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category: health insurance exchanges       

Stanford Researcher Keith HumphreysWhat the ACA means for mental health coverage

Addiction services researcher Keith Humphreys and Harold Pollack discuss health reform's implications for mental health treatment

By Harold Pollack
healthinsurance.org contributor

Perhaps the most under-covered aspect of health reform is its dramatic expansion of coverage for the treatment of psychiatric and substance abuse disorders. The Affordable Care Act’s Medicaid expansion will finance care for millions of low-income Americans, now uninsured, who suffer from these conditions.



Health Wonk ReviewHealth Wonk Review for May 9, 2013

All the news about health reform that's fit to ... uh ... blog

By Steve Anderson
healthinsurance.org editor

The latest greatest edition of Health Wonk Review is live over at Managed Care Matters and, as host Joe Paduda notes, it’s all about health care cost trends, reform implementation. This edition includes a collection of posts speculating about the likelihood of decreasing health care costs over the next decade. It also offers several pieces focused [...]



Kathleen Sebelius health plans exchangesNo shortage of health insurance ‘flavors’ ahead

Consumers shouldn't fall for headlines predicting that carriers will provide few plan options in ACA's health insurance marketplaces

By Wendell Potter
healthinsurance.org contributor

It will be almost five months before the states’ health insurance exchanges will be up and running and already we’re seeing media stories suggesting that some insurance companies will not sign up to sell their policies on the exchanges – at least not right away. “Big insurers wary of entering new Obamacare markets,” read the [...]



Families USA Affording Health Coverage26 million eligible for help paying premiums

Affordable Care Act's premium tax credits will help low- and middle-income Americans purchase private insurance coverage

By Ron Pollack
Founding Executive Director, Families USA

We at Families USA estimate that nearly 26 million Americans will be eligible for premium tax credits to help make health coverage affordable.



Obamacare is doomedACA opponents spread doubt, confusion over business exchanges

'Doomsters' grasp at opportunity to predict Obamacare's demise

By Maggie Mahar
healthinsurance.org contributor

The HHS has announced a temporary change to rules for the ACA’s SHOP program. Critics of the ACA are using the change to spread confusion and doubt about the law.



Wendell Potter testimony 2013Title of Congressional hearing said it all:

At 'Unaffordable' hearing, House Majority lawmakers wanted to hear only that reform law makes health insurance unaffordable

By Wendell Potter
healthinsurance.org contributor

I was stunned when Rep. Renee Ellmers (R-N.C.), accused me of being disingenuous because I told the story of a Florida woman who might be alive today had she not been blackballed by insurance companies after being treated for breast cancer several years ago.



Health Wonk ReviewHealth Wonk Review for March 14, 2013

By Steve Anderson
healthinsurance.org editor

The latest edition of Health Wonk Review is up, hosted over at the Health Business Blog. Thanks to David E. Williams for the great wrap-up.



Douglas-Holtz-Eakin-thumbWho is Douglas Holtz-Eakin and why is he saying such terrible things about health reform?

A preview of tomorrow’s House hearing on Obamacare

By Maggie Mahar
healthinsurance.org contributor

Douglas Holtz-Eakin uses some pretty fuzzy “facts” (and we use that term loosely) in his attempts to badmouth the Affordable Care Act.



Michael ChernewCan we control spending AND improve quality?

Michael Chernew discusses the realities of health reform's goals

By Harold Pollack
healthinsurance.org contributor

Harold Pollack continues his series of interviews with health policy experts, talking this month with Michael Chernew, Professor of Health Care Policy in the Department of Health Care Policy at Harvard Medical School. The two discuss a wide range of topics, including the ACA’s daunting goal of controlling spending while improving quality.



Escape Fire documentaryWant to fix health care? Watch this movie.

Tonight: Escape Fire, The Fight to Rescue American Healthcare

By Wendell Potter
healthinsurance.org contributor

Escape Fire, The Fight to Rescue American Healthcare, describes how health care in America has turned into a business. How the quest for money has hurt the quality of care provided to patients and how it has kept millions of us from having access to even mediocre care.



Stringer nuggetHealth Wonk Review for February 28, 2013

Insightful nuggets edition

By Steve Anderson
healthinsurance.org editor

Miss last week’s edition Health Wonk Review? No worries, it’s still up over at the Disease Management Care Blog.



stephen colbertHHS gets specific on ACA’s essential benefits

Regulations offer clarity on 10 categories of health services

By Linda Bergthold
healthinsurance.org contributor

What’s “basic” in health care is an issue of heated debate. Individuals and groups as diverse as cancer advocates, children’s hospitals, parents of disabled children, physical therapists, dentists, and optometrists have been waiting for final clarification from HHS.



health policy so fineHealth Wonk Review for February 14, 2013

The Valentine's Day Edition

By Steve Anderson
healthinsurance.org editor

The latest edition of Health Wonk Review went live over at the Health Talent Transformation Blog today.



Harold PollackThe ‘wild ride’ ahead for Obamacare

Jonathan Cohn, Senior Editor at The New Republic, talks about health reform's journey, and what's ahead for the ACA in 2013

By Harold Pollack
healthinsurance.org contributor

Harold Pollack talks with Jonathan Cohn, Senior Editor of The New Republic about the “wild ride” ahead for the Affordable Care Act, now that it’s survived a fierce Congressional battle, a Supreme Court challenge and the recent Presidential election.



IRS ruling ACAIRS ruling a ‘disaster for Obamacare?’ Not quite.

Ruling may be 'unfortunate,' but it won't leave 'millions' uninsured

By Maggie Mahar
healthinsurance.org contributor

The claim that – as a result of an IRS ruling – “millions” will be left uninsured under Obamacare is “fear-mongering, pure and simple,” says healthy policy writer Maggie Mahar.



premium predictionsThe future of YOUR health insurance premiums

Why you shouldn't believe predictions that everyone will pay more for health coverage costs under the Affordable Care Act

By Maggie Mahar
healthinsurance.org contributor

Today, many Americans are asking, “Will my premiums go up in 2014?” There is no simple answer … but the answer for many Americans is that premiums will actually fall.



Health Wonk ReviewHealth Wonk Review for January 17, 2013

The 'Inaugural' Edition

By Steve Anderson
healthinsurance.org editor

The latest edition of Health Wonk Review went live over at the Health Affairs Blog yesterday.

Host Chris Fleming decided to kick off the New Year with an “Inauguration” theme (because of the Presidential inauguration and because this is the inaugural edition of 2013). Fittingly, the review started with a collection of health policy predictions for 2013 from Health Wonk Review cofounder Joe Paduda.



Aaron Carroll interviewHow I became a health policy wonk, my favorite policy charts, and what’s ahead for health reform

A Curbside Consult with Aaron Carroll, health services researcher and health policy blogger at The Incidental Economist

By Harold Pollack
healthinsurance.org contributor

Harold Pollack talks with blogger Aaron Carroll about how he became a policy wonk, about his favorite health policy charts and the road ahead for health reform.



premiums higher under ACAWill health insurance premiums skyrocket in 2014?

Maggie Mahar: Thanks to tax credits, lower administrative costs, influx of younger customers, many will pay less for coverage

By Maggie Mahar
healthinsurance.org contributor

Health reform critics claim Americans will soon feel “sticker shock” over climbing health premiums, but Maggie Mahar says they aren’t telling the whole story … and that coverage will actually cost less for many small firms and individuals.



Will you receive a tax credit to help pay for health insurance?Obamacare’s health insurance premium subsidies:

Whether you receive a tax credit to help you purchase insurance – and its size – will depend on your income, age, and where you live

By Maggie Mahar
healthinsurance.org contributor

Beginning in 2014, millions of Americans will discover that they qualify for subsidies designed to help them purchase their own health insurance. The aid will come in the form of tax credits, and many will be surprised by how generous they are.



battle over health reformWhy Obama succeeded, why Clinton failed, and why the fight over health reform STILL isn’t over

A Curbside Consult with health policy historian Paul Starr

By Harold Pollack
healthinsurance.org contributor

Health policy historian Paul Starr, author of Remedy and Reaction, explains why Barack Obama succeeded on health reform while Bill Clinton failed … and why the battle over reform is far from over.



health reform and Senate racesFuture of health reform may turn on Senate races

Republican majority in Senate could rescind individual mandate, eliminate ACA's premium subsidies, halt Medicaid expansion

By Maggie Mahar
healthinsurance.org contributor

Even if Mitt Romney were elected, he alone could not overturn major provisions of healthcare reform. Only Congress can pass the legislation needed to change the ACA. Republicans are expected to maintain control of the House, but if Democrats hold the Senate, they will be able to block House bills aimed at eviscerating “Obamacare.”



GOP tempest in a teapotCould a missing word really kill the ACA? No.

Health reform legal expert Timothy Jost says latest perceived threat to survival of health reform law is just another costly distraction

By Maggie Mahar
healthinsurance.org contributor

Inevitably, opponents of the Affordable Care Act will continue to hunt for ways to undermine reform, says Washington & Lee law professor Timothy Jost, though “they may be shooting themselves in the foot.”



Supreme-Court-ACA-decisionSupreme Court upholds individual mandate

5-4 decision affirms constitutionality of Affordable Care Act

By Steve Anderson
healthinsurance.org editor

We celebrate this decision was a huge win for millions of Americans who have so much at stake. We’ve said it again and again … that the law’s reforms are a huge victory for women, for Baby Boomers, and especially for so many families who have faced denial of coverage because of pre-existing conditions. At the same time, we sincerely expect this will be a win for all of us who hope reforms will actually reduce costs in the long run.



Health Wonk Review Maggie MaharHealth Wonk Review

'Voices from the Blogosphere' talk about individual rights, upcoming SCOTUS decision, cell tower safety, ban on sugary drinks, and more

By Maggie Mahar
healthinsurance.org contributor

This week, Maggie Mahar edits the Health Wonk Review, a biweekly compendium of the best of the health policy blogs.



state block health insurance exchangesCan states thwart Affordable Care Act by refusing to build state health insurance exchanges?

Majority with individual health plans are eager to use exchanges; federal government ready to step in to make sure exchanges happen

By Maggie Mahar
healthinsurance.org contributor

The Affordable Care Act (ACA) calls on the states to create health insurance exchanges – marketplaces where individuals and small businesses can shop for and compare health insurance plans. Beginning in 2014, insurers peddling policies on an exchange will have to meet the ACA’s standards by covering “essential benefits,” capping out-of-pocket expenses for individuals, and [...]



waiting-for-supremes-thmbThe waiting game: anticipating the SCOTUS ruling

As nation awaits Supreme Court decision on health reform legislation, it's worth reviewing again what's at stake if ACA is struck down

By Linda Bergthold
healthinsurance.org contributor

While America waits for the U.S. Supreme Court to make its decision about health reform, is the health care system standing still?

Quite the contrary.



donate-care-thbFamily’s trip down health insurance ‘rabbit hole’ puts human face on desperately needed reform provisions

Being in wrong place at wrong time still threatens to bankrupt American families who can't afford reasonable coverage

By Harold Pollack
healthinsurance.org contributor

Two years from now, when the main pillars of health reform become operative, young families will be able to buy decent coverage through an insurance exchange. Families will receive financial help if they can’t afford to buy such coverage.



essential benefits packageHow health reform’s 10 essential benefits could improve your insurance coverage …

... and how state "flexibility" will affect your benefits

By Linda Bergthold
healthinsurance.org contributor

The fact that the Affordable Care Act defines ten mandatory categories of “essential benefits” provides a “floor” of coverage that can not be taken away. After 2014, no plan offered to individuals or small groups can exclude maternity care, prescription drugs, rehabilitation or habilitation services, or mental health services, to mention a few.



call-obamacare-thumbQuestions about the Affordable Care Act?

Operators are standing by for calls about health reform

By Steve Anderson
healthinsurance.org editor

Not entirely sure when state health insurance exchanges will take effect? Curious about Grandma’s new free preventive services? Call someone who cares.



tea-party-head-in-ground-thumbThe (tea) party’s over

America needs to move forward on health care reform

By Chuck Smith-Dewey
healthinsurance.org founder & ceo

America has always been defined by progress.  Yet the Affordable Care Act (ACA) has elements in many states trying to turn back time. Louisiana, with it’s barrel-bottom ranking of the 49th healthiest state to live in, adds to a growing list of states bucking reform as its governor refuses to set up a federally-mandated health insurance exchange, those [...]



vermont-thumbVermont moves toward single-payer

GMC could be shining example for other states

By Arlene Karidis
healthinsurance.org contributor

Vermont is a signature away from adopting an ambitious plan that would put the state on a path toward a single-payer health care system and ultimately, universal health care for its residents. When State House Bill 202 is signed by Vermont Governor Peter Shumlin on May 26th, it will be a big deal: a big [...]



gop-cuts-off-nose-to-spite-face-thumbState health insurance exchanges

Will the GOP cut off its nose twice to spite its face?

By Steve Anderson
healthinsurance.org editor

Today, we received a reminder from our friends at Families USA that the road to health reform has plenty of potholes ahead. A statement from Families USA condemns House Republican plans to vote on a bill to block the delivery of ACA grants that are intended to help states establish health insurance exchanges – the [...]



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recent posts

What the ACA means for mental health coverage

What the ACA means for mental health coverage

May 17th, 2013

Published by: Harold Pollack


Health Wonk Review for May 9, 2013

Health Wonk Review for May 9, 2013

May 9th, 2013

Published by: Steve Anderson


No shortage of health insurance ‘flavors’ ahead

No shortage of health insurance 'flavors' ahead

May 7th, 2013

Published by: Wendell Potter


Medicare Advantage – or DISAdvantage?

Medicare Advantage – or DISAdvantage?

April 18th, 2013

Published by: Wendell Potter


26 million eligible for help paying premiums

26 million eligible for help paying premiums

April 18th, 2013

Published by: Ron Pollack


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