HHS may change age ratio, cut open enrollment in half for 2018

Major regulatory changes to the Affordable Care Act (ACA) exchanges and health insurance in general are being drafted by the Trump administration, according to POLITICO.

One part of the proposal would alter the age ratio of what insurers are allowed to charge older customers. Instead of limiting what older customers can pay to three times what is charged to younger customers, the rule would expand the ratio to 3.49:1.

Other changes would be lowering silver-level plan standards to cover as little as 66 percent of medical expenses (down from 68 percent), requiring proof of eligibility for special enrollment periods and limit the open enrollment from Nov. 1 to Dec. 15, rather than ending at the current Jan. 31 deadline.

The two separate drafts of proposed rules obtained by POLITICO may be an effort to create stability for skeptical insurers who may exit the ACA marketplaces rather than submit rates to state regulators beginning in April.

Read the full article: 

""
John Gregory, Senior Writer

John joined TriMed in 2016, focusing on healthcare policy and regulation. After graduating from Columbia College Chicago, he worked at FM News Chicago and Rivet News Radio, and worked on the state government and politics beat for the Illinois Radio Network. Outside of work, you may find him adding to his never-ending graphic novel collection.

Around the web

The final list also included diabetes drugs sold by Boehringer Ingelheim and Merck. The first round of drug price negotiations reduced the Medicare prices for 10 popular drugs by up to 79%. 

HHS has thought through the ways AI can and should become an integral part of healthcare, human services and public health. Last Friday—possibly just days ahead of seating a new secretary—the agency released a detailed plan for getting there from here.

Philips is recalling the software associated with its Mobile Cardiac Outpatient Telemetry devices after certain high-risk ECG events were never routed to trained cardiology technicians as intended. The issue, which lasted for two years, has been linked to more than 100 injuries.