ACA:
Premiums to Increase Sharply. Premiums will go up sharply next year
under President Obama's health care law, and many consumers will be
down to just one insurer, the administration confirmed last week.
Before taxpayer-provided subsidies, premiums for a midlevel benchmark
plan will increase an average of 25 percent across the 39 states
served by the federally run online market, according to a report from
the Department of Health and Human Services. (InsuranceNewsNet.com,
AP, 10/26)
ACA:
The Young to Demur. People who are healthier and younger are more
likely to forego buying ACA health plans as they weigh rising
premiums against other lifestyle expenses, Aetna CEO Mark Bertolini
said at Bloomberg's The Year Ahead Summit in New York. This trend
could reduce the proportion of healthy members to more sickly members
on the exchange, which could cause premiums to rise even further. Mr.
Bertolini said Aetna would reconsider re-entering the exchanges it
exited earlier this year if legislators implement changes to help
insurers bare the costs of populations that are sicker than first
anticipated. (Becker's Hospital Review, 10/26)
ACA:
Discontinued Plans. Consumers whose exchange-sold health plans have
been discontinued have until Dec. 31 to enroll in a new plan effective
Jan. 1, 2017, and the deadline may extend to March 1, though coverage
would lapse in the interim. Consumers whose coverage has been
discontinued and who do not enroll in another plan by Dec. 15 will be
automatically enrolled in a new plan that most closely matches the
discontinued plan. (Wall Street Journal, 10/24)
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State Watch
PA.
"The Senate Banking & Insurance Committee reported out House
Bill 2241 (Boback-R-Luzerne/Wyoming/Lackawanna). This limits a
health insurer's ability to go back for more than two years in
assessing past claims reimbursements to health care providers. If
the Senate votes for it without amending it, HB 2241 goes to the
Governor for his signature. Background: A long-standing
issue for some health care providers has been demands from carriers to
health care providers to reimburse claims over an extended period of
many years when concluding that the reimbursement were improperly
made." (
Leg Reg Review 2016, by Phillips Associates, 10/24)
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*Nothing contained in Healthy Living should be
considered, or used as a substitute for, medical advice, diagnosis or
treatment. Healthy Living is provided to highlight lifestyle choices
that may affect persons' daily lives. Healthy Living does not
constitute the practice of any medical, nursing or other professional
health care advice, diagnosis or treatment. We advise you to always
seek the advice of a physician or other qualified health care provider
with any questions regarding personal health or medical conditions.
Never disregard, avoid or delay in obtaining medical advice
David M Banet & Associates, Inc.
45 Dowlin Forge Road · Exton, PA 19341
Phone: 610.644.9220 * Fax:
610.644.9277 * Email: info@dmbanet.com
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