profishingrods.com
profishingrods.com September 18, 2018


Trump administration takes another swipe at 'Obamacare'

10 July 2018, 09:23 | Randall Craig

Trump administration freezes Obamacare payments, citing court decision

President Donald Trump speaks about health care from the White House in Washington. The Trump administration says it’s freezing payments under an Obamacare program that protects insurers with sicker patients

The Trump administration announced Saturday that it will temporarily halt billions of dollars in payments under the Affordable Care Act's risk adjustment program, a move that could shake up insurance markets.

The Centers for Medicare and Medicaid Services (CMS), which administers ACA programs, said on Saturday that months-old conflicting court rulings related to the risk adjustment formula prevent them from making payments. But U.S. District Judge James Browning of New Mexico ruled in February that HHS couldn't use statewide average premiums to come up with its risk-adjustment formula because the agency wrongly assumed the ACA required the program to be budget-neutral. "CMS has asked the court to reconsider its ruling, and hopes for a prompt resolution that allows CMS to prevent more adverse impacts on Americans who receive their insurance in the individual and small group markets", said CMS Administrator Seema Verma. "As a result of this litigation, billions of dollars in risk adjustment payments and collections are now on hold".

About 20 million Americans have received health insurance coverage through the program.

The funds were expected to go out this fall, the Journal reports. Initially, the decision could affect $10.4 billion in payments tied to the 2017 benefit year, .

"This decision will have serious consequences for millions of consumers who get their coverage through small businesses or buy coverage on their own. In light of this analysis, the Government can not lawfully make the cost-sharing reduction payments", the White House said after ending the payments in October 2017.

The suspension comes as insurance companies are hammering out rates for the next enrollment period.




The program is critical to markets under the Affordable Care Act because insurers with healthier consumers enrolled in plans reimburse insurers with sicker and more expensive enrollees. Many of those are self-employed people and small business owners, generally seen as a Republican constituency.

Many Trump followers often cheer cuts to Obamacare, not knowing that the Affordable Care Act and Obamacare are one in the same.

The payments were created to stop insurers from losing money on very sick patients, who cost the most to treat.

More than 10 million people now buy individual health insurance plans through HealthCare.gov and state insurance marketplaces.

"Based on guidance from the Department of Justice, the Department of Health and Human Services has concluded that there is no appropriation for cost-sharing reduction payments to insurance companies under Obamacare". Insurers were entering or returning to at least a dozen states for 2019 enrollment, while others were expanding their presence in the states in which they operate.

Insurers are pressing the administration to resolve the issue and resume the payments, arguing that premiums will rise for ObamaCare enrollees if funding is cut off.



Other News

Trending Now

Jeremy Hunt named UK's new foreign minister to replace Johnson
In her statement Prime Minister vowed to deliver "a Brexit that is in our national interest, the right Brexit deal for Britain". Under Conservative Party rules, a leadership race could be triggered if at least 48 of her MPs declared their support for one.

Thai Cave Rescue Operation Suspended After 4 More Boys Freed
The first 4 boys who were rescued the other day, aged between 12 and 16, are now allowed to eat normal food once again. They're all likely to stay the hospital for seven days due to their weakened immune systems, Chokedamrongsook said.

Elon Musk's submarine is dismissed by Thai cave rescue organisers
Witnesses say the boys freed Monday were treated at a make-shift hospital at the site, before being taken to a local hospital. The boys have been in the cave since June 23 when they were exploring the cave and unexpected rain flooded the tunnels.

India can build on T20 success, Pandya says
That was just the flawless platform for a middle-order that boasted of Alex Hales, Eoin Morgan, Ben Stokes and Jonny Bairstow. Roy, on the other hand, reached his third T20I half-century off only 23 balls, inclusive of four fours and five sixes.

George Clooney injured in bike collision with vehicle in Sardinia
He is understood to have received treatment at John Paul II hospital, but NBC News report that he has since been discharged. Earlier that month George was seen driving around the island on a scooter with Amal clinging on tightly behind him.

Turkey: President to make top military appointments
Turkish President Tayyip Erdogan announces his new cabinet at the Presidential Palace in Ankara, Turkey July 9, 2018. Turkey also faces a widening current account deficit making it reliant on weak foreign investment to plug the gap.

Princess Charlotte waves at christening
Both Kate Middleton and Meghan Markle looked gorgeous, as usual, but Princess Charlotte pulled off a wonderful look as well. It's also where the coffin of Diana, Princess of Wales laid for a week before her burial.

Sweet 16 for Roger Federer at Wimbledon
The Spaniard hit back immediately though and sealed victory on his third match point when Vesely served at 4-5. She beat the ninth-seeded Williams in the third round after coming from a break down in the third set.

Five things and more you should know about Belgium v France
On Tuesday, the count will be whittled down to three when two heavyweights of the game clash in Saint Petersburg. What's next: The victor will face the victor of England and Croatia in the World Cup final Sunday in Moscow .

Microsoft teases a possible Surface launch tomorrow morning
The Go weighs 1.15 lbs, a little heavier than the iPad, but also about half a pound lighter than the beefier Surface Pro . Microsoft promises the Surface Go can handle productivity apps like Office and casual apps like Spotify and Netflix.