Monthly Archives: June 2017

Only two insurers to offer Obamacare plans in Indiana next year

Hoosiers seeking health insurance on the Obamacare marketplace will have just two choices next year, down from four now, and will likely pay higher premiums.

The Indiana Department of Insurance on Thursday posted submissions on its web site, showing that only two insurers, CareSource Indiana Inc. and Celtic Insurance Co. (also known as Managed Health Services) submitted proposals for individual plans next year under the Affordable Care Act.

Celtic, a subsidiary of St. Louis-based Centene Corp., is seeking a rate increase of 24 percent, for an average monthly premium of $452. CareSource is seeking a rate increase of 2.2 percent, for an average monthly premium of $423.88.

The state has not approved the rate requests yet…read more

New, ‘improved’ GOP health insurance bill later today

Steven T. Dennis and Laura Litvan

Senate leaders are expected to release a revised version of their health-care bill as early as Monday, according a person familiar with the matter, as Senate Majority Leader Mitch McConnell tries to win over at least six Republican holdouts.

Among the issues leadership has been wrestling with is finding a continuous coverage provision to replace the individual mandate. Other senators are demanding a variety of changes in what is shaping up as Mitch McConnell’s toughest test as Senate majority leader.

McConnell can only afford two defections…read more

Holcomb Statement on Anthem and MDwise Leaving Obamacare Marketplace

INDIANAPOLIS — Governor Eric J. Holcomb offered the following statement regarding Anthem and MDwise plans to leave the Obamacare marketplace in Indiana:

“We’ve been informed that Anthem and MDwise plan to leave the Obamacare marketplace in Indiana. Hoosiers served by these providers under the federal marketplace will keep their coverage through the end of the year, and this action does not apply to those who are insured through their employers or are …..  Read More

GOP healthcare bill sneak preview (spoiler – Obamacare ’til 2020)

by Laura Litvan and Anna Edney

Senate Republicans are beginning to learn the details of the health-care bill they may be asked to vote on next week, with senators saying the measure envisions a more gradual transition away from Obamacare than the House-passed version.

Republican Thom Tillis of North Carolina said the draft bill, which GOP leaders plan to release Thursday morning, would effectively delay the repeal of Obamacare until 2020, allow more generous tax credits for people buying individual insurance policies, and create a longer transition period for ramping down Obamacare’s expansion of …..

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One Hour CE – June 15th Webinar

What – Compliance Update – Where are we? – 1 HR CE Webinar with Pamela Mitroff, Sr. Director of Health Reform Compliance

When – Registration at 10:30 / Webinar and CE will begin promptly at 11am CST

Where – ONB Headquarters, One Main Street, Evansville, IN – 4th Floor Auditorium

 NOTE:  Lunch will NOT be provided.  Please bring your own lunch or there is a café in the ONB building.

Help Us Get the Medicare Observation Status Bill over the Line

NAHU works on a wide variety of Medicare issues from legislation to improved agent marketing and commissions, to COBRA as creditable coverage and restoration of the open enrollment period.

Earlier this month, NAHU sent letters of support to the lead sponsors of S. 568 and H.R. 1421, the Improving Access to Medicare Coverage Act of 2017. These bills address Medicare’s “two-midnight” policy and would allow observation stays to be counted toward the three-day mandatory inpatient stay for Medicare coverage of a skilled nursing facility (SNF).

Currently, Medicare beneficiaries who are not officially admitted to a hospital may be classified under “Observation Status,” which is treated as an outpatient procedure for billing purposes. Furthermore, admission status may be changed to observation by the hospital for up to a year following an SNF stay and they can negate the three-day-stay requirement after the fact.

These policies are leading patients who are extremely sick and need skill nursing care to not qualify for paid Medicare SNF care and for others to later have their admission status changed so that their SNF care is now billed directly to the beneficiary instead of Medicare, creating a huge financial burden. You may have clients who have gone this through this experience or know people who did. This is wrong and must be made right.

We need your help to educate other members of Congress on the importance these actions are having on your clients through no fault of their own. The bill already has 34 cosponsors in the House and 15 cosponsors in the Senate. You can help us increase our chances of having this bill become law by contributing to HUPAC today. Click here to take action now.

HUPAC is NAHU’s political action committee and helps us spread the message of the important role agents, brokers and benefit specialists play in the healthcare system and on behalf of the beneficiaries you serve. By contributing, you assist in our legislative efforts to build momentum behind this piece of legislation and improve our odds of this becoming law.

Contribute Now

Thank you for all you do!

John Greene
Vice President of Congressional Affairs