Articles by Katherine Moody
House v. Burwell: What it means for insurers if the plaintiffs win
If the plaintiffs prevail in the challenge to the Affordable Care Act's cost-sharing reductions, House v. Burwell, it could cause significant disruption to the ACA's non-group insurance marketplaces, according to a new report from the Urban Institute
CBO lowers estimate for Affordable Care Act enrollment
The Congressional Budget Office has lowered its estimate of how many people will get coverage through Affordable Care Act in 2016, saying that enrollment in ACA plans has grown slower than anticipated.
The unintended consequences of health insurers' fight to lower drug prices
Insurance companies that use prescription benefit management companies are increasingly cutting coverage of high-ticket brand-name drugs. It's not just adding to the raging drug price wars, but can also alienate members.
Study: Insurer competition holds steady on state exchanges in 2016
Health insurer participation in state-based marketplaces has remained stable in 2016, in part because some states have encouraged competition by establishing marketplace participation rules, according to a new analysis from The Commonwealth Fund.
New cost-cutting strategy: Employer plans with no outpatient surgery coverage
Unlike insurance sold to individuals and small businesses through online marketplaces, large employers are not required to offer a list of "essential health benefits," so some work-based health plans are starting to exclude outpatient surgeries to cut costs, according to an article from Kaiser Health News.
Report: CMS underpays Medicare Advantage plans for treating chronic conditions
The Centers for Medicare & Medicaid Services underpaid Medicare Advantage health plans for the costs of treating individuals with multiple chronic conditions, according to a new analysis from Avalere Health.
Affordable Care Act improves Medicaid efficiency, enrollment
The Affordable Care Act helped states implement major technological upgrades to their Medicaid systems, as well as streamline both the enrollment and renewal processes and increase administrative effectiveness, according to new report from the Kaiser Family Foundation.
Lawmakers subpoena IRS, Treasury over ACA payments
Following what they claim is the Obama administration's unlawful payments to insurance companies for almost a year, Rep. Fred Upton (R-Mich.) and Rep. Kevin Brady (R-Texas) have submitted subpoenas to both the IRS and the Secretary of the Treasury, according to an announcement from the House Energy and Commerce Committee.
High deductibles do not turn consumers into savvy shoppers
Imposing high deductibles on health plans does not, in fact, encourage individuals to shop around more for better healthcare prices, according to a new research letter from the Journal of the American Medical Association.
House Republicans press HHS about Affordable Care Act funding
Two House Republicans say they might subpoena Department of Health and Human Services Secretary Sylvia Mathews Burwell for what they say is the misuse of Affordable Care Act funds.
