Jessica Altman. “With enhanced federal subsidies and a new state program to lower out-of-pocket costs, there has never been more help available to make quality health insurance more affordable and more attainable.”

via DC Health Link:

DC Health Link Open Enrollment Runs Through Next Wednesday, January 31, 2024; Communities Can Attend Free In-Person Enrollment Events

Washington, DC– Today, Mayor Muriel Bowser and DC Health Link are reminding residents that there is one week left to sign up for high-quality, affordable health insurance through DCHealthLink.com, the District’s online state-based health insurance marketplace. Open Enrollment is now open for DC individuals and families and runs through January 31, 2024.

“There is still time to enroll in health insurance before the January 31 deadline. We encourage residents to visit DCHealthLink.com and select a health plan that is right for you and your family,” said Mayor Bowser. “In addition to our online enrollment service, there are a number of outreach events in the coming days where you can get in-person assistance enrolling in high-quality health plans.”

via the Centers for Medicare & Medicaid Services:

The Centers for Medicare & Medicaid Services (CMS) reports that 21.3 million consumers have signed up for 2024 individual market health insurance coverage through the Marketplaces since the start of the 2024 Marketplace Open Enrollment Period (OEP) on November 1. This includes 16.4 million Marketplace plan selections in the 32 states using the HealthCare.gov platform for the 2024 plan year through the end of the OEP on January 16, 2024 (Week 11+), and 4.9 million plan selections in the 18 states and the District of Columbia with State-based Marketplaces (SBMs) that are using their own eligibility and enrollment platforms, through January 13, 2024 (Week 11) or the end of their OEP[1].  Total nationwide plan selections include 5 million consumers (24% of total) who are new to the Marketplaces for 2024, and 16.3 million consumers (76% of total) who have active 2023 coverage and returned to their respective Marketplaces to renew or select a new plan for 2024. 

via the Centers for Medicare & Medicaid Services:

Historic 21.3 Million People Choose ACA Marketplace Coverage

Marketplace enrollment climbs nearly 5 million higher than previous year

The Biden-Harris Administration announced 21.3 million people selected an Affordable Care Act Health Insurance Marketplace plan during the 2024 Open Enrollment Period. Total plan selections include more than five million people — about a fourth — who are new to the Marketplaces and 16 million people who renewed their coverage. Notably, open enrollment continues in four states and Washington, D.C., through January 31. 

Hmmm...OK, I got out over my skis a bit, but this is still an amazing announcement:

Statement by President Joe Biden on the Record-Breaking 2024 Open Enrollment Period Under the Affordable Care Act

Today, we broke another record when it comes to lowering costs and ensuring Americans have access to quality, affordable healthcare: 21.3 million Americans have signed up for health coverage through Affordable Care Act marketplaces. That means 9 million more people have gained coverage under the law - and peace of mind - since I took office. It’s no accident. My actions to protect the Affordable Care Act and lower premiums continue to make a big difference. And the American people have made it clear: they don’t want the Affordable Care Act weakened and repealed – they want it strengthened and protected.

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