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People earning low wages are more likely than those with higher incomes to go to an emergency room or be admitted to the hospital for avoidable conditions, a study in Health Affairs finds.
As Republicans consider how to bring down costs for younger people, lawmakers may relax or eliminate the restrictions on how much more insurers can charge older consumers.
Aetna will be the third major insurer to remove prior authorization requirements for patients who seek medication-assisted treatments such as Suboxone.
The woman set to run the federal Centers for Medicare & Medicaid Services told senators last week that maternity coverage should be optional in individual and small group plans. But other services could also be left on the cutting room floor.
The legislation is only a first step, declaring the “intent” of the state Senate without specifics or a timetable.
People who do not get insurance through their job or the government have long battled a difficult market.
The Trump administration’s first health regulation would shorten the enrollment periods and make it harder for patients to get coverage outside of that annual signup period.
Researchers find that the state’s exchange has succeeded by fostering competition, with a large number of insurers in the mix, aggressively negotiating on premiums and setting conditions for health plan participation.
The president says Obamacare has been “a complete and total disaster,” and other Republicans see nothing but trouble. But a careful look at the arguments suggest the situation is more complicated.
The state has one of the highest rates of small business owners who get health coverage through the Affordable Care Act.