Health Reform Update

The following is a recent health reform update from Mark Hobraczk on behalf of Patient Services Inc.:
Conservative groups lose their second court battle seeking to block Affordable Care Act premium subsidies for consumers in federally facilitated Marketplaces while several Republican lawmakers seek probes into how three state-based Marketplaces continue to have little or no online enrollment capability.

The Centers for Medicare and Medicaid Services may have to scale back controversial new limits on Medicare Part D drug plans after Republicans and Democrats fret over having to explain them to constituents during an election year.

An Avalere Health study confirms that despite new out-of-pocket limits under the ACA, specialty tier coinsurance remains a barrier to access for Marketplace consumers relying on high-cost prescription drugs. Several state lawmakers propose even lower drug cost-sharing limits.

The novel Medicaid expansion alternative in Arkansas barely survives a repeal effort, while Mississippi, Pennsylvania, Utah, and Virginia struggle to find consensus on any expansion alternative. For more information, visit patientservicesinc.org.

Last Updated 09/16/2020

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