Health Insurance
Automating health care insurance claims management with AI-powered tech can speed denials resolution - TrailBlazers
An analysis published Sept. 30 by KFF found that Health Insurance Marketplace enrollees who currently benefit from the enhanced premium tax credits would pay more than double their current premium payments if the EPTCs expire at the end of this year.
The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure insurance plans adhere to the agencies’ health insurer pledge to reform prior authorization processes.
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
The Census Bureau reported that the uninsured rate increased nationally to 8.2% in 2024 from 7.9% in 2023 based on data from the American Community Survey.
CMS Sept. 4 issued new guidance on hardship exemptions for individuals ineligible for premium tax credits or cost-sharing reductions due to income, for plan years beginning in 2026. Going forward, such individuals will be eligible for hardship exemptions, allowing them to enroll in…
The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design Model, including a new end date of Dec. 31, 2035.
Analysis projects increases in state uninsured rates following passage of budget reconciliation bill
A KFF analysis published Aug. 20 provides a state-by-state allocation of Congressional Budget Office estimates that 10 million people could be uninsured by 2034 following the passage of the budget reconciliation bill.
The U.S. Departments of Labor, Health and Human Services, and the Treasury announced Aug. 7 that they are reconsidering the definition of short-term, limited-duration insurance through a formal rulemaking process.
A new analysis published Aug. 6 by the Peterson Center on Healthcare and KFF found that Health Insurance Marketplace insurers will propose a median premium increase of 18% for 2026.