Premiums Go Down, but You Pay More?

Though we know little about the healthcare plan the Senate is currently working on, already estimates about its effect on the number of people who are insured and the cost of premiums. According to estimates, health care premiums will go down, and yet you, the...

When will it end?

I’m not sure who of you have read last week’s blog in regards to Blue Cross and Blue Shield of Georgia stating they would not reimburse for a particular diagnosis from an emergency room visit. Let’s look at a clinical scenario: a 13-year-old boy...

When did the patient become the doctor?

You’re watching your son play outside in a beautiful summer day. He’s running, playing with the family dog. Suddenly he falls, crying out as he lands on the ground. You run to him and find that he can’t put any weight on his ankle and it hurts to move. What do you do?...

Who is looking out for patients?

Recently the administration asked the appeals court to delay a key court decision that affects millions of insured Americans. The requested 90-day delay will mean that the government will still continue to pay cost sharing reductions through much of the summer, while...

Merger Off, But Who Pays?

On Thursday a judge in Delaware ruled that Cigna could walk away from its merger with Anthem. On the surface this seems like a win for patients. After all, provider networks were already restricted and premiums high; keeping competition in the marketplace is always...

Who is against the AHCA?

The American Healthcare Act (AHCA) which passed the house this week is seen as the “fix” for the Affordable Care Act (ACA) or Obamacare. Except that it’s the fix no one wants. Doctors, hospitals, insurance companies, and trade groups representing them are all united...

Another shoe drops…

Last week we talked about what would happen if the ACA subsidies went away and how that would affect many individuals who are receiving insurance on the marketplace. There is a second piece to that puzzle—Cost Sharing Reduction payments (CSRs). The current...