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News

AHA voices support for HRA proposal for employers

The AHA today voiced support for a proposed rule that would allow employers to use health reimbursement arrangements to pay a portion of the premiums for individual market coverage for employees and their allowable dependents if the coverage complies with all individual market rules.
News

AHA urges agencies to revise updated guidance on 1332 waivers

AHA today urged the departments of Health and Human Services and Treasury to revise their updated guidance governing waivers under Section 1332 of the Affordable Care Act to ensure that patients are protected from inadequate or unaffordable coverage.
News

AHA voices support for CMS proposal to expand MA telehealth benefits

Commenting today on proposed policy changes for Medicare Advantage plan years 2020 and 2021, AHA expressed strong support for the Centers for Medicare & Medicaid Services’ flexible approach to expanding MA telehealth benefits, as authorized by the Bipartisan Budget Act of 2018.
News

CMS proposes 2020 risk adjustment changes for MA Part C plans

The Centers for Medicare & Medicaid Services yesterday announced proposed changes to the risk adjustment model for aged and disabled beneficiaries enrolled in Medicare Advantage Part C plans beginning in calendar year 2020, as required by the 21st Century Cures Act.
News

House passes legislation to reauthorize preparedness programs

The House of Representatives Wednesday approved a legislative package (H.R. 7328) that includes the Pandemic and All-Hazards Preparedness and Advancing Innovation Act.
News

AHA, FAH: Policies to address surprise bills must protect patients

The AHA and Federation of American Hospitals “strongly believe that any public policy solution to resolve surprise bills must protect patients by prohibiting balance billing and by limiting patients’ cost-sharing to an in-network amount,” the organizations today told members of Congress.
News

CMS releases final rule on Medicare Shared Savings Program

The Centers for Medicare & Medicaid Services today issued a rule finalizing changes to the Medicare Shared Savings Program, including to the structure of payments made to accountable care organizations and other aspects of participation in the MSSP.
News

CMS approves Mich. Medicaid waiver with work requirements

The Centers for Medicare and Medicaid Services today approved a Section 1115 waiver for Michigan that will require able-bodied adults aged 19 to 62 to work or participate in training or community service an average 80 hours per month to continue qualifying for Medicaid under the Healthy Michigan Plan beginning in 2020.
News

Survey: More adults underinsured since 2010

About 29 percent of adults with health insurance last year were underinsured, with high deductibles and out-of-pocket expenses relative to their income.
News

CMS: Clinicians can look up preliminary 2019 MIPS eligibility status

Clinicians can now look up their preliminary eligibility status for the Merit-based Incentive Payment System, one of two payment pathways for clinicians under the Medicare Access and CHIP Reauthorization Act of 2015.