Extreme Healthcare Chaos

Stethoscope with American Flag Reflection on Wooden Table.

Turmoil by executive order again… On Thursday, President Trump threw two more giant logs on the raging healthcare marketplace fire by ordering the discontinuance of federal funding for cost-sharing subsides for low income Americans and by directing the Secretary of Labor to provide guidance on liberalizing association healthcare plan rules. Cost-sharing subsidies made healthcare affordable… [Read More]

Healthcare Reform… More of the Same

Healthcare in the Trump Era Takes Its First Step

The Senate is making one last-gasp effort to repeal ACA… Well, not actually repeal, just reconfigure. Lindsey Graham and Bill Cassidy have sponsored a bill, which will be eligible for consideration under budget reconciliation rules (i.e. 51 votes required to pass and not subject to filibuster). Under the bill the amounts paid by the federal… [Read More]

States Petition to Chart Their Own Healthcare Course

States Petition to Chart Their Own Healthcare Course

­­The Trump administration has indicated a willingness to liberalize the Section 1332 State Innovation Waiver under the Affordable Care Act (ACA) to make it easier for states to provide affordable coverage. So far, only Hawaii has been granted the ability to deviate from the ACA, but now Iowa will be testing the President’s stomach on… [Read More]

The Biggest Issue in Healthcare Reform Today

presidential election health policy

Now that the GOP’s plan to remake healthcare by fiat seems to be failing, the Trump administration has once again pulled out one of its aces in the hole. Funding of cost sharing subsidies is the biggest issue today in the debate, viewed by the health insurance industry as “the single most destabilizing factor in… [Read More]

It’s a Legislative Circus Out There

It’s a Legislative Circus Out There

My predictive skills have been working pretty well on healthcare reform. I suggested that it wouldn’t be easy or quick. I thought the House would fall in line and the Senate would eke something out – and that it ultimately will come to a thumbs up / thumbs down in both houses of Congress. With… [Read More]

ACA Penalties – Not Gone Yet

ACA Penalties – Not Gone Yet

Although the Trump Administration has clearly signaled that enforcement of the individual penalty will not likely be a target for 2017, it is not as clear concerning the employer penalty. Earlier this month the Treasury Department issued its report titled “Affordable Care Act: Assessment of Efforts to Implement the Employer Shared Responsibility Provision.” The Treasury… [Read More]

What’s Next for Healthcare Reform?

What s Next for Healthcare Reform

The failure of the GOP to pass the American Health Care Act is a major issue for the Republican Party. Recent polling has shown that blame for healthcare exchange failure will fall to them and they will be unable to point their finger at the Obama administration since they are now the party in control. President… [Read More]

Are Association Health Plans a Good Idea?

Are Association Health Plans a Good Idea

A topic often discussed in the healthcare debate is Association Health Plans (AHPs). Proponents believe that small businesses with a common thread should be able to join together to purchase healthcare in the same way larger employers do, negotiating component costs with bargaining clout of the combined employee lives. And recently, the “Small Business Health… [Read More]

Healthcare is No Comedy

Healthcare is No Comedy

I looked back to my November 9th, 2016 blog – yes, the day after the election. And then I reread President Trump’s powerful speech to Congress this week. Our president, it seems, really knows how to stay on track. He says exactly what he thinks over and over again and then tries to get it… [Read More]

Healthcare Reform – It’s Not as Easy as It Looks (and It Didn’t Really Look That Easy Anyway)

Healthcare Reform – It s Not as Easy as It Looks

The IRS now says that they are not equipped to test the accuracy of ACA health information to validate the premium and cost sharing subsidies that were given out over the past years. Unbelievably, for 2015 the IRS expected 77 million Form 1095-Cs and actually got 104 million forms. And of these forms, 5.4% (or 5.6… [Read More]