The Department of Health and Human Services today issued final rules for the health insurance marketplaces for plan year 2019, as well as the 2019 Letter for issuers selling on the federally-facilitated exchanges. The rule includes a number of policy changes for both the individual market and the Small Business Health Options Program. Changes include providing states with additional flexibility to define the essential health benefits to, among other things, modifying the availability of special enrollment periods; refining further the risk adjustment model; and expanding the types of entities that may be navigators, among other changes to the program. Initial qualified health plan applications are due June 20. 
 

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Eli Lilly said June 1 it will deny 340B Drug Pricing Program discounts to providers that do not meet its documentation requirements by next week.In a statement…
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The Centers for Medicare & Medicaid Services June 1 issued an interim final rule with comment period implementing the statutory requirement that certain…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …
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Patients are best served when insurers act as transparent and reasonable partners, not when they invoke patient protection laws to justify payment strategies…