Charles Gaba's blog

via the Centers for Medicare & Medicaid Services:

Builds on President Biden’s Historic Commitment to Create a Long-Term Care System Where People Can Live with Dignity 

Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), issued a proposed rule that seeks to establish comprehensive staffing requirements for nursing homes—including, for the first time, national minimum nurse staffing standards—to ensure access to safe, high-quality care for the over 1.2 million residents living in nursing homes each day. This proposed rule builds on the President’s historic Action Plan for Nursing Home Reform launched in the 2022 State of the Union.

Connecticut

via Access Health CT:

These free, in-person events will take place in Litchfield, New Britain, Vernon and Willimantic

HARTFORD, Conn. (Aug. 30, 2023) — Access Health CT (AHCT) can help eligible Connecticut residents enroll in HUSKY Health, the state’s Medicaid program, and Qualified Health Plans. To help residents understand the types of health coverage available to them, AHCT will host free, in-person enrollment fairs in September and October. Many HUSKY Health clients have been affected by “Medicaid Unwinding,” a term the federal government is using to describe the process of resuming reviewing households for Medicaid eligibility after a three-year break during the Public Health Emergency. The eligibility redetermination process resumed April 1 and HUSKY clients will be notified when it is their turn to enroll.

Back in June, the New York Department of Financial Services published the preliminary annual rate filings for both the individual and small group health insurance markets. At the time, the NY DFS put the weighted average rate increases on the ACA-compliant individual market at 20.9% statewide, although my own calculations based on the officially-reported market share enrollment came in slightly lower, at 20.7%.

Meanwhile, they put small group market, NY DFS put it at a 15.3% average increase (almost identical to my 15.4%).

However, I made sure to include an important caveat:

It's important to remember that these are not final rate increases--New York in particular has a tendency to slash the requested rate hikes down significantly before approving them.

Well, today NY DFS has published the final/approved rate changes for 2024...and lo & behold, my caveat proved completely on point:

WGA SAG-AFTRA

As the Writers Guild of America's ongoing strike enters its fifth month (and the Screen Actors Guild-American Federation of Television and Radio Artists, or SAG-AFTRA, approaches 50 days with their own strike for similar demands), Jackie Fortier has an interesting article at NPR about one of the less-discussed aspects which is often much higher profile in union strikes: Health insurance:

The health insurance offered by both unions is predicated on the notion that it is for members who work consistently and lucratively enough to make a minimum amount of money.

...the policy offered by the screenwriters guild, for instance, feels like a holdover from a bygone age. It has no monthly premiums, costs $600 per year to cover the rest of your immediate family and has deductibles that are in the hundreds – not thousands – of dollars.

Note: This is an update to the preliminary rate filings posted back in June.

At the time, the weighted average rate increases requested by insurance carriers in Maine were a steep 17.9% hike for the individual market and a 15.8% increase on the small group market.

More recently, the Maine Insurance Dept. has reviewed and approved modified 2024 rate changes, including knocking down the rates by several points in some cases (while raising a few dramatically on the small group market):

Overall, individual and small group rate increases are still pretty bad, but not as steep as they looked a few months ago: +14.6% in both cases.

ORIGINAL ENTRY BELOW

via the Centers for Medicare & Medicaid Services (CMS):

CMS Takes Action to Protect Health Care Coverage for Children and Families

  • States must assess and fix their systems so eligible children and families can stay covered. 

Today, and as part of its ongoing work to make sure all Americans have access to health care coverage, the Centers for Medicare & Medicaid Services (CMS) sent a letter to all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands requiring them to determine whether they have an eligibility systems issue that could cause people, especially children, to be disenrolled from Medicaid or the Children’s Health Insurance Program (CHIP) even if they are still eligible for coverage, and requiring them to immediately act to correct the problem and reinstate coverage.

In July, Covered California announced the preliminary weighted average 2024 premium rate changes for the ACA individual market. They still haven't released the final/approved rates, or the small group market average rate changes, but today they released the final rate changes for standalone dental plans:

SACRAMENTO, Calif. — Covered California announced that the statewide weighted average rate change for dental coverage in 2024 will be 4.31 percent. The rate increase is the first since 2020 and continues a trend of holding costs steady for consumers.

New York State of Health

via NY State of Health:

Marketplace Hosts Informational Campus Events, Enrollment Assistors Help Eligible New Yorkers Maintain Health Coverage as Renewal Deadlines Approach

ALBANY, N.Y. (August 28, 2023) – NY State of Health, the state’s official health plan Marketplace, today announced a state-wide college campaign, with informational events taking place on campuses as students return. Certified enrollment assistors will be available in popular spots on campus to educate students on affordable, quality health insurance through the Marketplace, and help current enrollees renew their coverage.

via Connect for Health Colorado:

There Are Just a Few Days Left for Friday Health Plans Customers to Avoid a Gap in Coverage 

08/29/2023

  • Customers must enroll in a plan by this Thursday to have coverage that starts Sept. 1

DENVER— Friday Health Plans customers have less than three days to choose a new health insurance plan before their current health insurance coverage ends. Last month, the Colorado Division of Insurance announced that it had asked the courts to move Friday Health Plans into liquidation, ending coverage for all Friday Health Plans customers on August 31, 2023. Connect for Health Colorado, the state’s official health insurance marketplace, continues to urge Friday Health Plans customers to sign up for a new plan on or before this Thursday, August 31, to avoid a gap in coverage.

via the Centers for Medicare & Medicaid Services:

Since 2013, Navigators have helped Americans understand their health insurance options and facilitated their enrollment in health insurance coverage through the Federally-facilitated Marketplace (FFM). As trusted community partners, their mission focuses on assisting the uninsured and other underserved communities. Navigators serve an important role in connecting communities to health coverage, including communities that historically have experienced lower access to health coverage and greater disparities in health outcomes. Entities and individuals cannot serve as Navigators without receiving federal cooperative agreement funding, authorized in the Affordable Care Act, to perform Navigator duties.

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