The Scoop: September 25, 2019 Version


Right here’s a take a look at the most recent state-level well being insurance-related information.

Common individual-market premiums barely budging for 2020

As we get nearer to open enrollment for 2020 well being plans, an rising variety of states have finalized individual-market premiums. At ACASignups, Charles Gaba has spent months monitoring common fee adjustments for subsequent 12 months, and his information now embrace closing charges for greater than a 3rd of the states. At this level, the typical fee change nationwide is wanting like a zero.1 p.c improve, which works out to about one greenback per 30 days.

Quick-term plans with longer length now out there in Arizona

A brand new Arizona regulation – permitting short-term well being plans to observe federal tips – took impact on the finish of August. This implies short-term plans in Arizona can have preliminary phrases of as much as 364 days, and whole length, together with renewals, of as much as 36 months. As of mid-September, many of the short-term plans on the market in Arizona are nonetheless capped at six months, however there are just a few plans out there now with 364-day phrases. Arizona is considered one of 18 states following federal tips for short-term plans.

Decide permits Florida Blue to require brokers to be captive

Florida Blue is the dominant individual-market insurer in Florida, with greater than one million enrollees. And the provider requires its brokers to signal exclusivity contracts, stopping them from promoting every other insurers’ plans. Oscar entered the market in Orlando as of 2019, and promptly sued Florida Blue over this tactic. The U.S. Division of Justice sided with Oscar, however a Florida decide has dismissed the case, permitting Florida Blue to proceed to ban brokers from displaying their shoppers every other insurers’ plans.

Indiana residents file go well with to dam Medicaid work requirement

Indiana is slowly phasing in a brand new work requirement for Medicaid growth enrollees. The requirement is at present set at 20 hours per 30 days, however will ramp as much as 80 hours per 30 days by subsequent summer season. This week, 4 Indiana residents filed a federal lawsuit to dam the work requirement, so its future is unsure. [In rulings that are being appealed, a federal judge has overturned Medicaid work requirements in Kentucky, New Hampshire, and Arkansas. But Indiana’s program is less draconian in terms of how coverage is terminated due to non-compliance and how soon it can be reinstated.]

Michigan enacts a regulation to make Medicaid work requirement reporting much less onerous

Michigan’s Medicaid work requirement is slated to take impact in January. However new laws was enacted this week in an effort to scale back the executive burden and make it a bit simpler for enrollees to report their work actions to the state. Nevertheless, lawmakers have rejected Governor Gretchen Whitmer’s proposal to allocate $10 million to a public info marketing campaign aimed toward making certain individuals perceive the work requirement and are capable of adjust to it.

New Hampshire spent $187,000 attempting to get individuals into compliance with Medicaid work requirement

New Hampshire’s Medicaid work requirement was scheduled to start this summer season, though its begin date was delayed from June till September and a federal decide finally overturned the work requirement in July. Earlier than the court docket’s ruling, New Hampshire spent $187,000 in efforts to achieve out to Medicaid enrollees and assist them come into compliance with the work requirement. However the state’s efforts fell far brief, reaching solely a small fraction of the individuals who would have been topic to the work requirement, and highlighting the challenges inherent in avoiding inadvertent protection losses underneath Medicaid work necessities (to be clear, protection losses are typically a characteristic, not a bug, however they’re additionally the rationale three states’ work necessities have been overturned).

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


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