All Articles In 'Tag Archives: 'Health Insurance''

Medicare Special Needs Plans: MedPAC Recommendations on Future of Special Needs Plans

Medicare Special Needs Plans: MedPAC Recommendations on Future of Special Needs Plans

Special Needs Plans (SNP) are part of the Medicare Advantage program and were created by the Medicare Modernization Act of 2003 (MMA). There are three types of SNPs, each intended to provide coordinated care for Medicare [...]

Multi-State Health Plans in Health Insurance Exchanges: OPM Final Rules

Multi-State Health Plans in Health Insurance Exchanges: OPM Final Rules

The federal Office of Personnel Management (OPM) had a tricky job in setting rules for multi-state health plans (MSP), which eventually will be offered in all states through Health Insurance Exchanges (HIX). The OPM had to take [...]

Federal Prescription Drug Pricing: Price Differences Between the VA and DoD

Federal Prescription Drug Pricing: Price Differences Between the VA and DoD

The prices of generic drugs vs. brand-name drugs has gathered a lot of attention lately. But buying in bulk and purchasing practices can have as much of an effect on prices as drug patents do.  That’s [...]

Health Insurance Exchange Premiums: Adverse Selection Possibly Mitigated with Taxpayer Subsidies

Health Insurance Exchange Premiums: Adverse Selection Possibly Mitigated with Taxpayer Subsidies

Fears abound that health insurance premium increases because of the Affordable Care Act (ACA) will discourage young, healthy people from participating in the Health Insurance Exchanges. But most young people are likely to be eligible for exchange [...]

Health Care Spending and Hypertension: The Cost of High Blood Pressure

Health Care Spending and Hypertension: The Cost of High Blood Pressure

Hypertension, or high blood pressure, is related to several major chronic diseases. Obesity and diabetes raise your chance of developing high blood pressure, which in turn makes you more likely to suffer from heart disease and [...]

Medicaid Expansion Through Health Insurance Marketplaces: Unresolved Questions

Medicaid Expansion Through Health Insurance Marketplaces: Unresolved Questions

The Centers for Medicare and Medicaid Services (CMS) has answered some questions about how Arkansas’s creative plan to expand Medicaid under the Affordable Care Act (ACA). The plan, which Gov. Mike Beebe put forward, would use [...]

Employer Mandate and Penalties Under the Affordable Care Act: Understanding the New $130 Billion Tax

Employer Mandate and Penalties Under the Affordable Care Act: Understanding the New $130 Billion Tax

Under the new employer mandate imposed by the Affordable Care Act (ACA), employers will pay about $130 billion in penalties over the next 10 years.  The ACA employer mandate is highly complex and employers have many [...]

Impact of ACA on Employer-Sponsored Insurance: Costs, Taxes, and Enrollment Effects

Impact of ACA on Employer-Sponsored Insurance: Costs, Taxes, and Enrollment Effects

Employer-sponsored insurance (ESI) has been central to the U.S. health care system. The Affordable Care Act (ACA) adds many requirements and imposes many costs on employers that could change how – and if – they offer [...]

Impact of ACA on Health Premiums and Enrollment: Society of Actuaries Estimates of Health Reform Law

Impact of ACA on Health Premiums and Enrollment: Society of Actuaries Estimates of Health Reform Law

Love it or hate it, the Affordable Care Act is unprecedented in size, scope, complexity, and uncertainty.  To project its impact, numerous policy, economic, competitive, and behavioral factors must be considered and assumptions made.  From an [...]

Women’s Health Spending: Expenditures on Common Conditions for Young Women

Women’s Health Spending: Expenditures on Common Conditions for Young Women

One of the most talked-about aspects of the Affordable Care Act (ACA) is how it will affect women’s health care. The biggest After 2014, health plans will no longer be allowed to charge different premiums based [...]