News & Analysis as of

Health Insurance Exchanges Healthcare Open Enrollment

Health Insurance Exchanges are government-regulated private health insurance markets where individuals can purchase standardized health insurance plans.
Bass, Berry & Sims PLC

UPDATE: Planning for Open Enrollment? Note the ACA Affordability Threshold Drop

This post was updated on February 6, 2024, to reflect the 2024 Federal Poverty Level announced in January 2024. On August 23, 2023, the Internal Revenue Service issued Rev. Proc. 2023-29, announcing that the Affordable...more

McGuireWoods LLP

Washington Healthcare Update

McGuireWoods LLP on

Bicameral Bill Introduced to Provide HHS Authority to Reject Proposed Insurance Rates - Before Congress left for its Columbus Day recess, Rep. Jan Schakowsky (D-IL) and Sen. Diane Feinstein (D-CA) introduced the Health...more

Manatt, Phelps & Phillips, LLP

Manatt on Health Reform: Weekly Highlights - August 2015

Increased plan choice on HealthCare.gov is linked to lower premium growth; Arizona seeks changes to Medicaid expansion; and California and New York release detailed Marketplace and Medicaid enrollment reports....more

Manatt, Phelps & Phillips, LLP

Manatt on Health Reform: Weekly Highlights - February 2015

The President’s budget reveals the healthcare agenda for his Administration’s penultimate year. Medicaid expansion proposals advance in Arkansas and Wyoming; California’s Marketplace reports 9 out of every 10 enrollees remain...more

Manatt, Phelps & Phillips, LLP

Manatt on Health Reform: Weekly Highlights

Welcome to the first publication of the “Manatt on Health Reform: Weekly Highlights” newsletter. Many of you are familiar with the healthcare reform tracking efforts and weekly newsletters we produced for the KidsWell...more

Mintz - Health Care Viewpoints

HHS Report Highlights “Surge” In Enrollment in Health Insurance Marketplaces

Last week, HHS’s Office of the Assistant Secretary for Planning and Evaluation published a Report offering health plan enrollment data for the state-based insurance marketplaces authorized by the Affordable Care Act...more

Carlton Fields

The Affordable Care Act Comes Of Age

Carlton Fields on

Since President Obama signed the Patient Protection and Affordable Care Act (ACA) in March 2010, various provisions of the law have taken effect. However, its core pieces become effective this year....more

Obermayer Rebmann Maxwell & Hippel LLP

Deadline to Enroll in Health Insurance Coverage Extended through December 24

Along with stocking stuffers and gifts, last-minute Christmas shoppers have another item to put on their list: another chance to purchase health insurance coverage through the Federal Insurance Exchange. The Obama...more

Polsinelli

Health Reform + Related Health Policy News - November 2013 - Issue 1

Polsinelli on

In This Issue: - Top News ..HHS Gives Mixed Messages Regarding Federal Health Care Program-Status of Qualified Health Care Plans (QHPs) ..HHS Issues Health Insurance Marketplace Enrollment Report Snapshot ...more

K&L Gates LLP

Healthcare Complexity: Do Exchange Plans Qualify as Federal Healthcare Programs

K&L Gates LLP on

As the healthcare community readies itself for patients securing health coverage through the exchanges, various techniques are being considered to encourage and facilitate patient enrollment in a health plan. One question...more

King & Spalding

Ordering/Referring Provider Edits To Be Turned On Effective January 6, 2014

King & Spalding on

On November 6, 2013, CMS announced that it plans to turn on claims processing edits (effective January 6, 2014) to deny Part B clinical laboratory and imaging, and DMEPOS, and Part A home health agency claims that fail...more

Mintz - Health Care Viewpoints

Health Care Reform Update -- October 28, 2013

In This Issue: Leading the News; Implementation of the Affordable Care Act; Other HHS and Federal Regulatory Initiatives; Other Congressional and State Initiatives; Other Health Care News; and Hearings and Mark-Ups...more

Winthrop & Weinstine, P.A.

MNsure - Up and Running

MNsure, Minnesota’s health insurance exchange, met the October 1, 2013 deadline to open their health exchange website for consumers to purchase health insurance. The launch was not without glitches, some relating to the...more

Pillsbury - Global Sourcing Practice

Obamacare HealthCare.gov Issues Serve as a Reminder to Embrace Best Practices in Software Development and Integration Projects

October 1st marked the beginning of open enrollment for the federal and state health care exchanges ("Exchanges") created to comply with the Affordable Care Act ("ACA") of 2010, commonly referred to as Obamacare. The creation...more

Jackson Walker

Providers Beware: Exchange Products May Mean Increased Risk for Your Business

Jackson Walker on

State health insurance exchanges are virtual marketplaces that were created by the Patient Protection and Affordable Care Act ("PPACA") to allow private insurance companies to sell qualified health plans ("QHP") meeting...more

Polsinelli

Health Reform + Related Health Policy News - October 2013

Polsinelli on

In This Issue: - Top News ..Judge Orders $237.4 Million Penalty Against Tuomey for Stark Law and False Claims Act Violations ..Glitches and Demand Lead to Marketplace Frustration ..HHS Delays Small...more

Cozen O'Connor

Health Care Reform Implementation Update - September 24, 2013

Cozen O'Connor on

With a week until a potential government shutdown and a week until open enrollment begins, the Affordable Care Act (ACA) is in the limelight. On September 20, the House voted for a continuing resolution that funds the...more

Morgan Lewis

HHS Publishes Final Rule on Exchanges, SHOPs, and Eligibility Appeals

Morgan Lewis on

Final regulations required for October 1, 2013 open enrollment are largely unchanged from the proposed rule. On August 30, the Centers for Medicare & Medicaid Services (CMS) of the Department of Health and Human...more

Saul Ewing Arnstein & Lehr LLP

The Employer’s Playbook for ACA Compliance: October 1, 2013 Deadline to Provide Health Insurance Marketplace Notice

Under the Affordable Care Act (ACA), individuals and small businesses will be able to purchase health insurance coverage online through the new health insurance coverage exchanges (now known as “Marketplaces”)....more

King & Spalding

CMS Issues Final Program Integrity Rule for Affordable Insurance Exchanges

King & Spalding on

On August 30, 2013, CMS published a final rule establishing certain program integrity requirements for the private health insurance marketplaces—called Affordable Insurance Exchanges (or Health Insurance...more

Cozen O'Connor

Health Care Reform Implementation Update - August 26, 2013

Cozen O'Connor on

In response to security concerns about personal information in the health insurance exchanges, the Centers for Medicare and Medicaid Services (CMS) released a new security agreement for the data hubs where this information...more

BakerHostetler

Stand and Be Counted: Determining Full-Time Employees Who Must Be Offered Affordable Health Benefit Coverage Under The Employer...

BakerHostetler on

The article "Start Counting," published in the June 3, 2013, edition of the Benefits Broadcast discussed how employers must "count" themselves into compliance with the ACA, and how the number of employees affects whether an...more

Butler Snow LLP

Notice Of Coverage Options In Exchange Distributable To Employees By October 1, 2013 Under Health Care Reform Act

Butler Snow LLP on

Update: On July 2, 2013, the Treasury Department posted a blog announcing its intention to delay – until January 1, 2015 – the employer shared responsibility and related requirements of the Health Care Reform Act, and that...more

Saul Ewing LLP

The Employer’s Playbook for ACA Compliance: Ten Practical Strategies for 2014

Saul Ewing LLP on

The Affordable Care Act (a/k/a Health Care Reform, or the ACA) is complicated. While there is nothing in the ACA that requires any employer to provide group health care coverage to its employees, the failure to do so can come...more

King & Spalding

Notice to Employees Regarding Health Insurance Exchange Coverage Options

King & Spalding on

Beginning January 1, 2014, individuals and employees of small businesses will be able to purchase medical coverage through state and federal health insurance exchanges (the “Marketplaces”). These Marketplaces will offer...more

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