Latest Morning Briefing Stories
‘Pennie’-Pinching States Take Over Obamacare Exchanges From Feds
Pennsylvania and New Jersey are leaving the federal marketplace this fall to save money and will start their own insurance exchanges. Kentucky, New Mexico, Virginia and Maine are looking to join them in 2021 or beyond.
Primary Care Doctors Look at Payment Overhaul After Pandemic Disruption
Many physicians were forced to close their offices — or at least see only emergency cases — when the pandemic struck. Because they are generally paid piecemeal for every service, they suffered big losses, leading to layoffs and pay cuts. Some doctors say they now are looking to overhaul the way they get paid.
‘An Arm and a Leg’: Financial Self-Defense School Is Now in Session
Starting in August 2020, a new episode every other week. No time like a pandemic to learn more about how to fight the high cost of health care.
KHN’s ‘What the Health?’: Still Waiting for That Trump Health Plan
President Donald Trump keeps promising a comprehensive plan to replace the Affordable Care Act. And he keeps not delivering. Meanwhile, members of Congress and White House officials seem unable to agree on a new COVID-19 relief bill. And Missouri becomes the sixth state where voters approved a Medicaid expansion ballot measure. Tami Luhby of CNN, Alice Miranda Ollstein of Politico and Kimberly Leonard of Business Insider join KHN’s Julie Rovner to discuss this and more. Plus, for extra credit, the panelists recommend their favorite health stories of the week they think you should read, too.
Missouri Voters Approve Medicaid Expansion Despite GOP Resistance
Missouri is the sixth state to use a ballot initiative to extend Medicaid eligibility. Most of the remaining states that have not expanded Medicaid are Republican-leaning states in the South.
Covered California Announces Record-Low Rate Hike for 2021
Health plans offered through Covered California, the health insurance exchange, will increase premiums by a statewide average of 0.6% next year. Health insurers reported strong profits in the second quarter of 2020 as their expenses plunged because of fewer surgeries and patient visits for non-COVID treatment.
Covered California anuncia una baja récord en las primas para 2021
Covered California brinda cobertura a aproximadamente 1.5 millones de californianos que compran su propio seguro. Alrededor del 90% de ellos reciben asistencia financiera.
Don’t Count on Lower Premiums Despite Pandemic-Driven Boon for Insurers
Early in the pandemic, insurers expected the costs of treating COVID-19 would vastly increase medical spending. Instead, non-COVID care has plummeted and insurers have pocketed the result. Still, few industry observers are predicting broad-based premium cuts in 2021, though some health plans have proposed lowering their rates.
Missourians to Vote on Medicaid Expansion as Crisis Leaves Millions Without Insurance
Around the country, Medicaid enrollment is up as people who have lost jobs during the pandemic seek health insurance. Expanding eligibility for Missouri’s program, which could help thousands of recently unemployed residents, will be on the ballot Tuesday.
Medi-Cal Agency’s New Head Wants to Tackle Disparities and Racism
Will Lightbourne, the new director of the California Department of Health Care Services, says government must address the racial disparities laid bare by COVID-19 and improve care for the state’s most vulnerable residents.
The COVID-19 Downturn Triggers Jump in Medicaid Enrollment
For the first time since 2017, Medicaid enrollment has begun increasing again, but not by as much as many analysts expected.
Last Thing Patients Need During Pandemic: Being Last to Know a Doctor Left Network
Health plan network changes occur all the time as doctors retire, relocate or leave networks. Unfortunately, patients may be the last to find out about such changes because there are often few requirements that either providers or insurers inform them.
With DACA Ruling, Did Supreme Court Grant Trump New Powers To Reshape Health Care?
There’s a theory now being embraced by President Donald Trump that the Supreme Court’s recent DACA decision makes it harder for a new president to undo the executive action of a predecessor. He cited it in a recent interview, saying that finding gave him the power to issue new health care and immigration plans. And some legal scholars disagree.
Medicaid Mystery: Millions of Enrollees Haven’t Materialized in California
State officials had projected that 2 million Californians would join Medi-Cal, the state’s health insurance program for low-income people, by July because of the economic devastation wrought by COVID-19. Yet enrollment has barely budged, and why is unclear.
Another Problem on the Health Horizon: Medicare Is Running Out of Money
With millions out of work because of the coronavirus pandemic, fewer payroll taxes are coming in to help keep Medicare’s trust fund intact.
Administration Eases Rules to Give Laid-Off Workers More Time to Sign Up for COBRA
Under the federal COBRA law, people who lose health coverage because of a layoff or a reduction in their hours generally have 60 days to decide whether to pay to maintain that coverage. But under new regulations, the clock won’t start ticking until the government says the coronavirus national emergency is over, and then consumers will have 120 days to act.
For COVID Tests, the Question of Who Pays Comes Down to Interpretation
Additional guidance issued late last month by the Trump administration added to the confusion. Some consumers may find themselves unexpectedly on the hook for the cost of a test.
KHN’s Midwest correspondent Lauren Weber drills through the vital health care policy stories of the week, so you don’t have to.
Azar Says Federal Law Had Preexisting Conditions Covered Before ACA. Not So Much.
This appears to be an overstatement.
Could Trump’s Push To Undo The ACA Cause Problems For COVID Survivors? Biden Thinks So.
The speech by the presumptive Democrat presidential nominee was delivered the same day the Trump administration reaffirmed its support of a lawsuit that would invalidate all of the Affordable Care Act, including the law’s preexisting condition protections.
