In the decade since the Affordable Care Act’s (ACA) inception, a critical coverage gap remains in the health insurance landscape. This gap prevails in the 10 states withholding the ACA Medicaid expansion, affecting 1.5 million uninsured individuals. In this detailed analysis, we investigate who is affected, the potential for expanded coverage, and examine new economic incentives that may prompt a shift towards the adoption of Medicaid expansion in remaining states. Understanding the Health Insurance Coverage Gap The ‘Coverage Gap’ is a situation in some states where adults can’t get Medicaid…
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America’s health care system is undergoing many changes – it’s hard for insurance professionals to keep updated let alone consumers. Here we make it easy and publish daily articles on the changes and challenges that health care reform has ahead.
Virginia considers mandatory health insurance for PANS/PANDAS
The “devastating” childhood illness can cost affected families hundreds of thousands for treatment. A bill in Virginia is being studied by the state Health Insurance Reform Commission for the coverage of treatment for PANS/PANDAS, a mainly childhood neuropsychiatric disorder. The examination of the bill follows a unanimous tabling in a House subcommittee earlier this month. The legislation was proposed by House Delegate Patrick Hope (D-Arlington) and would require private health insurance and Medicaid to provide coverage for PANS/PANDAS treatment in order to lower the cost families must face upon diagnosis.…
Read MoreWisconsin reaches record health insurance enrollments through Affordable Care Act
The state saw about 266,000 sign-ups during the 2024 open enrollment period for coverage. This year’s Affordable Care Act open enrollment window for health insurance saw the highest number of Wisconsin state residents registering for coverage. The 2024 enrollment period brought coverage to over a quarter of a million people in the state. State officials made the announcement, citing health insurance enrollment data released by the federal Centers for Medicare & Medicaid Services (CMS) and from the Office of the Commissioner of Insurance. The data reflected the number of enrollments…
Read MoreMany health insurance denials in Pennsylvania to undergo fresh review
A new program in the state will focus on cases in which individuals have failed to obtain payments. The new Independent External Review program in Pennsylvania will be taking another look at health insurance claims in which policyholders felt they were incorrectly denied. Many people feel that the current appeal process hasn’t worked for them due to its limitations. There is already an appeal process available to health insurance customers whose claims have been denied for the cost of a medication or medical procedure. They have been able to appeal…
Read MoreRecord numbers of Texas residents enrolled in ACA health insurance plans this year
The state’s total enrollment numbers were recently released, with over 1 in 9 Texans covered. The 2024 open enrollment period came with a record number of Texan sign-ups for health insurance plans through the Affordable Care Act (ACA). The data was released by the federal government as the state uses the federal HealthCare.gov marketplace. Over 1 in every 9 residents of the state are now covered by health insurance plans sold through the ACA in 2024. This is a notable record, as it was set in the state with the…
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