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Mostly about the ACA: Obamacare to Trumpcare to Bidencare.

Friday, September 07, 2018

Everything you always wanted to know about ACA marketplace enrollment 2018

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Narrow focus curse: I've sliced 2018 ACA marketplace enrollment  so many ways I've lost track myself and too often go rooting aroun...
Thursday, September 06, 2018

New Jersey balance billing protection law is strong on scheduled procedures

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Earlier this week I raised a question whether New Jersey's new law protecting insured patients from balance billing requires patients...
Wednesday, September 05, 2018

Bring back the PPACA!

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A reader writes:  It is two years out [from Trump's election] and every major press outlet uses "Obamacare." That just pol...
Monday, September 03, 2018

New Jersey's new balance billing protection law: How complete is the protection?

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New Jersey's new law limiting balance billing *, which goes into effect this week, provides patients in fully funded insurance plans --...
Thursday, August 30, 2018

NHIS puts individual market angst in perspective

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The Kaiser Family Foundation reports that individual market enrollment dropped by about 2 million from the first quarter of 2017 to the fi...
Saturday, August 25, 2018

Small enrollment shifts are not so small: Zooming in from the GAO's 30,000 foot view of the ACA marketplace

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It struck me, looking at the big-picture breakouts of 2017-2018 enrollment in healthcare.gov states presented in the GAO report , that shif...
Friday, August 24, 2018

GAO highlights the silver load offset to HHS sabotage

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The GAO's report on HHS's performance in managing Open Enrollment for 2018 on HealthCare.gov hits HHS hard for dereliction of its ...
Monday, August 20, 2018

Alex Azar's poison pitch to the unsubsidized uninsured

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Charles Gaba is out with a magisterial take-down of HHS Secretary Alex Azar's op-ed touting the Trump administration's promotion o...
Friday, August 17, 2018

Tom MacArthur gutted ACA protections for people with pre-existing conditions. Can Andy Kim make the charge stick?

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Axios offers an interesting first look at a battle that will play out in a lot of Congressional districts defended by Republicans who vot...
Thursday, August 16, 2018

Good News in New Jersey: CMS approves state reinsurance waiver

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Some good ACA news out of New Jersey: CMS has approved the state's reinsurance waiver proposal, designed to reduce premiums by 15% in 2...
Wednesday, August 15, 2018

Surprise! ACA marketplace sabotage hit the most vulnerable hard

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I fear I buried the lead somewhat in yesterday's look at how ACA enrollment losses were distributed among income groups in states that...
Tuesday, August 14, 2018

Silver loading vs. sabotage in non-expansion states

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This post continues the story of how, where and to what extent silver loading offset all the factors pushing ACA marketplace enrollment dow...
Wednesday, August 08, 2018

Unsubsidized on-exchange enrollment is also shrinking fast

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Off-exchange enrollment in ACA-compliant plans is contracting sharply. The Kaiser Family Foundation reports that average monthly enrollmen...
Tuesday, August 07, 2018

Did CMS just bless silver loading? Or prepare to end it?

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Last week, CMS released a bulletin that openly invited insurers in the ACA-compliant individual market to offer off-exchange plans that are...
Monday, August 06, 2018

Psst, red states, want to destroy your ACA-compliant market? Set strict standards for short-term plans

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Most discussion of the Trump administration's finalized rule allowing short-term health plans to be sold for a term of up to one year a...
Sunday, August 05, 2018

Unsubsidized, but in subsidy range, in the ACA marketplace

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One useful feature of the ACA enrollment statistics published by Covered California: the state breaks out unsubsidized and subsidized enrol...
Thursday, August 02, 2018

Shifts in the enrollment population in the ACA marketplace in 2018

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Recently I've spotlighted the extent to which silver loading boosted ACA marketplace enrollment among those with incomes between 200% a...
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Tuesday, July 31, 2018

A CMS misinformation byte is getting into the woodwork

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Axios today reports on the Kaiser Family Foundation's latest data note on individual market enrollment. The main takeaway is that unsu...
Thursday, July 26, 2018

Covered California's silver loading enrollment boost mirrors HealthCare.gov's

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Recently I noted that 2018 enrollment losses among subsidized buyers on HealthCare.gov were concentrated at lower income levels, i.e., 100...
Sunday, July 22, 2018

True Image/pictured lies: The CMS attack on ACA navigators

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The Kaiser Family Foundation has done in-depth spadework to debunk CMS's Trumpishly false basis for gutting funding for the ACA navi...
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About Andrew Sprung

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I'm a freelance writer focused mainly on the unfolding drama of Affordable Care Act implementation and health reform more generally.
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