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☆ Watch for this 'phantom tax' before taking Affordable Care Act insurance subsidies, advisor says
▼ + stars: | 2023-11-16 | by ( Kate Dore | Cfp | ) www.cnbc.com time to read: +2 min

d3sign | Moment | Getty ImagesAs millions of Americans compare health plans on the Affordable Care Act insurance marketplaces, experts say it's critical to run projections and rethink popular tax moves before enrolling in subsidies. The average enrollee is paying premiums of $124 per month after the subsidies, which were boosted through 2025 via the Inflation Reduction Act. If your actual income exceeds your estimates, you might be required to repay some or all of the subsidy. "If your actual income exceeds your estimates, you might be required to repay some or all of the subsidy." The subsidy eligibility calculation also considers your location, family size and whether you spouse has available coverage.

Persons: Tommy Lucas, Moisand Fitzgerald Tamayo, Lucas, Sean Lovison Organizations: Affordable, American, Center of Budget, Security, Philadelphia Locations: Orlando , Florida

CHARLESTON, W.Va. (AP) — Democratic Sen. Joe Manchin of West Virginia announced Thursday that he won’t seek reelection in 2024, giving Republicans a prime opportunity to pick up a seat in the heavily GOP state. “I believe in my heart of hearts that I have accomplished what I set out to do for West Virginia," he said. Political Cartoons View All 1237 ImagesAlready, 2024 was shaping up to be a tough election cycle for Senate Democrats. He won reelection in both 2012 and 2018, with the latter campaign his toughest in his three-plus decades in West Virginia politics. During Manchin’s first two terms in the Senate, West Virginia lost thousands of coal jobs as companies and utilities explored using other energy sources such as natural gas, solar and wind.

Persons: — Democratic Sen, Joe Manchin, won’t, “, ”, Manchin, clamoring, Alex Mooney, Donald Trump, Joe Biden’s, Kamala Harris ’, Sen, Kyrsten, midterms, Biden, — zapping, Sinema, Robert C, Byrd, Morrisey, Manchin’s, Bernie Sanders, White, Mitch McConnell of, Brett Kavanaugh, Neil Gorsuch, Barack Obama Organizations: — Democratic, West Virginia, United States Senate, Democratic, Republican, GOP, Senate Democrats, Democrat, Republicans, Trump, Senate, Biden Locations: CHARLESTON, W.Va, West, West Virginia, Arizona, Pennsylvania, Mitch McConnell of Kentucky

Voters in Ohio will decide on enshrining abortion rights in the state constitution, as well as legalizing recreational marijuana use. Will voters in Ohio back abortion rights? Beyond abortion, the most watched initiative will be, again, in Ohio, where voters will decide whether cannabis should be legalized for recreational use. That could put pressure on Congress to move forward legislation at least to ease restrictions on interstate banking for legal cannabis businesses. Texans will also decide whether to raise the mandatory retirement age of state judges to 79, from 75.

Persons: Biden’s, Donald J, Trump, Biden, Glenn Youngkin, Youngkin, Daniel Cameron, Andy Beshear, Steve Beshear, Beshear, Roe, Wade, Frank LaRose, Thomas E, Dobbs, Jackson, Tate Reeves, Brandon Presley, Presley’s, Brett Favre, Reeves, I’ve, Mr, Presley, Elvis Presley, Elizabeth Warren of Organizations: New York Times, Democratic, Republican, State Senate, Republicans, —, Supreme, Affordable, Mississippi Public Service Commission, Texans, Liberal Locations: Ohio, Ohio , Kentucky, Virginia , Mississippi, Siena, Virginia, Kentucky, Richmond, Kansas, Mississippi, Dobbs v, Nettleton, Elizabeth Warren of Massachusetts

☆ Election Day 2023 Voters to Offer Clues on Abortion Politics and 2024 in Off-Year Election Day
▼ + stars: | 2023-11-07 | by ( Neil Vigdor | Sarah Baird | ) www.nytimes.com time to read: +7 min

Voters in Ohio will decide on enshrining abortion rights in the state constitution, as well as legalizing recreational marijuana use. Will voters in Ohio back abortion rights? Even in deeply Republican states like Kansas, voters have overwhelmingly supported abortion access. Beyond abortion, the most watched initiative will be, again, in Ohio, where voters will decide whether cannabis should be legalized for recreational use. If voters agree, Ohio would become the 24th state to legalize marijuana.

☆ Why Republicans Abandoned Their Fight to Repeal Obamacare
▼ + stars: | 2023-11-06 | by ( Stephanie Armour | Aaron Zitner | ) www.wsj.com time to read: 1 min

President Biden looks to former President Barack Obama after signing an executive order during an event for the Affordable Care Act in 2022. Photo: Carolyn Kaster/Associated PressOne of the most revealing debates in the Republican Party is one that has disappeared from the campaign trail: the fight over repealing Obamacare. This presidential election marks the first in more than a decade in which no GOP candidates are pledging to eviscerate the landmark Affordable Care Act, ending a standoff between the parties over whether the government is responsible for providing access to healthcare.

Persons: Biden, Barack Obama, Carolyn Kaster Organizations: Affordable, Republican Party

☆ Open Enrollment Begins for Affordable Care Act Health Plans
▼ + stars: | 2023-11-03 | by ( Ann Carrns | ) www.nytimes.com time to read: +2 min

Unsubsidized monthly premiums — the “sticker” price — for a benchmark silver plan are rising 4.5 percent on average as a result of inflation and greater use of health care services since the pandemic, according to a KFF analysis. (Plans are grouped by metal levels, ranging from bronze plans, which have low premiums but higher out-of-pocket costs, to gold and platinum plans, which have higher premiums and lower out-of-pocket costs.) The average monthly premium for a benchmark silver plan is expected to be about $477 for an individual, and the average lowest-cost bronze plan $364, KFF found. Most marketplace customers, however, don’t pay those sticker prices, because tax credits lower their monthly cost — to zero, in some cases. Premium tax credits are based on a family’s size and income and the cost of plans in the area.

Persons: Cox, ”, KFF Organizations: Affordable Care, D.C Locations: Washington

☆ As open enrollment begins for Affordable Care Act health insurance marketplace, here's what you need to know for 2024
▼ + stars: | 2023-11-02 | by ( Lorie Konish | ) www.cnbc.com time to read: +4 min

Getty ImagesFor millions of people, it's time to compare benefits and prices and pick health coverage on the Affordable Care Act health insurance marketplaces. The enrollment will likely stay high this year, according to Jennifer Sullivan, director of health coverage access at the CBPP. Moreover, with some people set to lose Medicaid or Children's Health Insurance Program coverage, they may need to move to marketplace coverage. People who lost coverage via those plans who are moving to the Affordable Care Act health insurance marketplace will have a special enrollment period until the end of next July, Sullivan noted. watch nowHowever, for everyone looking to enroll in a marketplace health plan for next year, it's best to try to do it sooner rather than later.

Persons: Jennifer Sullivan, Sullivan, it's, Louise Norris, Norris Organizations: Affordable, Center, Budget, Children's Health, Care, D.C, Navigators Locations: Jan, Washington, Idaho, Virginia

It’s time to pick health coverage for next year on the Affordable Care Act’s insurance marketplaces, and experts caution against focusing your choice on price alone. Here are some things to consider when assessing marketplace plans. Many people who haven't shopped on the marketplace don’t know that they can get this help, according to Jeremy Smith, who directs West Virginia’s health insurance navigator program. “They’re just used to having health coverage … and it covers everything.”Plans also can come with annual out-of-pocket maximums higher than $9,000 for individuals and $18,000 for families. “The good news is a lot of people who’ve been in Medicaid will likely qualify for these cost-sharing reductions,” said Sabrina Corlette, co-director of Georgetown University’s Center on Health Insurance Reforms.

Persons: haven't, Jeremy Smith, ”, ” Smith, “ They’re, who’ve, Sabrina Corlette, “, Cynthia Cox, HMOs, Kelly Fristoe, Smith Organizations: Medicaid, Shoppers, Georgetown University’s Center, Health, KFF, Associated Press Health, Science Department, Howard Hughes Medical Institute’s Science, Educational Media Group, AP Locations: Wichita Falls , Texas

And Republican Rep. George Santos' extensive legal troubles will make it harder for the GOP to keep that Long Island-based district in the Republican column. Some already sounded resigned to serving in the minority during the past week's ups and downs in finding a new speaker, while others voiced hopes the passage of time will make the past three weeks a distant memory. This is Republicans fighting with Republicans, bullying Republicans, even threatening each other. That left House Republicans with the choice of funding the government or shutting it down over their opposition to the healthcare law, and they chose the latter. Further turmoil will only feed into the Democratic argument that House Republicans are incapable of governing.

Persons: —, Mike Johnson, Joe Biden, George Santos, it's, I’m, ”, Max Miller, Miller, McCarthy, Nicole Malliotakis, Suzan DelBene, ” DelBene, harkened, Barack, Doug Heye, Eric Cantor, Herbert Hoover’s, Biden, Donald Trump, Don Bacon, Marc Molinaro, “, David Schweikert, ’ ”, Dusty Johnson, Stephen Groves Organizations: WASHINGTON, Republicans, Black, Republican, GOP, Republican Party, “, ”, House Democrats, Democratic, Affordable, Democrats, Capitol, Biden, Costco, White Locations: Alabama, Ohio, New York, Arizona

☆ Here are 4 ways health savings accounts can be used to pay insurance premiums
▼ + stars: | 2023-10-26 | by ( Greg Iacurci | ) www.cnbc.com time to read: +3 min

COBRA coverage typically allows consumers to keep the same health-care providers, but the coverage is often pricey. With COBRA coverage, however, individuals may have to cover the full premium, up to 102% of the cost to the plan. Premiums while on unemploymentHealth premiums paid by someone receiving unemployment compensation under federal or state law are also eligible. These might be premiums for COBRA or a health plan purchased over an Affordable Care Act marketplace, for example. Medicare beneficiaries don't have to pay their premiums directly with an HSA to get the benefit.

Persons: they'd, Carolyn McClanahan, it's, —, — aren't, McClanahan, There's, isn't Organizations: IRS, Affordable, Bank, Getty, Social Security Locations: Jacksonville , Florida

☆ Dean Phillips launches primary challenge against President Biden
▼ + stars: | 2023-10-26 | by ( Arit John | ) edition.cnn.com time to read: +10 min

CNN —Minnesota Rep. Dean Phillips announced Thursday that he is running for president, kicking off a long-shot Democratic primary challenge to President Joe Biden. “I think President Biden has done a spectacular job for our country, but it’s not about the past. Phillips is expected to formally announce his campaign Friday in Concord, where he’ll file to run in New Hampshire’s Democratic primary. Biden will not file to appear on the New Hampshire Democratic primary ballot because the state isn’t complying with the national party’s revised nominating calendar, which demoted its first-in-the-nation primary status to second. And it all points to the same thing,” Phillips told CNN after he stepped down from leadership.

Persons: Dean Phillips, Joe Biden, “, Biden, ” Phillips, Phillips, Jeff Zients, Biden “, ”, Zients, —, Steve Schmidt, Schmidt, George W, Bush, Arizona Sen, John McCain, ‘ I’m Dean Phillips, ” Schmidt, he’ll, Gavin Newsom, Gretchen Whitmer, Abigail Van Buren, Abby, ” Phillips ’, he’s, Ron Harris, I’m, Trump, Biden —, Kamala Harris, That’s, Marianne Williamson, Robert F, Kennedy Jr, Donald Trump, Kennedy, hasn’t, Karine Jean, Pierre, CNN’s Jeff Zeleny, Arlette Saenz, David Wright Organizations: CNN, Minnesota, Democratic, CBS News, House Democratic, Biden, White House, New Hampshire Democratic, New Hampshire Democrats, New, GOP, California Gov, Michigan, Democratic National Committee, Palmetto, South Carolina Democratic, Affordable, Communications Committee, Granite State, Democratic Party, Incumbents, Environmental, Republicans, Allies Locations: Concord, New, AdImpact, New Hampshire, Arizona, Washington, California, South Carolina, “ South Carolina, Spain, Minnesota, Twin Cities, ”, New York, Ohio, Granite

☆ Open Enrollment Reminds Us How Easy It Is to Lose Health Insurance in America - The New York Times
▼ + stars: | 2023-10-25 | by ( Danielle Ofri | ) www.nytimes.com time to read: +2 min

Many of these people are actually eligible for insurance, but lose coverage because of the byzantine logistics. The net effect is that we require an enormous chunk of the U.S. population to continually re-enroll for health insurance. For employer-based health insurance, this would be relatively simple, as most ineligibility stems from no longer working at the company, something that employers surely know. For everyone else, health insurance would auto-renew each year the same way it already does for the plans on the Affordable Care Act exchanges. For Medicaid, the income eligibility requirement adds a layer of complexity, but there are nevertheless ways to reduce the hoop jumping.

Persons: it’s Organizations: Affordable Locations: byzantine

☆ Picking health insurance can be tricky: 6 key terms to know as open enrollment starts
▼ + stars: | 2023-10-24 | by ( Greg Iacurci | ) www.cnbc.com time to read: +8 min

PremiumsFrederic Cirou | Photoalto | Getty ImagesThe premium is the sum you pay an insurer each month to participate in a health plan. It's perhaps the most transparent and easy-to-understand cost component of a health plan — the equivalent of a sticker price. The average co-insurance rate for consumers is 19% for primary care and 20% for specialty care, according to KFF data. For example, would you struggle to pay a $1,000 medical bill if you require health care? If so, a health plan with a larger monthly premium and a smaller deductible may be your best bet, Sun said.

Persons: Frederic Cirou, Karen Pollitz, Luis Alvarez, you've, KFF, Pollitz, McClanahan, there's, Winnie Sun, She's, Sun, Carolyn McClanahan Organizations: Sdi, Photoalto, Kaiser Family Foundation, CNBC, Digitalvision, Getty, Kaiser Family Foundation Health, Network Health, Sun Group Wealth Partners, CNBC's FA Locations: Aetna, Irvine , California, CNBC's

LANSING, Mich. (AP) — Federal law that prohibits insurers from denying healthcare based on preexisting conditions, or kicking dependents off their parent’s coverage until age 26, is now codified separately into Michigan law. Gretchen Whitmer signed legislation Thursday that attempts to duplicate the Affordable Care Act, known as “Obamacare,” into state law. Earlier this year, a federal judge struck down the ACA preventive care provision. The U.S. Department of Health and Human Services estimates that 150 million people in private health plans have benefited from the no-cost preventive services. A number of other states have codified Affordable Care Act provisions into state law.

Persons: Gretchen Whitmer, Obamacare, Whitmer Organizations: —, Democratic, “, U.S, Supreme, U.S . Department of Health, Human Services, Michigan House, Republicans, Democrats Locations: LANSING, Mich, Michigan, ”

☆ Opinion | The Apotheosis of Jim Jordan Is a Sight to Behold
▼ + stars: | 2023-10-17 | by ( Jamelle Bouie | ) www.nytimes.com time to read: +1 min

No problem in the American system at this moment is as acute and disruptive as the one posed by the Republican Party. Our system of elections — first-past-the-post voting, the Electoral College, single-member districts and partisan gerrymandering — feeds into and amplifies our partisan and ideological polarization. Our system of federalism and dual sovereignty between state and national government allows for laboratories of autocracy as much as testing grounds for democracy. Our counter-majoritarian institutions and supermajority rules stymie democratic majorities and turn stability into stasis, putting terrible stress on our entire political system. When Donald Trump was in office, it was revealing to see the extent to which Republican majorities in Congress struggled to write and pass any legislation of consequence.

Persons: —, Republican Party can’t, Donald Trump Organizations: Republican Party, Electoral College, Republicans

☆ Biden approval near lowest of his term as immigration concerns rise -Reuters/Ipsos poll
▼ + stars: | 2023-10-10 | by ( Jason Lange | ) www.reuters.com time to read: +4 min

The three-day opinion poll, which ended on Sunday, showed 40% of respondents approved of Biden's performance as president, down marginally from 42% a month earlier. While the economy is the perennial top concern among U.S. voters, in October the share of poll respondents who rated "immigration" the No. That was the highest measure of concern about immigration since December 2019, when 15% of respondents cited it as their top concern. A separate Reuters/Ipsos poll conducted in September found that a majority of Americans - 54% - agreed with the statement that "immigration is making life harder for native-born Americans." The Reuters/Ipsos poll gathered responses online from 1,029 adults, using a nationally representative sample.

Persons: Joe Biden, Leah Millis, Joe Biden's, Biden, Donald Trump, Trump, Jason Lange, Scott Malone, Grant McCool Organizations: Affordable, White, REUTERS, Rights, Reuters, Democrat, Republican, U.S . House, Thomson Locations: Washington , U.S, Mexico, U.S

☆ Candidates Criticize Obamacare, but Replacement Details are Scant
▼ + stars: | 2023-09-27 | by ( ) www.wsj.com time to read: 1 min

The extended discussion of the Affordable Care Act, also known as Obamacare, speaks to an essential debate between the two parties: Republicans think free markets can solve healthcare problems best, while Democrats say the government needs to play a prominent role through plans like the Obama-era subsidy system, because no one wants to pay the costs of the sickest patients. But Republicans in Congress have struggled when they tried to replace Obamacare with a more market-driven approach, as when former President Donald Trump failed to pass a substitute system early in his term. The candidates tonight gave few details of how they’d replace the current system.

Persons: Obama, Donald Trump Organizations: Affordable, Congress

CNN —The second 2024 Republican presidential primary debate ended just as it began: with former President Donald Trump – who hasn’t yet appeared alongside his rivals onstage – as the party’s dominant front-runner. “Tonight’s GOP debate was as boring and inconsequential as the first debate, and nothing that was said will change the dynamics of the primary contest,” Trump campaign senior adviser Chris LaCivita said in a statement. DeSantis, Pence duck health care questions while Haley pouncesDespite the efforts of moderators to pin them down, DeSantis and Pence struggled to respond when challenged on their respective records on health care. A messy first hourThe first hour of the second GOP primary debate was beset by interruptions, crosstalk and protracted squabbles between the candidates and moderators over speaking time. Further complicating the matter, some of the highest polling candidates – DeSantis and Haley – were among those least willing to dive into the muck during the first hour.

Persons: Donald Trump –, –, Ronald Reagan, Nikki Haley, Vivek Ramaswamy, ”, Ron DeSantis, Chris Christie, “ Donald Duck ”, Joe Biden, South Carolina Sen, Tim Scott, Biden, Mike Pence, Doug Burgum, Trump, DeSantis, Christie, He’s, ” Christie, “, ” Trump, Chris LaCivita, Ramaswamy, Scott, Hunter Biden, Pence, “ I’m, Vivek, Haley pounces, Dana Perino, Fox’s Stuart Varney, Varney, ” DeSantis, Haley, ” Haley, – DeSantis, Haley –, Donald Trump Organizations: CNN, GOP, Wednesday, Ronald Reagan Presidential, South Carolina Gov, Florida Gov, Former New Jersey Gov, Trump, South, ” North Dakota Gov, Fox Business Network, Univision, Chinese Communist Party, ”, , South Carolina Gov, Fox, Republicans, Florida, DeSantis, PAC Locations: California, Florida, South Carolina, Michigan, ”, Wednesday’s, China, , South, Milwaukee

But Mintz also acknowledges that having more places to access PrEP likely will not be enough to substantially increase its use in more vulnerable communities. “There needs to be a couple of levers that need to be pulled for everybody to access PrEP who are eligible to access PrEP,” Mintz says. (Joe Raedle/Getty Images)Meanwhile, a pending ruling in a federal appellate court looms as a threat that could more broadly undermine PrEP coverage. “We don’t know what the 5th Circuit could do.”In the wake of the March court ruling, insurers expressed support for preventive services. “Right now, PrEP uptake is quite good among gay white men, but among people of color and among women PrEP access is quite limited,” Dawson says.

Persons: Apretude, ”, Omar Martinez Gonzalez, Sean Bland, we’re, ” Bland, Truvada, ” Martinez Gonzalez, Laura Mintz, Mintz, ” Mintz, Truvada –, AIDSVu, Joe Raedle, Laurie Sobel, “, ” Sobel, Lindsey Dawson, ” Dawson, Torrian Baskerville, Baskerville, ” Baskerville, who’d, Biden, Bland Organizations: U.S . Preventive Services Task Force, U.S . Food, Drug Administration, Affordable, AIDS Foundation Chicago, “, Centers for Disease Control, Santa Clara University School of Law, Georgetown University’s O’Neill Institute for National, Global Health, Blacks, PrEP, Emory University, Gilead Sciences, Black PrEP, Case Western Reserve University School of Medicine, Pride Network of, ViiV Healthcare, GlaxoSmithKline, U.S, Circuit, Appeals, Supreme, Human Rights, Navigators, Department of Health, Human Services Locations: U.S, Black, Cleveland, Gilead, –, Miami, Texas, Ohio

Circuit Court of Appeals heard oral arguments in cases Thursday involving the coverage of gender-affirming care by North Carolina’s state employee health plan and the coverage of gender-affirming surgery by West Virginia Medicaid. During the proceedings, at least two judges said it’s likely the case will eventually reach the U.S. Supreme Court. Both states appealed separate lower court rulings that found the denial of gender-affirming care to be discriminatory and unconstitutional. “West Virginia is entitled to deference where they're going to take their limited resources," he said. Chambers certified the lawsuit as a class action, covering all transgender West Virginians who participate in Medicaid.

Persons: it’s, Tara Borelli, —, Borelli, John Knepper, Knepper, “, Caleb David, Virginia's, ”, Chuck Chambers, Huntington, Chambers, Patrick Morrisey Organizations: —, Circuit, Virginia Medicaid, U.S, Supreme, Lambda, Constitution, World Professional Association for Transgender Health, West, U.S . Centers, Medicare, Services, District, Affordable, West Virginians, West Virginia Inc, Public Employees Insurance Agency, West Virginia Republican, “ Locations: CHARLESTON, W.Va, North Carolina, West Virginia, Richmond, North Carolina’s, Virginia, U.S, “ West Virginia

☆ Moderate House Republican says his hard-right colleagues say crazier and crazier things to become famous and juice their fundraising numbers
▼ + stars: | 2023-09-15 | by ( Bryan Metzger | ) www.businessinsider.com time to read: +3 min

A more moderate House Republican takes a somewhat dim view of his hard-right colleagues' antics. In an interview, Rep. Dave Joyce said they often say crazy things just to raise money and gain fame. Get the inside scoop on today’s biggest stories in business, from Wall Street to Silicon Valley — delivered daily. "And it's like, 'you think that's crazy, hold my beer,' then the next one will get in line and say even crazier things." AdvertisementAdvertisementIn the interview, Joyce says that he prefers the work of governing, including former bipartisan alliances with Democrats.

Persons: Dave Joyce, Joyce, Kevin McCarthy —, Dave Joyce of Ohio, Matt Gaetz, McCarthy, Joyce isn't, Lauren Boebert, Joe Biden, Marjorie Taylor Greene, who's, Mark Meadows, Donald Trump's, Meadows, I've, we're Organizations: Republican, Service, House Republican, Republican Governance Group, POLITICO, Rep, North, Caucus, Staff, Affordable Locations: Wall, Silicon, Florida, Colorado, Georgia, Ohio, North Carolina, Congress

☆ ObamaCare Turns Out to Be Affordable Only for the Healthy
▼ + stars: | 2023-09-14 | by ( John C. Goodman | Beverly Gossage | ) www.wsj.com time to read: 1 min

Journal Editorial Report: Medicare's "negotiation" with pharmaceutical companies will slow the development of new cures. Images: AP/Reuters Composite: Mark KellyWhen Democrats passed the Affordable Care Act of 2010, President Obama and lawmakers made the same claim over and over: The act would make good, affordable health insurance available to people with pre-existing conditions. The actual result has been the opposite. ObamaCare makes health insurance as good as possible for the healthy and as bad as possible for the sick.

Persons: Mark Kelly, Obama, ObamaCare Organizations: Reuters

☆ Former GOP leader thinks the Republicans would lose if the government shuts down
▼ + stars: | 2023-09-12 | by ( Madison Hall | ) www.businessinsider.com time to read: +3 min

Ten years later, Congress appears to be on course toward a similar government shutdown. Former House Majority Leader Eric Cantor said the GOP didn't get a "win" then and likely won't now. Ten years later, Cantor thinks a similar situation may be on the verge of occurring. AdvertisementAdvertisementIn addition to not having a clear "exit strategy," Cantor said there's not a visible "win" in sight for Republicans. If a deal isn't made, hundreds of thousands of government employees will be furloughed until an agreement is found.

Persons: Eric Cantor, there's, Cantor, Joe Biden, Kevin McCarthy, McCarthy, isn't Organizations: GOP, Service, Republicans, Politico, Republican Party Locations: Wall, Silicon, Ukraine

Medicare may just be the budget buster that wasn’t. Somehow, after decades of nonstop growth, its spending per person has flattened over the past dozen years, saving taxpayers roughly $3.9 trillion since 2011, according to an Upshot analysis. But the reasons for the slowdown — and its duration — are not well understood. reduced the payments Medicare made to hospitals and to the insurance companies that administer private Medicare Advantage plans. Those changes alone are responsible for more than a trillion dollars in spending reductions, according to estimates from the Congressional Budget Office, or about a quarter of the savings attributable to the recent flat spending trend.

Persons: ” — Stephen Organizations: Affordable Care, Congressional, Office Locations: Columbus , Ohio

The insurer said the rule, which would apply retroactively, was "arbitrary and capricious," and threatened "unpredictable consequences for Medicare Advantage organizations and the millions of seniors who rely on the Medicare Advantage program for their healthcare." Close to half of the approximately 65 million Medicare enrollees sign up for Medicare Advantage. Medicare Advantage plans differ from traditional Medicare because private companies offer them, and are reimbursed by the government for care. Though Humana is based in Louisville, Kentucky, it filed its lawsuit with the U.S. District Court in the Northern District of Texas. The case is Humana Inc et al v Becerra et al, U.S. District Court, Northern District of Texas, No.

Persons: Andrew Kelly, Humana, Biden, Xavier Becerra, District Judge Reed O'Connor, Becerra, Jonathan Stempel, Leroy Leo, Richard Chang Organizations: Humana Inc, REUTERS, U.S, overcharges, Medicare, Services, Jan, U.S . Department of Health, Human Services, CMS, Northern District of Texas, District, Fort, Affordable, Court, Northern District of, Thomson Locations: Queens , New York City, U.S, Louisville , Kentucky, Northern District, Northern District of Texas, New York, Bengaluru

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