Currently Viewing:
Currently Reading
The Allen Institute for Immunology Plans Long-term Goal of Mapping the Immune System
December 15, 2018 – David Bai, PharmD
Osteoporosis Working Group Creates Recommendations for Economic Evaluations
December 15, 2018 – Allison Inserro
Federal Judge Strikes Down Affordable Care Act
December 15, 2018 – Allison Inserro and Mary Caffrey
Osteoporosis Screening Strategies Don't Identify Younger Women at Risk
December 14, 2018 – Allison Inserro
Study Determines Why Patients With HIV Have Higher Rates of Cancer
December 14, 2018 – Alison Rodriguez
Sofosbuvir-Based Therapy Safe in Patients With HCV and Certain Cancers
December 14, 2018 – Samantha DiGrande
Gender Differences Found in COPD Hospitalizations and In-Hospital Deaths
December 14, 2018 – Alison Rodriguez
Nontuberculous Mycobacterial Lung Disease Doubled the Risk of Death in a Managed Care Population
December 14, 2018 – Jackie Syrop
What We're Reading: Court Trims Birth Control Rule; Guns as Public Health Issue; California Lenient Toward Doctors
December 14, 2018 – AJMC Staff

Idaho to Move Ahead With State-Based Health Plans Without Waiting for CMS Waiver

AJMC Staff
The move comes more than 10 months after the state's governor first called for selling non-compliant plans.
Idaho insurance officials have decided not to wait for CMS and are letting insurers sell health plans that don’t fully comply with the Affordable Care Act (ACA). The controversial step comes almost a year after the state’s governor called for selling less expensive, non-compliant plans.

It was unclear late Friday whether state-based plans are currently being sold in direct competition with ACA-complaint plans. A call to the Idaho Department of Insurance was not returned. However, a release issued Thursday as open enrollment began seemed to imply this possibility. The list of questions it encouraged consumers to ask included, “Does my plan meet all requirements of the Affordable Care Act?”

In February, Blue Cross of Idaho unveiled 5 state-based plans it hoped to sell alongside ACA-complaint plans, including those that would subject consumers to medical underwriting. CMS rejected Idaho’s approach, saying regulators would not be “substantially” enforcing the ACA. As recently as September, Insurance Department Director Dean Cameron said the state was still in talks with CMS, with one issue to resolve.

Cameron has argued that CMS is hard-pressed to reject Idaho’s decision, given the administration’s posture in a Texas lawsuit to overturn the ACA.

The state has not sought a 1332 waiver, which gives states additional flexibility under the ACA.

Idaho regulators have said that too many residents have gone without health insurance because they can’t afford prices on the ACA exchanges, but they make too much money to qualify for federal premium subsidies.

Tuesday’s election results could further change the state’s insurance market. If voters approve a ballot initiative to expand Medicaid, some consumers who might have purchased short-term plans or state-based plans could be eligible for Medicaid.

Copyright AJMC 2006-2018 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
Welcome the the new and improved, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up

Sign In

Not a member? Sign up now!