HHS has already launched a new page aimed at touting their latest attempts to revise the Affordable Care Act. Providing Relief Right Now for Patients links to initiatives HHS hatchet man Price has started to improve (gut) the ACA. The page states, “We are going through every page of regulations and guidance related to the Affordable Care Act to determine whether or not they work for patients and whether or not they are making our health care system better.”
For years I have been at odds over how the San Juan Water District (SJWD) set their daily and metered rates for water in the Granite Bay area. Finally, SJWD is proposing a five-year rate structure that addresses the long term capital improvement needs of the district. The unfortunate 8% and 9% increase in the rates is a reflection of past Board decisions not to implement a stable rate structure for future maintenance, operations, and system upgrades.
Under Secretary Price’s proposed rule, a health insurance company could deny coverage during the open enrollment period if the consumer had a health plan through the company in the prior year, but let the coverage lapse for non-payment. Before the consumer could enroll in the plan, the insurance company could demand payment for those months after the plan was terminated for non-payment.
What the house lacked in modern amenities, according to John, was more than made up for in the wild El Dorado County countryside that surrounded it. Fostered by the books John’s father read to him, his imagination blossomed and streams, fields, and hillsides were his land of adventure. There were whales to harpoon, witches to avoid, and Indian wars to recreate. By virtue of being an only child, John was forced out into the sunshine and fresh air to create his own daily entertainment.
Newly minted Health and Human Services Secretary Price has wasted no time issuing press releases to promote the much aligned Trumpcare alternative to Obamacare. As soon as the American Health Care Act (AHCA) was introduced HHS started touting Trumpcare as it has been dubbed. While most HHS news releases try to be upbeat, positive, and fact-based, Secretary Price has begun issuing HHS press releases to counter negative coverage Trumpcare has been getting.
In order determine how my clients might be affected by the proposed new Premium Tax Credits under the American Heath Care Act (AHCA or Trumpcare) introduced by the Republicans in March 2017, I compared the current income based Premium Tax Credits under the ACA to the new age based tax credits of the AHCA. On average, my clients included in the comparison will lose $157 per month to help pay for their health insurance. Young individuals, under 30 years old, have the smallest change of premium tax credit under the age based rules. Within my clients, people over 55 year old will get hit the hardest losing $200 to $400 per month in premium tax credit assistance.
Since the beginning of health care reform under President Obama there has been intense speculation about how the health insurance companies will react when setting rates for the various health plans they offer. Health insurance is not a commodity like wheat, oil, or pork bellies where the market place of buyers and sellers agree upon a price. While competition does impact the rates to a certain degree, health insurance prices are largely determined by the health care services to be covered, the cost of health care services, and the expected claims for those services within a geographical location where the plan is being offered.
Given the Republican philosophy that less government is better government, Covered California’s reason for existence may evaporate. But it all hinges on Trump’s term ‘transition’. Does he want to transition away from the Marketplace Exchanges, or is he merely suggesting transitioning away the Qualified Health Plans as a requirement for the tax credit?
It was a stroke of luck that I stumbled upon the original 1861 map of the Sacramento, Placer & Nevada Railroad (SPNRR) map in the California State Archives. With a digitized version of the original map, I could then compare the constructed rail line to modern roads and Folsom Lake shown on 20th century maps. While the 1861 and modern day maps don’t align perfectly, there are enough similarities to confirm suspicions of the route through the Folsom and Granite Bay areas.
Now there is an alternative to traditional health insurance that is aimed at fitness buffs and gym owners. SHM FIT combines a health care expenses sharing group with a high deductible catastrophic health plan to offer health insurance premiums that may be less than traditional insurance.