OK, I'm back from the Doctors for America conference! I'll be posting a write-up about that soon, but in the meantime I have a backlog of healthcare policy developments to catch up on...
Oregon becomes 3rd in nation to seek federal approval for a basic health program
A group of volunteer advisors to the Oregon Health Authority has voted Tuesday to make the state the third in the nation to seek federal approval for a basic health program.
...The Oregon Health Policy Board voted unanimously to approve Oregon’s blueprint application. It was the last step in a lengthy policy-making process needed for state approval of the plan after a task force last year recommended moving forward with it.
Doctors for America mobilizes doctors and medical students to be leaders in putting patients over politics on the pressing issues of the day to improve the health of our patients, communities, and nation.
OLYMPIA, Wash. — Thirteen health insurers filed an average requested rate increase of 11.3% for Washington's individual health insurance market. The proposed plans and their rates are currently under review and final decisions will be made this fall.
"I recognize that any proposed increase in price is deeply upsetting to those struggling to pay for coverage today,” said Insurance Commissioner Mike Kreidler. “People should know that these rates are not final and my office will be carefully reviewing each request to validate the assumptions being made by our state’s insurers. We will do everything under our authority ensure that any rate changes are justified."
I've been following this bill for awhile now but never got around to writing about it until after it passed through both chambers of the Illinois legislature. That's a shame, because it's a pretty Big F*cking Deal for Illinois residents.
The Illinois House passed the Healthcare Protection Act Saturday to help curb predatory insurance practices and protect consumers.
Gov. JB Pritzker's monumental plan could make Illinois the first state to ban prior authorization for in-patient adult and children's mental healthcare. The legislation also bans step therapy, or the fail first method, where insurers force people to receive less effective treatment before moving to options initially recommended by doctors.
...The measure requires prior approval from the Department of Insurance before large group insurance plans can increase rates and states premiums must align with the actual cost of providing care as well.
Pennie Has Issued a New Request for Proposal (RFP) for an Enrollment Assister Contract to Expand Support Across Pennsylvania Communities
Pennie is seeking an organization to build grassroots awareness and provide direct enrollment assistance to Pennsylvanians seeking health coverage. Proposals due at 1 pm on June 27th.
Harrisburg, PA – May 2024 – Pennie, PA’s official health insurance marketplace, has issued a Request for Proposal for Assister Services. The awardee will collaboratively drive statewide activities to increase awareness of the financial help and health coverage available through Pennie, and work directly with community organizations to provide local, in-person enrollment assistance.
CMS Approves State Plan Amendments Extending Postpartum Coverage in Nevada
May 3: CMS marked another important maternal health milestone by approving Medicaid and Children’s Health Insurance Program (CHIP) postpartum coverage extensions in Nevada, an opportunity made possible through the American Rescue Plan (ARP). Nationally, people across 46 states, the District of Columbia, and U.S.V.I. now have access to Medicaid and CHIP coverage for a full 12 months following pregnancy — up from just 60 days before the ARP.
Today, U.S. Health and Human Services Secretary Xavier Becerra released the following statement after the Centers for Disease Control and Prevention (CDC) released new data - PDF showing the uninsurance rate holding steady at 7.7 percent:
“Under President Biden’s leadership more people have health coverage than under any previous president. Even more encouraging, the data released today does not reflect the record-breaking open enrollment period that saw over 21 million people sign up for insurance. The Biden-Harris Administration will redouble our efforts to make sure tax breaks for working families stay in place so that every single person in America can go to the doctor and afford the care that will keep them and their families healthy.”
Every year, I spend months painstakingly tracking every insurance carrier rate filing for the following year to determine just how much average insurance policy premiums on the individual market are projected to increase or decrease.
Carriers tendency to jump in and out of the market, repeatedly revise their requests, and the confusing blizzard of actual filing forms sometimes make it next to impossible to find the specific data I need. The actual data I need to compile my estimates are actually fairly simple, however. I really only need three pieces of information for each carrier:
Wyomingites may be skeptical of Obamacare, but many use it for health insurance
(sigh)
Wyoming leaders have repeatedly rejected Medicaid expansion, but a new study shows many residents here rely on another component of the Affordable Care Act: the health insurance marketplace.
Among 10 states with the highest share of farmers, Wyoming uses the federal health insurance marketplace the most, according to a new analysis by the Robert Wood Johnson Foundation. That marketplace is a virtual space for comparing plans and finding insurance that’s often more affordable than elsewhere thanks to federal subsidies.
Last month I noted that North Carolina's ACA Medicaid expansion initiative, which started in December 2023, had officially enrolled more than 400,000 of the estimated 600,000 NC residents eligible for the program.
