What’s New and What To Watch For in the Upcoming ACA Open Enrollment Period
This year’s start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.
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This year’s start date in most states is Nov. 1, and consumers may encounter new scams as well as important rule changes.
On another front in reproductive rights, Florida's Health Department has promised legal action against a local TV network if it continues to run a campaign ad advocating for the right to abortion care. Also, longtime abortion critic Sen. Ted Cruz, R-Texas, is curiously quiet about the subject these days.
Former President Donald Trump had previously promised to bring back an executive order he signed in 2020 to ensure Medicare paid no more than other developed nations for prescription drugs, but Stat reports he has now backed away from it. Also, a preview of health-related cases on the Supreme Court docket.
The Centers for Medicare and Medicaid Services released the proposed regulation Friday to update rules governing the Affordable Care Act that would enable stricter oversight of health insurance marketers. Bad actors have been switching people's health plan enrollment without permission.
The 2024 presidential race is taking on a familiar tone — with Democrats accusing Republicans of wanting to ban abortion and repeal the Affordable Care Act and Republicans insisting they have no such plans. Voters will determine whom they believe. Meanwhile, for the second time in a month, a state judge overturned an abortion ban, but few expect the decision to settle the matter. Alice Miranda Ollstein of Politico, Sandhya Raman of CQ Roll Call, and Anna Edney of Bloomberg News join KFF Health News chief Washington correspondent Julie Rovner to discuss these stories and more. Also this week, Rovner interviews KFF Health News’ Lauren Sausser, who reported and wrote the latest KFF Health News-Washington Post “Bill of the Month,” about a teenage athlete whose needed surgery lacked a billing code.
New research shines a light into schizophrenic auditory hallucinations: They may be linked to "noisy" or "broken" motor signals sent across the brain when people are preparing to speak. In other mental health news: marijuana use, a potential KP mental health worker strike, gun laws in Massachusetts, and more.
Also in news from around the nation: a hospital requirement in Florida and Texas to ask patients about their immigration status, a new health care option for small businesses in Oklahoma, and more.
The government bill for the law might mean less cash will be saved than hoped, Stat reports. The Medicare Part D drug benefit is estimated to cost $10 billion to $20 billion more in 2025 than projected. Meanwhile, Texas sues PBMs, drugmakers over insulin pricing.
In changing the negotiation process, the Centers for Medicare & Medicaid Services is encouraging more back and forth before making initial offers on medicines pegged for lower costs.
The Republican vice presidential candidate's suggestion to tinker with the ACA raises fear that folks with chronic health conditions would pay more. Policy experts note his contradicting statements. “Anything that separates out pre-existing conditions is doomed to utter failure,” one said.
Humana's stock took a tumble after the provider admitted to the SEC that only about 1 in 4 of its members were signed up to Medicare Advantage plans rated four stars or more. Meanwhile, CMS is making it harder in 2025 for insurers to get top marks, due to changes in the way stars are calculated.
The former president instead favored a temporary model that could’ve brought down prices of some prescription drugs, but it was blocked by the courts.
The vice presidential debate showcased the very different views of Ohio Republican Sen. JD Vance, Donald Trump’s running mate, and Democratic Gov. Tim Walz, Kamala Harris’ VP pick, on health policies past and present.
Respondents in the Gallup Poll of more than 3,600 adults ages 18 and older also said health care isn't getting as much attention as it should. In other election news, Kamala Harris goes on an ad blitz, and Donald Trump downplays troops' brain injuries as "headaches."
In related news, the Debt Fairness Act went into effect Tuesday in Minnesota. Also, Chinese and U.S. health officials agree to increase cooperation on global health affairs, and more.
The announcements by Cigna, CVS, Humana, Centene, and UnitedHealth were made ahead of the beginning of Medicare Advantage enrollment, which begins Oct. 15. Among other news, a top California health plan will offer one of the world's top-selling drugs, Humira, for free to show how skirting middlemen can improve drug affordability.
As of Tuesday, it's illegal in Florida to sleep on sidewalks, in parks, on beaches, or in other public spaces. Other news from around the nation is on medical marijuana in Arkansas, accusations of bias against Walmart, and the aftermath of Hurricane Helene.
CDC data also show that subvariant KP.2.3 is responsible for around 1 in 10 new cases. The two "KP" variants are part of a covid variant group known as “FLiRT." Meanwhile, Brigham researchers revealed a drug-free nasal spray that may block covid infections, and also flu and colds.
While Republican JD Vance tried to sell viewers on the notion that Donald Trump sought bipartisanship changes to the Affordable Care Act, Democrat Tim Walz reminded them that the GOP's repeated efforts to repeal and replace the health care law failed, starting with the late John McCain's thumbs-down vote.
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