Affordable Care Act
The Centers for Medicare & Medicaid Services yesterday issued a proposed rule that would maintain the current methodology for calculating risk adjustment transfers in the individual and small group health insurance markets for benefit year 2018.
The departments of Health and Human Services and the Treasury have approved Section 1332 waivers for Wisconsin and Maine to implement five-year reinsurance programs for their individual health insurance markets beginning in 2019.
The House of Representatives last night voted 242-176 to approve legislation (H.R. 6311) that would allow individuals purchasing health insurance in the individual market to purchase a lower value “copper” plan, which could drive more individuals to buy inadequate coverage and increase bad debt for…
The Centers for Medicare & Medicaid Services expects to begin $10.4 billion in risk adjustment transfers for benefit year 2017 in September, according to a final rule posted last night.
AHA, health organizations letter to CMS regarding its decision to suspend billions of dollars in annual payments to insurers as required under the Affordable Care Act’s risk-adjustment program.
The AHA Friday filed a friend-of-the-court brief supporting hospitals’ efforts to remove from a municipal ballot in November a union-backed measure that would impose pricing caps on hospitals and other health care providers, calling the measure not just misguided health care policy but also legally…
Eligible individuals and entities, including hospitals, can apply through Aug. 9 for funding to operate as “navigators” in states with a federally-facilitated health insurance exchange in plan year 2019.
The Centers for Medicare & Medicaid Services today announced that $10.4 billion in risk adjustment transfers for benefit year 2017 are on hold until certain litigation over the risk adjustment methodology is resolved.
More than 10.6 million individuals had paid their first month’s premium to officially trigger their 2018 health insurance coverage through the federal and state-based exchanges in February.
A bipartisan group of governors yesterday urged the administration to reverse its decision to no longer defend in federal court the Affordable Care Act’s protections for patients with pre-existing conditions.