Charles Gaba's blog

via Robert Pear, New York Times:

A Trump administration official said Wednesday that the administration wanted to stabilize health insurance markets, but refused to say if the government would promote enrollment this fall under the Affordable Care Act or pay for the activities of counselors who help people sign up for coverage.

The official also declined to say whether the administration would continue paying subsidies to insurance companies to compensate them for reducing deductibles and other out-of-pocket costs for low-income people. Without the subsidies, insurers say, they would sharply increase premiums.

The administration, the official suggested, will do the minimum necessary to comply with the law, which Mr. Trump has called “an absolute disaster” and threatened to let collapse.

via Stephanie Armour of the Wall St. Journal:

State officials increasingly worry that this year’s turbulent health-care politics could threaten funding for the Children’s Health Insurance Program, a popular initiative that usually wins broad bipartisan support.

Federal funding for CHIP is set to end Sept. 30. The federal-state program provides health coverage to more than eight million low-income, uninsured children whose family incomes are too high to qualify for Medicaid.

Note: It's actually more than that: 8.4 million children as of 2015, and 8.9 million in 2016.

When I last checked in on Maryland's individual market rate hikes for next year, the picture was pretty grim: Overall requested increases of around 46%...and that assumed that CSR reimbursements are made in 2018. If you assume CSRs aren't paid, it looked even worse: A whopping 57% average increase statewide for unsubsidized enrollees. Ouch.

Today, the Maryland Insurance Dept. issued their approved rate changes for the individual and small group markets...and while they did knock the rate increased down significantly, there's still not much to be cheery about. It also includes a couple of handy additional data points:

The Maryland Insurance Administration Approves Non-Medigap Premium Rates for 2018 Small Group and Individual Markets

Open Enrollment Begins Nov. 1 in the Individual Market; Consumers Encouraged to Shop Rates

Wyoming

Not the highest-profile ACA/healthcare story in the world, but Wyoming almost never makes the news, and this is especially noteworthy given the state, the Governor and the GOP having total control over the federal government:

As health care debate simmers, Mead laments lack of Medicaid expansion in Wyoming

Gov. Matt Mead lamented the $100 million that Wyoming left on the table by choosing not to expand Medicaid, and he expressed concern for the state’s hospitals while discussing health care with the Star-Tribune recently.

Mead echoed some of the fears that many Wyoming hospital officials have expressed for months: that congressional proposals to overhaul the health care system may have negative effects on facilities here and that the state has suffered because it chose not to allow more people to qualify for Medicaid.

“The idea that we did not accept Medicaid expansion and things are going to be good just hasn’t turned out,” he said.

The following letter was just sent to GOP U.S. Senator Lamar Alexander and Dem U.S. Senator Patty Murray of the HELP (Health, Education, Labor & Pensions) Senate Committee:

Dear Chairman Alexander and Ranking Member Murray:

Thank you and members of the Senate Health Education Labor and Pensions Committee for your commitment to hold September hearings on actions that Congress should take to stabilize and strengthen the individual health insurance market. The State Health Exchange Leadership Network, an association of state leaders dedicated to the implementation and operation of the state-based health insurance marketplaces, appreciates this opportunity to submit testimony.

On Sunday, HHS Secretary Tom Price officially called it in Texas:

Health and Human Services Secretary Tom Price, MD, declared a public health emergency in Texas on Saturday as Hurricane Harvey was pounding the state's coast.

Harvey made landfall late Friday night with winds topping 130 mph. Forecasts called for the storm to hover over the state for 5 days or more, possibly drenching some areas with as much as 50 inches of rain. Hundreds of thousands were without power and the National Weather Service said parts of Texas could be "uninhabitable for weeks or months."

"Many Medicare beneficiaries have been evacuated to neighboring communities where receiving hospitals and nursing homes may have no health care records, information on current health status or even verification of the person's status as a Medicare beneficiary. Due to the emergency declaration and other actions taken by HHS, CMS is able to waive certain documentation requirements to help ensure facilities can deliver care," an HHS statement read.

According to several sources, Bernie Sanders plans on releasing a new "Medicare for All" plan in the next week or two.

In light of this, I thought it might be a good idea to remember his last such plan, introduced back on January 18, 2016 in the midst of his heated primary battle with Hillary Clinton.

If you visit BernieSanders.com and click on the "Issues" tab today, you can still find his official 2016 campaign "Medicare for All" plan, without a single word changed.

It's important to note that while Bernie's plan as presented on his website was not actual legislative text, it was, in his own words, the "FULL plan"...that is, this wasn't supposed to be a "summarized" version or an "overview", but literally "the FULL PLAN", as the link leading to it clearly states twice:

Note: This entry is in response to Kimberly Leonard's article at the Washington Examiner in which she interviews unsubsidized individual market enrollees.

Amidst all the discussion and debate about how to fix/improve/strengthen/expand the Affordable Care Act, one thing I've written about as much as anyone else (and far more than many others) is people enrolled in the unsubsidized individual market. To recap: Around 18 million people are enrolled in individual market policies, of which around half (9 million) receive tax credits to help cover a chunk of the premiums. Of those, around 7 million also receive CSR assistance to help cover deductibles and co-pays. The amount/portion of their expenses which are covered varies from high to low based on a sliding income scale, and it's frankly too skimpy at the upper end of that range, but at least these folks receive some assistance.

File this one under "Be Careful What You Wish For".

Just a couple of days ago I reported that the New York Dept. of Financial Services had issued their approved 2018 rate changes for the 15 insurance carriers participating in the state's individual and small group markets...and, in some welcome news, they whittled down the rate increases by a bit, from 17.7% on average to 14.5% on average in the individual market, and from 11.7% to 9.3% in the small group market.

Then, the very next day, Zach Tracer of Bloomberg News broke this story:

New York State’s biggest hospital system plans to stop selling Obamacare plans, blaming a costly plank of the law and uncertain prospects for a fix amid a wider Washington brawl over health care.

Hey Michigan Residents! Do you live in the Clinton Township area?

If so, come on out on Sunday, August 27th, and join Congressman Sander Levin, State Representative Henry Yanez and myself as we explain what the latest craziness is regarding the ACA, the GOP attempts to repeal and/or sabotage it and healthcare policy in general from 2:00pm - 4:00pm at the Clinton Macomb Public Library:

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