Pennsylvania and New Jersey are leaving the federal marketplace this fall to save money and will start their own insurance exchanges. Kentucky, New Mexico, Virginia and Maine are looking to join them in 2021 or beyond.
Early in the pandemic, insurers expected the costs of treating COVID-19 would vastly increase medical spending. Instead, non-COVID care has plummeted and insurers have pocketed the result. Still, few industry observers are predicting broad-based premium cuts in 2021, though some health plans have proposed lowering their rates.
With most nonemergency procedures shelved for now, many health insurers are expected to see profits in the near term, but the longer view of how the coronavirus will affect them is far more complicated and could well impact what people pay for coverage next year.
The COVID-19 pandemic is forcing changes to the U.S. health system that were previously unthinkable. Yet some fights ― including over the Affordable Care Act and abortion — persist even in this time of national emergency. Joanne Kenen of Politico, Margot Sanger-Katz of The New York Times and Alice Miranda Ollstein of Politico join KHN’s Julie Rovner to discuss this and more. Also, Rovner interviews KHN’s Liz Szabo about the latest installment of KHN-NPR’s “Bill of the Month.”
Although a new state tax penalty and state financial aid motivated people to sign up for health insurance this year, Covered California is reopening enrollment for those who said they weren’t aware of them.
Gov. Gavin Newsom says the state already has a public option: Covered California, the state health insurance exchange. While there is no single definition of a public option, some health care experts say that’s a stretch.
The state proposes to jettison the federal insurance exchange and instead send people buying individual coverage to private companies to choose coverage. It would also cap how much money is spent on premium subsidies, which could mean some consumers would be put on a wait list if they needed financial help buying a plan.
There’s something new in this year’s Covered California open-enrollment period: Consumers are learning whether they will qualify for new state-funded financial aid. The results are mixed, with some scoring hundreds of dollars per month and others nothing.
Premiums will grow by an average of 0.8% next year on the state health insurance exchange. Officials cite two new policies for the relatively low rate hike: a new state tax penalty on Californians who don’t have health insurance coupled with state-based tax credits to help enrollees afford their premiums, including middle-income people who make too much money to qualify for federal financial aid.
We wondered how Colorado’s uninsured rate changed during John Hickenlooper’s time in the governor’s mansion and how it compares with the rest of the country.