The Scoop: October 16 Version


Welcome to this week’s round-up of state-level well being reform information, together with:

Open enrollment underway in California; window purchasing out there in a number of states

Open enrollment for 2020 well being plans has begun in California. (It begins all over the place else on November 1.) Minnesota’s state-run trade, MNsure, has now enabled window-shopping for 2020 well being plans. Window purchasing had already begun earlier within the month in California, Maryland, Idaho, Nevada, and New York.

Medicare open enrollment began October 15

For the 61 million Individuals are coated by Medicare, open enrollment is now underway nationwide, and continues by December 7. Medicare beneficiaries can change their prescription drug plan, swap from Unique Medicare to Medicare Benefit or vice versa, or swap from one Medicare Benefit plan to a different. Protection adjustments take impact January 1.

Enrollment in Idaho’s expanded Medicaid begins November 1 (protection takes impact January 1)

Though Medicaid enrollment is on the market year-round for eligible people, Idaho is increasing Medicaid eligibility as of January, and people who find themselves eligible below the brand new tips can start to enroll as of November 1.

Enrollment now underway as North Carolina transitions to Medicaid managed care

Though North Carolina has not expanded Medicaid below the ACA, the state is within the technique of implementing a long-planned transition to Medicaid managed care. Enrollment is now underway, and most Medicaid enrollees within the state want to pick a managed care plan by mid-December. Protection below the managed care program will start in February 2020.

Judges categorical considerations about Medicaid work necessities

Earlier this 12 months, a federal decide struck down Medicaid work necessities in Arkansas and Kentucky (and New Hampshire) over considerations that folks would lose protection. When the U.S. Court docket of Appeals for the District of Columbia heard oral arguments within the attraction final week, all three judges on the panel expressed considerations about protection losses, casting doubt on the way forward for Medicaid work necessities.

Authorized battle over ‘captive’ brokers in Florida continues

Final month we advised you about how Florida Blue prevents insurance coverage brokers from displaying their purchasers plans from different insurers, and about Oscar Well being’s lawsuit to attempt to change this, which was dismissed by a decide in September. However Oscar appealed this week, so there might nonetheless be a future ruling that forestalls Florida Blue from requiring brokers to solely present purchasers plans provided by Florida Blue. However for now, customers in Florida want to concentrate on the present guidelines and be certain they’re seeing all of their out there plan choices earlier than buying protection.

California busy enacting healthcare laws

California has enacted a number of items of laws associated to healthcare, together with measures that deal with nurse staffing ranges in hospitals, personal insurance coverage reimbursement for dialysis facilities, and vaccine exemptions. Healthcare journalist Ana B. Ibarra has a radical abstract of the state’s newly enacted laws.

Louise Norris is a person medical health insurance dealer who has been writing about medical health insurance and well being reform since 2006. She has written dozens of opinions and academic items concerning the Inexpensive Care Act for Her state well being trade updates are repeatedly cited by media who cowl well being reform and by different medical health insurance consultants.


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