Healthcare reform

The story of President Barack Obama's mother's fight with insurance companies as she suffered from cancer is still compelling, despite a recent book's suggestion it was embellished during the campaign, a White House spokesman said.

As major market changes loom, one report says health insurance providers that wish to access this giant pool of potential customers will need to shift toward a consumer-focused model.

Although the National Association of Insurance Commissioners on July 12 tabled their support of H.R. 1206, a bill that would exclude insurance agents’ compensation from the medical loss ratio equation, “there’s a lot of work still to be done on this issue and we look forward to our continuing work with the NAIC, HHS and Congress to find a suitable solution,” says Brianne Mallaghan, director of communications for The Council of Insurance Agents & Brokers.

State insurance exchanges -- mandated to start operating in 2014 to offer one-stop health insurance shopping for individuals and small businesses --could sell up to $60 billion in policies during their first year and nearly $200 billion by 2019, according to estimates from consultancy/research firm PricewaterhouseCoopers.

A new report examines how states can create health insurance exchanges, mandated under the Affordable Care Act, to provide Web-based one-stop shopping to individuals and small businesses to compare health benefit plans and purchase coverage. The Center for American Progress, a Washington-based nonpartisan research and educational institute; and the Small Business Majority, a not-for-profit research and advocacy firm, developed the report. It lays out basic principals to consider when creating an exchange, five important decisions that…

The Obama administration offered states more flexibility in setting up new health insurance exchanges, an apparent effort to bring local authorities on board with a key part of a health care overhaul.

U.S. deficit-reduction negotiators are looking at imposing new limits on existing tax breaks for employer-provided health insurance, a senior Democrat in the U.S. House of Representatives said Friday.

The National Association of Health Underwriters commends the June 30 decision of a National Association of Insurance Commissioners broker task force to endorse a bill in Congress that would provide state insurance regulators more freedom when it comes to the medical loss ratio implementation.

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The authors of the Patient Protection and Affordable Care Act would be quick to point out that our plan is not required to cover dependent children — but we do have to cover the 26-year-olds if we want to cover the newborns and preschoolers. Some choice.

Will the new health plan law make health coverage more expensive for your firm or staff? The Robert Wood Johnson Foundation released a report this week saying that for companies with fewer than 50 workers, costs should drop.

As controversy continues to brew over the validity of a McKinsey survey finding 30% of respondents would likely drop employee health care coverage in the years following the implementation of health reform’s state exchanges, a survey on the same topic from Lockton reveals a more conservative estimate: nearly one in five employers (18%) say they will consider terminating group coverage.

Fewer Americans are getting medical coverage through their jobs than a decade ago but the 2010 U.S. health care law should help stabilize employer-sponsored insurance, two studies released on Tuesday showed.

The Health and Human Services Department stopped accepting ERRP applications on May 6, and announced nearly half of the $5 billion earmarked for the program had been approved for payout to employers. However, Senators John Kerry, Debbie Stabenow, Richard Blumenthal and Ben Cardin recently introduced a new measure that would infuse another the $5 billion into ERRP.

President Obama signed legislation in April repealing the expanded 1099 reporting requirements in the health care reform law and Small Business Jobs Act.

The Employers Council on Flexible Compensation is fighting to repeal parts of the health care reform law that establish annual caps for flexible spending accounts and require a prescription for over-the-counter medications to be reimbursed under FSAs. It also is pushing for a change to allow for a cash out at the end of the year in place of the use-it-or-lose-it system that dates back to the 1980s.

Last week's survey results from McKinsey, which found 30% of employers plan to drop health benefits after PPACA-mandated exchanges open in 2014, may be the product of flawed methodology, according to news reports.

One of the more contentious issues of last year’s health care reform debate, whether health insurance companies should be allowed to sell policies across state lines, was subject to a congressional hearing last week.

New steps to reduce premiums and make it easier for Americans to enroll in the federally administrated Pre-Existing Condition Insurance Plan risk pool were announced May 31 by the U.S. Department of Health and Human Services.

One of the more contentious issues of last year’s health care reform debate, whether health insurance companies should be allowed to sell policies across state lines, was subject to a congressional hearing last week.