Arkansas Work Requirement Leaves Thousands Without Health Insurance Coverage

Earlier this year, Arkansas became the first state to implement a  policy that—with some exemptions, including for people age 50 and older—requires adult Medicaid enrollees to work 80 hours every month at the state’s minimum wage. The policy has serious implementation problems, and is quickly ncreasing the number of uninsured in the state. In Compliance or Not—That is the Question Much of the issue stems around exemptions, compliance, and reporting requirements. In addition to working 80 hours every month, enrollees …

‘Short-Term’ Health Plans No Longer Short-Term

On August 1, the Trump Administration released a final rule that will allow insurance companies to offer cheaper “short-term limited duration” health plans for longer periods of time. Short-term plans are cheap for a reason. The plans don’t comply with the Affordable Care Act (ACA), meaning they aren’t required to cover essential benefits and protect people with preexisting conditions, and they don’t have to adhere to community rating standards. Thus, while short-term plans have been available for years and may …

Under the Senate Health Bill, All Older Adults Would Pay Much More for Individual Health Coverage

The just-released Senate bill, the Better Care Reconciliation Act (BCRA), is very bad news for older adults. The bill would reduce financial assistance (premium tax credits and cost-sharing subsidies) and change rules on how much premiums can vary by age (age rating). As a result, people ages 50 to 64 would have to pay thousands of dollars more in premiums to buy health insurance in the individual (nongroup) market. Here are four ways the bill would increase the cost of …

The Senate Health Reform Bill Would Slash Medicaid Severely

The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter the Medicaid program. The proposed Senate bill would change the way the federal government currently funds Medicaid by limiting federal funding and shifting cost over time to both states and Medicaid enrollees. BCRA would subject older adults, adults with disabilities, expansion adults, and non-disabled children under age 19 to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the option to choose …

The Senate Health Reform Bill Would Slash Medicaid Severely

The Better Care Reconciliation Act (BCRA) now under consideration in the Senate would drastically alter the Medicaid program. The proposed Senate bill would change the way the federal government funds Medicaid by limiting federal funding and shifting cost over time to states and Medicaid enrollees. BCRA would subject older adults, adults with disabilities, and children to mandatory per enrollee caps beginning in 2020. State Medicaid programs would have the option to choose between block grants and per enrollee caps for …

Stability Fund Won’t Keep Premiums From Going Through the Roof for People With Preexisting Conditions

The American Health Care Act (AHCA), H.R.1628, allows states to create high-risk pools for people with preexisting health conditions under certain circumstances. High-risk pools are supposed to provide access to health insurance for people who cannot get coverage in the individual (non-group) health insurance market. In a previous analysis, we noted that states have never funded high-risk pools adequately. The result: A small number of consumers paid very high premiums for skimpy coverage. Many others went without health insurance because …