Sign up for our daily briefing

Make your busy days simpler with Axios AM/PM. Catch up on what's new and why it matters in just 5 minutes.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Catch up on coronavirus stories and special reports, curated by Mike Allen everyday

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Denver news in your inbox

Catch up on the most important stories affecting your hometown with Axios Denver

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Des Moines news in your inbox

Catch up on the most important stories affecting your hometown with Axios Des Moines

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Minneapolis-St. Paul news in your inbox

Catch up on the most important stories affecting your hometown with Axios Twin Cities

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Tampa Bay news in your inbox

Catch up on the most important stories affecting your hometown with Axios Tampa Bay

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Charlotte news in your inbox

Catch up on the most important stories affecting your hometown with Axios Charlotte

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!

A woman fills out paperwork while waiting in a doctor's office. Photo: Jason Connolly / AFP via Getty Images

The Trump administration was set on three primary health insurance ideas when it released its health care executive order last October.

Association health plans: Check. Short-term health plans: Check.

What's next: Health reimbursement arrangements, which allow workers to buy coverage with tax-free dollars.

Background on HRAs:

  • Companies create HRAs as a way to give their employees tax-free money to buy health insurance, instead offering traditional plans themselves.
  • The IRS previously said HRAs did not comply with Affordable Care Act coverage requirements, but the 21st Century Cures Act made it acceptable for small companies to fund HRAs so employees can buy health insurance on or off the ACA marketplaces.

Here's what the Department of Health and Human Services could do:

  • Relax rules so companies of all sizes can take advantage of HRAs. Medium-sized and large employers want the same option of setting up HRAs for workers to buy ACA coverage, said Chris Condeluci, who worked on the ACA as a Senate GOP staff attorney.
  • Now that the individual mandate has been repealed, the administration could open the door for companies "to provide funds to buy noncompliant coverage," said Gary Claxton, a vice president at the Kaiser Family Foundation.

The Trump administration has blown past the 120-day deadline it gave itself to propose new HRA regulations or revise past guidance. HHS did not respond to questions about when something might come.

Looking further ahead: Could this trigger employers to stop offering their traditional coverage and push workers toward the ACA marketplaces or elsewhere? It's possible, especially for companies that have sick employees or are in high-risk industries like logging or construction. The dumping could work the other way as well, Condeluci said, if startups with young workers want fewer benefits headaches.

Big companies may not rush to adopt any potential new HRA options if they don't want to risk an employee revolt. Job-based health plans generally have lower deductibles and more generous coverage than typical ACA plans. "The main reason why employers offer benefits through work is to attract and retain talent," Condeluci said.

The bottom line: This all sounds esoteric, and it is, but expanding HRAs could reshape how people get health insurance from their jobs.

Go deeper

Netflix tops 200 million global subscribers

Illustration: Rebecca Zisser/Axios

Netflix said that it added another 8.5 million global subscribers last quarter, bringing its total number of paid subscribers globally to more than 200 million.

The big picture: Positive fourth-quarter results show Netflix's resiliency, despite increased competition and pandemic-related production headwinds.

Janet Yellen plays down debt, tax hike concerns in confirmation hearing

Treasury Secretary nominee Janet Yellen at an event in December. Photo: Alex Wong via Getty Images

Janet Yellen, Biden's pick to lead the Treasury Department, pushed back against two key concerns from Republican senators at her confirmation hearing on Tuesday: the country's debt and the incoming administration's plans to eventually raise taxes.

Driving the news: Yellen — who's expected to win confirmation — said spending big now will prevent the U.S. from having to dig out of a deeper hole later. She also said the Biden administration's priority right now is coronavirus relief, not raising taxes.

Trump gives farewell address: "We did what we came here to do"

Photo: Mandel Ngan/AFP via Getty Images

President Trump gave a farewell video address on Tuesday, saying that his administration "did what we came here to do — and so much more."

Why it matters, via Axios' Alayna Treene: The address is very different from the Trump we've seen in his final weeks as president — one who has refused to accept his loss, who peddled conspiracy theories that fueled the attack on the Capitol, and who is boycotting his successor's inauguration. 

You’ve caught up. Now what?

Sign up for Mike Allen’s daily Axios AM and PM newsletters to get smarter, faster on the news that matters.

Please enter a valid email.

Please enter a valid email.

Subscription failed
Thank you for subscribing!