Section 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive certain Medicaid requirements and approve state proposals for experimental projects in programs. The waivers, intended to promote innovation, are not new. Historically, states have used them to cover new populations or implement delivery system reforms like providing services to people through managed care. But recently waivers have attracted attention—including from the mainstream media— as states have started using them in radically different ways. A prominent example involves states using waivers to obtain federal permission to condition receipt of Medicaid on work and work-alternative requirements. The issue is the subject of ongoing litigation.
AARP encourages Americans to review their health insurance options during the Affordable Care Act (ACA) open enrollment period that started Sunday. Open enrollment (from Nov. 1 to Jan. 31) is an important opportunity for consumers to find a plan that could save them more money, offer better services, or include more of their doctors.
It’s that time of year again: Medicare Open Enrollment. Open enrollment is the one time of year when you can re-evaluate your Medicare health and prescription drug plans and switch to ones that offer better coverage or save you money. By now you should have received your Annual Notice of Change packet of information in the mail. It’s very important to take the time to sit down and review this information to see if you want to make any changes for the upcoming year.
The U.S. Senate unanimously approved legislation Monday night requiring hospitals across the nation to tell Medicare patients when they receive observation care but have not been admitted to the hospital. It’s a distinction that’s easy to miss until patients are hit with big medical bills after a short stay.
Being able to treat a medical problem is good, but dodging the problem altogether is even better. That seems obvious, yet Medicare has only recently expanded coverage for services that help prevent or stave off some of the diseases that make people very ill and — not coincidentally — cost Medicare mountains of money.
Some 6.4 million Americans in states relying on the healthcare.gov federal insurance exchange will continue to receive subsidies for coverage after the U.S. Supreme Court ruled June 25 that the Affordable Care Act allows such financial support.
AARP applauds the U.S. Supreme Court’s King v. Burwell decision today that allows individuals who purchased health insurance through the federal exchange to continue receiving subsidies to help pay premiums. The Affordable Care Act’s (ACA) goals of improving affordability and removing barriers to access for health insurance have been critical in reducing the number of uninsured Americans. Importantly, for older Americans, we have seen a 31 percent drop in the uninsured rate for those ages 50-64.
The health law’s expansion of Medicaid coverage to adults with incomes over the poverty line was key to reducing the uninsured rate among 50- to 64-year-olds from nearly 12 percent to 8 percent in 2014, according to a new analysis.
For the second time in three years, the federal Affordable Care Act went before the Supreme Court on Wednesday. And before a packed courtroom, a divided group of justices mostly picked up right where they left off the last time.
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