Ahead of Medicare open enrollment, the CMS said seniors enrolled in traditional Medicare will pay slightly higher premiums and deductibles in 2019.
Job-based insurance premiums rose modestly this year, continuing a yearslong stretch of relatively low premium increases. But there's a trade-off: Average annual deductibles have risen.
Average monthly premiums for Medicare Advantage will hit a three-year low next year at $28 a month, according to the CMS. Plan enrollment is expected to rise to 22.6 million, encompassing more than 36% of Medicare beneficiaries.
HHS Secretary Alex Azar outlined what he called the failures of the Affordable Care Act, including rising premiums and limited plan choice, but said the Trump administration has helped right those failures.
Maryland joins several states that have implemented reinsurance programs to help stabilize their individual insurance markets in the face of rising premiums and shifting market rules.
Premiums for Affordable Care Act individual insurance coverage are set to rise much more modestly in 2019 than in previous years. But those hikes could have been even lower without Trump administration and congressional action last year.
Large employers and their employees will pay more for health coverage in 2019, even as some companies dial back their use of high-deductible health plans to control spending.
Wisconsin and Maine scored federal approval to launch reinsurance pools via 1332 waivers. Thanks to the waivers, premiums in the state could drop and individual-market enrollment could increase due to lower coverage costs.
Alabama and Illinois are the first states to take advantage of new flexibility to define the essential health benefits that certain insurers must provide. Their approaches show how some seek to bolster their ACA markets while others weaken them.
Anthem's policy led to a big spike in coverage denials among ED patients in three states last year, according to a senator's report. But Anthem ended up reversing the majority of denied claims that patients appealed.
The Trump administration is halting billions of dollars of payments to insurers under the Affordable Care Act's risk-adjustment program, a move that further disrupts the insurance market and could lead to more premium increases next year.
Blue Cross and Blue Shield of Illinois blinked after healthcare providers and parents of autistic children complained about proposed cuts in reimbursement rates for coverage of in-home counseling.