Health Insurance
The Centers for Medicare & Medicaid Services last week issued a final methodology and data sources necessary to determine federal payment amounts to be made for program year 2022 to states that elect to establish a Basic Health Program under the Affordable Care Act to offer health benefits…
As urged by the AHA, UnitedHealthcare delayed indefinitely a policy that would have required in-network, freestanding and outpatient laboratory claims to contain a laboratory-specific, unique code for the overwhelming majority of laboratory testing services, in addition to the standard Current…
This Special Bulletin summarizes a proposed rule with additional policies for health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for plan years 2022 and beyond.
The Centers for Medicare & Medicaid Services released a proposed rule with additional policies for health insurance issuers and the Health Insurance Marketplaces (exchanges) for plan years 2022 and beyond.
State-based health insurance marketplaces can apply through July 20 at 3 p.m. ET for a portion of $20 million in American Rescue Plan Act funding.
Individuals and states have tried — three times — to wipe the Affordable Care Act off the books. The Supreme Court — for the third time — rejected those efforts. In a lopsided 7-2 opinion, the Court held that individual plaintiffs and states seeking to strike down the Act lacked “standing,” or the…
The United States Supreme Court rejected the third major challenge to the Affordable Care Act, holding in a 7-2 decision that the challengers did not have “standing,” or the legal right to challenge the portions of the ACA they alleged were unconstitutional.
More than 1 million Americans selecting a 2021 health plan through the federally facilitated marketplace since April 1 will pay $10 or less per month, the Centers for Medicare & Medicaid Services announced.
The AHA’s opposition to UnitedHealthcare’s now-delayed policy on emergency coverage was picked up by the media and was mentioned in numerous publications, including The New York Times, USA Today, Modern Healthcare, Minneapolis Star Tribune, as well as a local TV interview with AHA President and CEO…
Just days ago, UnitedHealthcare announced a new policy that threatened to deny some patient claims for emergency services starting July 1 if the insurer determined that the patient didn’t need emergency-level care.