Tag : health-insurance-exchange

Sean Sheffer Nevada Health Insurance Exchange 72M Contract Approved

Nevada has taken measures to setup an online marketplace to buy and compare health insurance policies, with the state board approval of the contract this Tuesday, under the Affordable Care Act.

The contract was worth $72 million, and was approved by the Board of examiners with Xerox State Healthcare. By October 2013, the company will set up the necessary operations and computer systems that will be needed to enroll citizens of Nevada.

Governor Brian Sandoval, Attorney General Catherine Cortez Masto and Secretary of State Ross Miller, all members of the board, worked together to approve the contract.

Funding

To fund ...

Sean Sheffer What's next for the health reform and health insurance exchanges?

Now that the Supreme Court has upheld the majority of the Affordable Care Act, including the individual health insurance mandate – the question on everybody’s plate is: "Now what?"

"We will be ready to ensure that every American has access to affordable, high quality coverage on Jan. 1, 2014," Mike Hash, an official overseeing the exchanges effort at the U.S. Department of Health and Human Services (HHS), said on Friday.

So far, 34 states have received over $850 million in grants, which will help build and operate state health insurance exchanges.

According to the Kaiser Family Foundation, 17 states ...

Sean Sheffer States Stall Health Care Preparations Waiting for Supreme Court Ruling

The Waiting Game

Facing uncertainty in the health insurance market, many states have stalled preparations for establishing health insurance exchanges. According to the Center on Budget and Policy Priorities, a total of seventeen states have placed implementations of the online market place on hold, while thirteen more states, including the District of Columbia, have already authorized creation. As for the other twenty remaining states, legislation is pending, especially as lawmakers are unsure of any steps to take without a decision by the Supreme Court.

The health insurance exchange, a key provision of the Affordable Care Act, serves as a online ...

Sean Sheffer Video: Designing a Health Insurance Exchange

 

In this video, we explore the importance and significance of health insurance exchanges.

See a great video describing the role of Health Insurance Exchanges here.

Here is the description:

“Milliman consultants and industry experts discuss the benefits and challenges of state healthcare exchanges, the dynamic between public and private plans, the importance of tailoring health exchanges to the needs of individual states, and how Milliman’s expertise can help states design a health exchange suitable for their healthcare market. Milliman consultants and industry experts discuss the importance of tailoring health exchanges to the needs of individual states.”

The video gives ...

Sean Sheffer Health Insurance Providers Market Share Graph

 

Ever wonder how much market share your healthcare provider actually has in your state?

Check out this great InfoGraphic that represents the market shares of various healthcare providers in each state.

Here’s the description of the graphic:

“Opponents of the public option claim that by being forced to compete against the government, health care companies will be at an unfair advantage. But right now, health care companies hardly have to compete at all. In most states, one health care provider controls the vast share of the market, which allows them to raise premiums far faster than the wages of ...

Sean Sheffer A Tool for Small Business Tax Credits

 

If you are a small business owner or are concerned with receiving health insurance coverage for your small business, you know that the Affordable Care Act is offering tax credits to make health insurance more affordable.

Although the notion of small business tax credits will be beneficial for the companies, the real change will be in the actuality of the details. How much will your business receive? Are you eligible? How does your subsidy change with various numbers of employees?

Thankfully, Aetna has delivered a tool that will clear up your questions so you can know what to expect in ...

Sean Sheffer More States Receive Grants for Health Exchanges

 

Have you been keeping up with your state’s progress with the setup for the exchanges?

In December, the Obama administration announced that it would award approximately $220 million in federal grants in its mission to set up the state health insurance exchanges.

As the 2014 deadline nears by, state insurance commissioners are pressed to make adequate preparations, and adhere to the deadlines set by the Department of Health and Human Services. The insurance commissioners have expressed their concerns that their respective states might not meet the deadlines, and have asked the HHS for more flexibility in their mission to ...

Sean Sheffer What the Debate over ACA Means for the 30 Million Uninsured Waiting for Coverage

 

As the States and the Obama Administration debate over the constitutionality of the health care law – the real people who take the burden are those who need health insurance coverage.

According to Estimations from the Congressional Budget Office, because of many provisions from the Affordable Care Act, such as the inclusion of young adults on their parents’ health plans, expansion of Medicaid, and the individual health insurance mandate, 30 million more Americans will have coverage by 2019.

What’s the struggle?

But these new policies are nowhere near the clearing, as states who adamantly oppose the health reform law have ...

Sean Sheffer Progress for State Health Insurance Exchanges: Michigan and Oklahoma

 

Republican Senator Rick Jones had to “hold [his] nose” while voting for a bill to set up the state health insurance exchange in Michigan.

This sentiment highlights a hesitant and awkward position the Republican-led Michigan Senate had to take in order to intitate the first steps in establishing their exchange. Although it is clear that Republicans are critical of many provisions of “Obamacare,” the vote Senator Jones made shows that at least the state would like to decide how to set up their own exchange rather then have the federal government establish one for it. From their stance they would ...

Sean Sheffer Applications for State Health Insurance Exchanges Due Fall 2012

“Crunch time.” This phrase must be running through the heads of all state governments wishing to establish their own state health insurance exchange – or else have the federal government step in.

The Department of Health and Human Services sent out a notice on November 9th, 2011, that briefly outlines what requirements an exchange must comply with in order to be funded by the federal government.

“States seeking to establish an Exchange must build an Exchange that meets the [ACA] requirements. In order to ensure that a State seeking certification as a State Exchange meets all applicable requirements the Secretary ...