The American Medical Association, American Academy of Pediatrics and several other physician organizations have suggested changes to the proposed rules on health insurance exchanges, according to an American Medical News report.
The AMA and AAP expressed concern that families may not be able to acquire affordable health coverage through health insurance exchange because of an IRS definition in a proposed rule addressing the premium tax credit. Specifically, families earning between 100 and 400 percent of the federal poverty level could be eligible for a federal tax credit to offset the cost of insurance.
Those who can buy health coverage for less than 9.5 percent of their incomes are not eligible for the credits, but the standard does not include the cost of family coverage. Under this loophole, no member of the family would be eligible for credits when one member has an affordable offer of employee-only coverage, according to the report.
The AMA and AAP also suggested that physicians should help lead insurance exchanges. The organizations believe that some states have unduly restrictive conflict-of-interest provisions that prevent physicians from serving on exchange governing boards, according to the report.
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The AMA and AAP expressed concern that families may not be able to acquire affordable health coverage through health insurance exchange because of an IRS definition in a proposed rule addressing the premium tax credit. Specifically, families earning between 100 and 400 percent of the federal poverty level could be eligible for a federal tax credit to offset the cost of insurance.
Those who can buy health coverage for less than 9.5 percent of their incomes are not eligible for the credits, but the standard does not include the cost of family coverage. Under this loophole, no member of the family would be eligible for credits when one member has an affordable offer of employee-only coverage, according to the report.
The AMA and AAP also suggested that physicians should help lead insurance exchanges. The organizations believe that some states have unduly restrictive conflict-of-interest provisions that prevent physicians from serving on exchange governing boards, according to the report.
Related Articles on Coding, Billing and Collections:
Marilyn Tavenner's CMS Nomination Meets Approval From AMA, Cautious Criticism From Republicans
Vermont Administration Seeks Ideas on Funding Single-Payor Healthcare System
10 Trends in ASC Payor Reimbursement & Contracting for 2012