Association Health Plan Update
Starting in the 4th quarter of 2018, we could see the release of association health plans in Indiana and the rest of the country. Under the final rules from the Department of Labor, a small business can join to form association health plan (AHPs), this would give the small employers access to large group health […]
Indiana Recovers Medicaid Tax Under the ACA
Indiana was one of six states to file a lawsuit against the Affordable Care Act’s health insurance provider fee (HIPF) for State Medicaid plans. The U.S. District Judge ruled in favor of the plaintiffs, Texas, Indiana, Kansas, Louisiana, Wisconsin & Nebraska’s that the government must pay back $840 Million in Obamacare fees. What is the […]
What to Expect in 2019 for Small Group Health Insurance
All the health insurance companies that want to participate in Indiana’s small group health insurance has submitted rates & plan designs to the Indiana Department of Insurance for review. These filling are for fully insured groups with less than 50 employees. As always, it’s going to be an interesting year under the rules and regulations […]
Short Term Health Insurance Final Rule 36 months of coverage
The Trump administration released its final rule on short-term health insurance. Short-term health insurance is a policy that is very similar to pre-affordable care act coverage. The plan does not cover preexisting conditions and requires underwriting. If your accepted, the cost is 50%-60% less than an ACA product. These plans are also using traditional PPO […]
Trump Admin. Releases Final Rule on Short-Term Health Insurance
Short Term Health Insurance Final Rule 36 months of coverage Short-term health insurance is a policy that is very similar to pre-affordable care act coverage. The plan does not cover preexisting conditions and requires underwriting. If your accepted, the cost is 50%-60% less than an ACA product. These plans are also using traditional PPO networks, […]
Administration Decision to Reinstate Risk Adjustment Payments
It was reported that the Trump administration has reinstated the risk adjustment program of the affordable care act. The risk adjustment program redistributes funds from carriers with lower risk members to plan with higher risk member. The reason this was witten in the ACA was to protect against adverse selection in the marketplace by spreading […]
Indiana Association Health Plans (AHPs)
The Department of Labor released their final rule on the creations of Association Health plans. There has been a great deal of criticism and misinformation in the media. The DOL final rules provide the guideline for setting up association health plans. These plans would be governed by both State and Federal guidelines. The Employee […]
2019 Individual Health Insurance for Indiana
The remaining two individual health insurance companies participating in the Indiana market have filed their rate for 2019. We now have two insurance companies offering personal health in 2019. CareSource and Celtic Insurance Company aka AM Better The good news is these two companies have decided to continue to offer individual health insurance coverage to […]
Failure of the ACA Risk Corridors
A federal appeals court ruled that the federal government is not obligated to make risk corridor payments. Risk Corridors has become one of the major flaws with the Affordable Care Act law. Risk Corridor: Risk Corridor is to limits health insurance companies on profits and losses. By redistributing dollars from insurance companies with lower-risk members […]
Anthem Buying Home Healthcare Aspire
Insurer Anthem Strikes Deal for Palliative Care Company Aspire Health Here is a story that was given very little media attention but is big news for Indiana’s Anthem. Anthem is buying Aspire Health that provides home healthcare services for patients suffering from serious illnesses. Aspires help patients and family manages symptoms of extreme illness to […]