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Nevada governor vetoes Medicaid-for-all bill

By David Montero | Los Angeles Times

There will be no Medicaid-for-all option in Nevada.

Gov. Brian Sandoval waited until the last day he could — Friday — to veto a measure that would have offered a state-sponsored health insurance option to all residents regardless of income. If he hadn’t signed it or vetoed it by midnight, it would have become law.

Had the Republican governor signed it, however, Nevada would have become the first state to attempt a Medicaid-for-all approach to health insurance. It also would have placed Nevada among the ranks of states including California that are looking for ways to solidify health insurance options for populations that will be risk if Congress and President Trump gut the Affordable Care Act.

In his three-page veto message released Friday night, Sandoval praised the sponsor of the bill for “creativity” in attempting to design a healthcare option for the state’s 2.9 million people, but he ultimately reasoned that there were too many unanswered questions about how the program would work.

He wrote that the legislation was “an undeveloped remedy to an undefined problem” — and that it didn’t get proper scrutiny before it was passed in a short time frame.

The bill was short — just four pages — and its sponsor, Democratic Assemblyman Mike Sprinkle, acknowledged that it would require a lot of work if it had become law. That’s why, Sprinkle said, he put an implementation date of January 2019 within the bill’s text.

In a statement, he expressed disappointment by the governor’s veto.

“Healthcare is a right, not a privilege or a product. With this veto, Governor Sandoval has actively decided to veto a right that all Nevadans should have,” Sprinkle said. “I won’t give up on the fight to secure access to quality and affordable healthcare for every Nevadan — I will bring this legislation back next session.”

The measure proposed selling a Medicaid-style insurance option on the Silver State Health Insurance Exchange. Called the Nevada Care Plan, it would have been sold alongside private insurance options. It would have operated within Medicaid, but it wouldn’t be Medicaid — the latter has strict qualifications targeting low-income families.

There were worries among providers — including the Nevada Hospital Assn. — about the Nevada Care Plan reimbursing them at lower rates than the private insurance plans pay. There were also concerns — also mentioned by the governor — of the plan disrupting the current marketplace.

The legislation also faced a significant hurdle in that there would be no way for the Nevada Care Plan to be sold on the Silver State Health Insurance Exchange. The plan would also have needed permission from the federal government for consumers to use federal income tax credits to purchase it.

Sprinkle had said part of his reason for proposing the legislation was related to the uncertainty in Washington about the fate of Obamacare, which congressional Republicans and Trump have sought to repeal.

The House of Representatives successfully passed a bill to replace Obamacare, but Senate Republicans are crafting their own plan to do away with President Obama’s signature achievement.

One of the chief worries for states like Nevada centers on what will happen to people who obtained health coverage under the expansion of Medicaid under Obamacare. Medicaid is a federal-state program that helps pay for healthcare for needy, elderly, blind and otherwise disabled people and for low-income families with children.

Sandoval was one of the few Republican governors to accept Obamacare’s Medicaid expansion, and Sprinkle thought his bill might have a chance to get the governor’s signature given Sandoval’s vocal opposition to congressional moves to repeal Medicaid expansion.

In his message, the governor said the proposal — dubbed Sprinklecare — “does not end the conversation about potential coverage gaps or possible solutions, including Medicaid-like solutions.”

Nevada has about 600,000 people using Medicaid and the Medicaid expansion. About 11% of Nevada residents remain without any healthcare coverage.

“Given the possibility that changes in federal law may put Nevada’s expanded Medicaid population at risk of losing their coverage, the ability for individuals to purchase Medicaid-like plans is something that should be considered in depth,” Sandoval wrote. “If done correctly, the proposals in AB374 could provide a necessary safety net for those who may no longer have access to traditional Medicaid.”

Sandoval is term-limited and cannot seek reelection in 2018.

Aetna reverses course, may offer ObamaCare policies in Nevada

Nearly 2M fell off Obamacare coverage rolls through mid-March

By Rachana Pradhan | POLITCO

The number of Americans insured under Obamacare fell by nearly 2 million people between Jan. 31 and mid-March, according to new CMS data that found about 10.3 million still were covered through health law exchanges.

The decline reflects customers failing to pay premiums after they selected plans during the most recent open enrollment period. Roughly 12.2 million people had selected private plans through the federal HealthCare.gov exchanges and the state-run marketplaces that operate in about a dozen states as of the Jan. 31 deadline to sign up.

CMS said high costs and lack of affordability were the most common factors individuals cited when asked why they didn’t keep their coverage. A separate report on enrollment trends attributed the drop-off to other factors, including securing a job with employer-sponsored insurance.

The 10.3 million covered individuals include those who selected a plan that began in January or February and had paid their first month’s premium.

Enrollment attrition also occurred during the Obama administration, though reporting periods varied. Roughly 11.1 million people were enrolled in Obamacare plans at the end of March 2016, down from the 12.7 million people who signed up during the previous enrollment period.

The new report comes amid continued troubling news about health law insurance markets, including Anthem’s decision this month to pull out of Ohio’s Obamacare marketplace, potentially leaving 10,500 customers in 18 counties without any insurance options for 2018. Republicans in Congress have cited coverage gaps and other problems as justification for repealing the health law.

Sign-ups for Obamacare coverage declined for the first time in the 2017 season and fell below the Obama administration’s estimates for the three-month enrollment window that ended in January, according to federal data.

The Trump administration scrapped phone calls and other forms of outreach to encourage sign-ups in the finals days of the enrollment period, then reversed itself after the move sparked outcry from the law’s supporters and health insurers. Officials said they were unable to pull back some HealthCare.gov radio and TV advertising that had been purchased by the Obama administration. HHS was able to cancel about $4 million to $5 million in ads.

Mayo to give preference to privately insured patients over Medicaid patients

Pushback on Medicaid, Medicare part of a trend.
By Jeremy Olson Star Tribune

Mayo Clinic’s chief executive made a startling announcement in a recent speech to employees: The Rochester-based health system will give preference to patients with private insurance over those with lower-paying Medicaid or Medicare coverage, if they seek care at the same time and have comparable conditions.

The number of patients affected would probably be small, but the selective strategy reveals the financial pressures that Mayo is facing in part due to federal health reforms. For while the Affordable Care Act has reduced the number of uninsured patients, it has increased the share covered by Medicaid, which pays around 50 to 85 cents on the dollar of the actual cost of medical care.

Mayo will always take patients, regardless of payer source, when it has medical expertise that they can’t find elsewhere, said Dr. John Noseworthy, Mayo’s CEO. But when two patients are referred with equivalent conditions, he said the health system should “prioritize” those with private insurance.

“We’re asking … if the patient has commercial insurance, or they’re Medicaid or Medicare patients and they’re equal, that we prioritize the commercial insured patients enough so … we can be financially strong at the end of the year to continue to advance, advance our mission,” Noseworthy said in a videotaped speech to staff late last year. The Star Tribune obtained a transcript of the speech, and Mayo has confirmed its authenticity.

Mayo is hardly alone in trying to build its privately insured clientele. Hennepin County Medical Center, for example, is building a new ambulatory center and North Loop clinic in part to attract privately insured patients.

But in the diplomatic world of health care and politics, it is rare to hear a hospital leader espouse any strategy that promotes access for privately insured patients at the expense of publicly funded patients.

“The most interesting thing isn’t that it’s happening, it’s that a high level executive actually said it out loud,” said Mat Keller, who monitors health care policy and hospital finances for the Minnesota Nurses Association.

Noseworthy declined via Mayo spokespeople to be interviewed for this story. Spokesman Karl Oestreich said Mayo remains committed to publicly funded patients — who make up half the health system’s business — even with the new policy.

“We can provide the care they require for complex medical issues,” he said. “However, we need to balance requests from these patients with their specific needs — if it’s necessary for them to come to Mayo — as well as the needs of commercial paying patients.”

Read Full Article Here

IRS To Pull Back On Enforcing ACA’s Individual Mandate For Coverage.

IRS won’t withhold tax refunds if Americans ignore ACA insurance requirement

By Amy Goldstein February 15 – The Washington Post

The Trump administration is taking its first steps to put its imprint on the Affordable Care Act, reversing plans to withhold tax refunds this year from Americans who flout an insurance requirement in the law while proposing a series of rule changes to encourage insurers to remain in ACA marketplaces.The Internal Revenue Service has revoked an Obama-era instruction to taxpayers that was taking effect during the current filing season as a way to further compliance with the ACA’s requirement that most Americans carry health insurance or pay a tax penalty. Under the instruction, the IRS had announced that it would no longer process tax returns for people who fail to send a notice with their returns that they have insurance, are exempt from the requirement or are paying the fine.Instead, the agency said in a statement on Wednesday, tax returns will be processed as always, even for individuals who do not provide the required information. The IRS said the decision, made earlier this month but not previously publicized, was in line with an executive order that President Trump signed hours after his inauguration, giving agencies broad authority to lighten the burden of federal rules under the ACA.The IRS confirmed the change on the same morning that Health and Human Services officials proposed a set of rules to help protect insurers and shore up ACA marketplaces in the short term while Republicans work on demolishing the law. The proposal drew swift praise from the insurance industry and condemnation from consumer advocates and congressional Democrats.

Taken together, the moves by the IRS and HHS demonstrate the balancing act the fledgling administration is attempting with the 2010 law, which remains one of Trump’s top targets. The administration is eager to undermine as much of the ACA as it can through executive actions, but it also is eager to stave off any abrupt collapse of the insurance marketplaces covering about 10 million people — and to minimize any political fallout for the GOP.

While allowing tax refunds to keep flowing, the IRS change does not affect the actual penalty most people face for not having health coverage, which can be eliminated only through a new law. The penalty is $695 per adult or 2.5 percent of a household’s income, whichever is greater.

The proposed HHS rule would make it harder for consumers to buy health coverage outside of the law’s regular enrollment periods, give insurers power to deny new coverage to people late in paying their premiums, and create more rigorous checks of applicants’ eligibility.

At the same time, the changes would eliminate federal reviews of whether health plans in the ACA marketplaces have enough doctors and other providers of care, delegating the task to states. And by lowering how much insurers must pick up for a specific benefit package, the changes would allow them to sell plans with higher deductibles.

Read Full Article Here

President Trump’s ACA Executive Order

National Assocaition of Health Underwriters

Just hours after President Trump was sworn into office there was breaking news about the president’s executive order (EO), “Minimizing the Economic Burden of the Patient Protection and Affordable Care Act Pending Repeal.” According to the text of the order, it charges the departments and agencies associated with the enforcement of the Affordable Care Act (ACA) to ease the burden of the ACA as we transition to repeal and replace.

The EO did not repeal any part of the ACA and does not directly mention any legislation or regulation that President Trump is directing to be eased, repealed, rescinded or amended. The order serves to re-enforce the power Congress, the departments and agencies already have to move towards change through legislation and regulation. However, NAHU sees this as an opportunity for us to use the presidential message of support for change to continue our advocacy efforts with both Congress and the administration’s agencies to focus on marketplace stability.

We will continue to update you as any other EOs, legislation or regulations are released. In the meantime, all statutes and regulations enacted by the ACA continue to be in place and NAHU members should continue to work with their clients to be in compliance with the law.

NAHU: Using A Broker May Help Consumers Deal With Rising Healthcare Costs

In a piece for The Baltimore Sun  (9/26) CEO of the National Association of Health Underwriters Janet Trautwein writes that “a recent report warned that Marylanders may see premiums on the state health exchange surge by 20 percent next year.” Trautwein suggested that consumers “should seek help from insurance agents and brokers” in order to learn about different plans. She says, “using an agent often yields significant savings — premiums are 13 percent lower in counties with the most brokers.”

How to deal with rising health care costs

A recent report warned that Marylanders may see premiums on the state health exchange surge by 20 percent next year (“Marylanders face hefty rate increases for Obamacare,” Sept. 12).

Many Marylanders may look to switch plans. But before wading through a swamp of information on their own, consumers should seek help from insurance agents and brokers.

Consumers can learn about different plans from these professionals, who have an average of 10 years experience. Using an agent often yields significant savings — premiums are 13 percent lower in counties with the most brokers.

Janet Trautwein, Washington, D.C.

Family Caregivers Considered Indispensable


Family Caregivers Considered Indispensable As America’s Elderly Population Increases.

The Wall Street Journal (6/3, Levitz, Subscription Publication) reported that advocates and lawmakers are seeking more ways to help millions of unpaid family members who allow many elderly Americans to age in place and reduce the strain on programs such as Medicaid. Kathy Greenlee, assistant secretary for aging at HHS, said, “Families have always been the backbone of our system for caring for people. … Really, if we didn’t have them, we couldn’t afford as a country to monetize their care and we couldn’t replace, frankly, the love they provide to family members.”

AARP estimates some 40 million caregivers in the US provided $470 billion worth of unpaid care to adults with illnesses in 2013.

UnitedHealthcare plans to remain in three state exchanges in 2017

The insurance giant is planning to compete in just Nevada, New York and Virginia in 2017.

By Christopher Snowbeck Star Tribune


The extent of UnitedHealthcare’s exit from the nation’s health insurance exchanges became clearer Wednesday as the company said it plans to compete in government-run marketplaces for just three states next year.

Currently, United competes on the exchanges for 34 states but is retreating due to large financial losses.

United signaled late last year that a pullback was coming and updated the commentary in April by saying the insurer would remain in just a “handful” of states.

On Wednesday, a United spokesman confirmed the insurer plans to compete again next year only on the exchanges in Nevada, New York and Virginia, suggesting the company won’t be back in 31 other states.

“The individual on-exchange products filed for 2017 … may not be available in all service areas within the states referenced,” the insurer said in a notice posted to a website for brokers.

The exchanges are an option for individuals and families to obtain health insurance outside of employer groups and government programs. The online marketplaces were launched under the federal Affordable Care Act, which requires almost all Americans to have health insurance or pay a tax penalty.

UnitedHealthcare never sold policies through Minnesota’s MNsure exchange, but the insurer is an option for exchange shoppers in the neighboring states of Iowa and Wisconsin.

One carrier leaving so many state markets isn’t necessarily a huge deal in isolation, since in most cases consumers will still have choices, said Robert Laszewski, a health care consultant in Virginia. But United’s actions point to broader problems with the exchanges, Laszewski said, including financial losses for carriers, rising premiums for consumers and many potential subscribers opting out of coverage.

“If you look at in the broader sense, [it’s] just another example of the Obamacare exchanges having terrible results,” Laszewski said.

But Cynthia Cox, a researcher with the Kaiser Family Foundation, said she sees United’s moves as a response to its own difficult experience on the exchanges, rather than a statement about the overall health of the government-run marketplaces.

Cox noted that United’s independent subsidiary Harken Health will continue in Georgia and Illinois, while expanding to Florida, and suggested the insurer might simply be experimenting with a new strategy.

“It doesn’t seem like other insurance companies are following suit,” she said. “Some other insurers have found ways to be profitable on the exchanges, or at least have had better financial outcomes than United did.”


ACS Insurance, Provides choices in quality insurance and financial solutions for all Nevada residents.

If you would like more information about personalized insurance and benefit solutions, call us to schedule an appointment today (775) 425-3233. We look forward to working with you.

New Concerns for Obamacare


Insurance rates going up: New concerns for Obamacare

WASHINGTON (AP) — Fresh problems for “Obamacare”: The largest health insurer in Texas wants to raise its rates on individual policies by an average of nearly 60 percent, a new sign that President Barack Obama’s overhaul hasn’t solved the problem of price spikes.

Texas isn’t alone. Citing financial losses under the health care law, many insurers around the country are requesting bigger premium increases for 2017. That’s to account for lower-than-hoped enrollment, sicker-than-expected customers and problems with the government’s financial backstop for insurance markets.

The national picture will take weeks to fill in. With data available for about half the states, premium increases appear to be sharper, but there are also huge differences between states and among insurers. Health insurance is priced locally.

Earlier this week, North Carolina’s largest insurer said it will seek an average increase of 18.8 percent.

A recent analysis of nine states by the consulting firm Avalere Health found that average premium increases for the most popular kind of plan ranged from 5 percent in Washington state to 44 percent in Vermont.

Millions of customers will be shielded from price hikes by government subsidies, which typically cover more than 70 percent of the premiums. People who don’t have access to a workplace plan can buy a policy directly on the health law’s marketplaces.

But many consumers aren’t eligible for the income-based subsidies and get no such protection. That demographic includes small business owners, self-employed people and early retirees. Under the law, most Americans are required to have health insurance or risk being fined.

Blue Cross Blue Shield of Texas has about 603,000 individual policyholders and, unlike other insurers in the state, offers coverage in every county. In a recent filing with federal regulators, a summary of which is available on HealthCare.gov, the company said it is seeking increases averaging from 57.3 percent to 59.4 percent across its individual market plans.

In a statement, Blue Cross Blue Shield of Texas said its request is based on strong financial principles, science and data. “It’s also important to understand the magnitude of the losses … experienced in the individual retail market over the past two years,” the statement said. The company says it lost $592 million last year and $416 million in 2014.

Texas is the health care law’s third-largest market, after Florida and California. Texas state regulators said the insurer’s request is confidential and they can’t comment on it. However, Insurance Department spokesman Ben Gonzalez said the state can withdraw approval if the request doesn’t meet requirements and standards in Texas law.

Wichita Falls insurance broker Kelly Fristoe said the burden of premium increases will fall hardest on rural communities where Blue Cross Blue Shield is in many cases is the only option. Metropolitan areas like Houston, Dallas, and Austin attract more insurers.

“This is going to be a very big disrupter of the market,” said Fristoe. Some relatively healthy people “would probably be willing to roll the dice and take their chances” by dropping coverage, even if it means they might be fined.

The insurer cautioned that the average premiums filed with regulators don’t represent the true bottom line for individual consumers. Some people may find that even with a higher premium, the coverage remains a good value.

Regulators can request more information from the company, but the federal government can’t order Blue Cross Blue Shield of Texas to roll back the increases, said Larry Levitt, an expert on the health care law at the nonpartisan Kaiser Family Foundation.

“Given how much money (the company) lost, it’s likely that a substantial rate increase is merited,” Levitt said.

The Obama administration said concerns about 2017 premiums are premature and overblown.