HHS proposes significant new network adequacy standards and surprise billing protections for 2017 QHPs; Louisiana's Governor-elect reiterates his intent to expand Medicaid on "Day One"; and California considers pursuing a...more
Arizona seeks Medicaid Waiver to implement new coverage restrictions for Medicaid expansion enrollees and delivery system reform; Tennessee’s uninsured rate continues to drop; and Louisiana gubernatorial candidates line up...more
10/21/2015
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Co-Op ,
Co-payments ,
Cost-Sharing ,
Department of Health and Human Services (HHS) ,
DSRIP ,
Enrollment ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Hospitals ,
Medicaid ,
Medicaid Expansion ,
Medicaid Reform ,
OIG ,
Public Health Insurance Marketplace ,
Qualified Health Plans ,
State Health Insurance Exchanges ,
Tax Credits ,
Waivers
New study shows Marketplace premiums parallel the employer market; Montana likely to select a private insurer to administer benefits to its Medicaid expansion population; and Washington’s Exchange customers will begin paying...more
9/30/2015
/ Affordable Care Act ,
Audit Reports ,
Blue Cross ,
Centers for Medicare & Medicaid Services (CMS) ,
Co-Op ,
Cost-Sharing ,
Deductibles ,
Eligibility ,
Employer Group Health Plans ,
Employer Mandates ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Hospitals ,
Medicaid ,
Medicaid Expansion ,
Medicaid Reform ,
Minimum Essential Coverage ,
NYDFS ,
OIG ,
Public Health Insurance Marketplace ,
State Health Insurance Exchanges ,
Verification Requirements
Colorado’s uninsured rate is down 9 percentage points in four years; Michigan requests increased cost-sharing for its Medicaid expansion population above the federal poverty line; and, HHS’s proposed guidance strengthens...more
9/10/2015
/ Affordable Care Act ,
Anti-Discrimination Policies ,
Centers for Medicare & Medicaid Services (CMS) ,
Comment Period ,
Cost-Sharing ,
Department of Health and Human Services (HHS) ,
Disability Discrimination ,
Draft Guidance ,
Federal Health Insurance Exchanges ,
Gender Discrimination ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Medicaid Expansion ,
NPRM ,
Proposed Regulation ,
Public Health Insurance Marketplace ,
Qualified Health Plans ,
Sex Discrimination ,
Sexual Orientation Discrimination ,
State Health Insurance Exchanges ,
Tax Credits ,
Transgender ,
Waivers
This week...no clear consensus has emerged among congressional Republicans on how to manage potential King v. Burwell fallout; California will expand Medicaid to undocumented children; and New York is poised to become the...more
6/24/2015
/ Affordable Care Act ,
Centers for Medicare & Medicaid Services (CMS) ,
Cost-Sharing ,
Department of Homeland Security (DHS) ,
Health Insurance ,
Insurance Industry ,
Medi-Cal ,
Medicaid ,
Pregnancy ,
Public Health Insurance Marketplace ,
Reinsurance ,
Undocumented Immigrants