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Politics, Law and Policy Blog

Bipartisan policy insights and political intelligence

Health Insurance Exchanges: State of the States

Posted in Health Policy

By Cindy Gillespie

Health Insurance Exchanges: State of the States update is our weekly report on Health Insurance Exchange developments.

This week, President Obama announced that more than 8 million people had signed up for coverage through the FFMs and most State-based Marketplaces and the board for the Colorado Health Benefit Exchange voted to permit staff to create a separate legal entity to sell Ancillary products

Weekly Health Care Wrap-Up

Posted in Health Policy

By Cindy Gillespie

Weekly Health Care Wrap-Up  is our weekly look at developments affecting health care at the federal and state levels.

This week, the Congressional Budget Office released an update to its baseline projections for federal spending and estimated that the cost of subsidies for private insurance will cost slightly more than $1 trillion over 10 years, reflecting a drop of $164 billion in the expected cost of premium assistance since February’s estimate. New York State also announced that it had reached a final agreement with the Centers for Medicare and Medicaid Services on the state’s $8 billion Medicaid waiver.

Health Insurance Exchanges: State of the States

Posted in Health Policy

By Cindy Gillespie

Health Insurance Exchanges: State of the States update is our weekly report on Health Insurance Exchange developments.

This week, the DC Health Benefit Exchange Authority board discussed the exchange’s proposed assessment rule that would levy a 1 percent assessment on all health insurance products sold in DC to fund the exchange while the boards for the Oregon and Massachusetts exchanges held meetings to discuss options for fixing their online enrollment systems.

Weekly Health Care Wrap-Up

Posted in Health Policy

By Cindy Gillespie

Weekly Health Care Wrap-Up  is our weekly look at developments affecting health care at the federal and state levels.

This week, after reporting that private health insurance signups through exchanges had reached over 7.5 million, Health and Human Services Secretary Kathleen Sebelius announced that she will be stepping down from her post while CMS announced it would delay proposed rate cuts to Medicare Advantage for 2015.

The Long Term View: An MLA Public Policy Update on Long-Term Services and Supports

Posted in Health Policy

By Dennis Smith

On April 6, 1789, the U.S. Senate began its work at Federal Hall in New York City.  One of the first orders of business was to elect an Irish immigrant, James Mathers, to the post of Doorkeeper. It was an important position because the Senate, like the Continental Congress and the 1787 Constitutional Convention, would conduct its business in secret. Later, his duties would be expanded to compel members’ attendance if necessary. Thus, he also became “Sergeant at Arms.” Mathers held the position until his death in 1811 from complications of a broken ankle.  The first Sergeant at Arms also served in that capacity longer than anyone else.

Speaking of longevity, the Bipartisan Policy Center (BPC) was founded in 2007 by four former Majority Leaders of the Senate, Howard Baker, Tom Daschle, Bob Dole, and George Mitchell, who represent 30 successive years of Senate leadership. BPC has recently turned its focus to the subject of long term care. Its “Long-Term Care Initiative” was led by Daschle and  Bill Frist, a physician and another former Majority Leader  Collectively, these five men served 90 years in the Senate, and indeed represent a long term view. For good measure, Tommy Thompson, who was elected Governor of Wisconsin four times and served as Secretary of the U.S. Department of Health and Human Services, and Dr. Alice Rivlin, former Director of the Congressional Budget Office are also part of the group.

The group just released its first in a series of reports, America’s Long-Term Care Crisis: Challenges in Financing and Delivery. The purpose of this initiative is “…to raise awareness about the importance of finding a sustainable means of financing and delivering long term services and supports (LTSS), and, in late 2014, will propose a series of bipartisan policy options to improve the quality and efficiency of publicly and privately financed long-term care.”[1]

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Health Insurance Exchanges: State of the States

Posted in Health Policy

By Cindy Gillespie

Health Insurance Exchanges: State of the States update is our weekly report on Health Insurance Exchange developments.

This week, CMS finalized that the deadline for persons that had started an application on HealthCare.gov for health insurance, but not completed it, will be April 15 and the board for the Maryland Health Benefit Exchange voted to utilize the exchange IT system developed by Deloitte for Access Health CT.

Health Insurance Exchanges: State of the States

Posted in Health Policy

By Cindy Gillespie

Health Insurance Exchanges: State of the States update is our weekly report on Health Insurance Exchange developments.

This week, President Barack Obama announced that over 6 million persons had signed up for health insurance through a Marketplace nationwide while HHS released guidance that would allow shoppers that had started an application before March 31 to finalize their enrollment into mid-April.

Weekly Health Care Wrap-Up

Posted in Health Policy

By Cindy Gillespie

Weekly Health Care Wrap-Up  is our weekly look at developments affecting health care at the federal and state levels.

This week, the House passed a one year “doc fix” to avoid a 24 percent cut in Medicare payments to physicians scheduled for April 1 and five Democratic Senators published a letter outlining a series of legislative proposals they support that would make small changes to the ACA.

Health Insurance Exchanges: State of the States

Posted in Health Policy

By Cindy Gillespie

Health Insurance Exchanges: State of the States update is our weekly report on Health Insurance Exchange developments.

This week, the Massachusetts Health Connector announced that it was ending its IT contract with one of its main vendors while the board for the Silver State Health Insurance Exchange voted to create a Special Enrollment period to give Nevadan’s additional time to enroll in health insurance.