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Health Change Bulletin                                                                      April 27, 2017

Anthem's Joseph Swedish on Reinventing Health Care

  Sponsor Message
  "At this point we plan to file preliminary 2018 rates with the assumption that the cost-sharing reduction subsidies will be funded. However we are notifying our states if we do not have certainty by early June, we will need to evaluate appropriate adjustments to our filing." 

-Joe Swedish, CEO, Anthem
  A Kaiser Family Foundation analysis found that, without the payments, the average ACA marketplace premium for silver plans would need to rise by 19% in 2018 for insurers to offset the lack of funding. Estimated premium changes vary for the 38 states that used in 2016, ranging from 9% in North Dakota to 27% in Mississippi.

Source: KFF
Government costs could rise $2.3 billion without Obamacare payments
Reuters, April 25, 2017
Hardball health care option may cost Trump and taxpayers
Associated Press, April 25, 2017

  Republicans edge closer to health care deal on overhauling Obamacare
McClatchy DC Bureau, April 26, 2017

Freedom Caucus endorses revised ObamaCare bill
The Hill, April 26, 2017
The Effects of Ending the Affordable Care Act’s Cost-Sharing Reduction Payments
Kaiser Family Foundation, April 25, 2017
HHS, States Move To Help Insurers Defray Costs Of Sickest Patients
Kaiser Health News, April 25, 2017
Senator Calls for Scrutiny of Health Payers, Medicare Fraud
HealthPayer Intelligence, April 25, 2017
White House says vote on healthcare plan may not come for weeks
Reuters, April 24, 2017
PBM Express Scripts loses biggest client Anthem
Modern Healthcare, April 24, 2017
Moderates mum on repeal bill changes that would strip consumer protections
Politico, April 24, 2017
  Health Policy’s Gordian Knot: Rethinking Cost Control
Health Affairs Blog, April 26, 2017
  Opening Our Borders to Canadian Pharmacies Will Endanger U.S. Consumers
Morning Consult, April 24, 2017
  Amid budget talks, White House says it will continue ACA subsidies
Stat News,, April 26, 2017
HealthshareTV video

How cutting off subsidy payments to insurance companies would affect Obamacare   How cutting off subsidy payments to insurance companies would affect Obamacare

In the debate over health care reform, President Trump must now decide whether he will continue to make payments to insurance companies in order to cover out-of-pocket costs and deductibles for low-income consumers. Judy Woodruff speaks with Robert Laszewski, president of Healthcare Policy and Marketplace Review, about the ramifications of cutting off those subsidy payments.

Check out HealthshareTV, the home for health care videos    
Healthsprocket List 
  Reuters: Possible Outcomes from Stopping ACA Payments

1. The ACA payments amount to about $7 billion in fiscal year 2017 and help cover out-of-pocket medical costs for low-income Americans
2. The government could save $10 billion by revoking the ACA payments
3. Continue reading here

Source: Reuters
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