Health Insurance

The Centers for Medicare & Medicaid Services should require health insurers to use the existing claims processing framework to create a patient’s advanced explanation of benefits to ensure the AEOB closely reflects the patient’s final bill and cost information, the AHA told the agency today.
AHA today released a new report and infographic showing how some commercial health insurers, including Medicare Advantage plans, can cause dangerous delays in care, undue burden on the health care workforce, and add billions of dollars in unnecessary costs to the health care system
Now through Jan. 15, individuals and families can enroll in or change their health coverage options through the Affordable Care Act marketplaces. The Centers for Medicare & Medicaid Services expects four out of five consumers to find plans for $10 or less per month after tax credits.
The Centers for Medicare & Medicaid Services Friday finalized a rule updating Medicare enrollment and eligibility rules to strengthen coverage and ease enrollment, as required by the Consolidated Appropriations Act of 2021. AHA expressed support for the updates in an April letter to the agency.
The average annual premium for employer-sponsored family health coverage rose 1.1% in the first part of this year to $22,463, including employer and worker contributions, according to the latest annual survey of employer-sponsored health insurance by the Kaiser Family Foundation. The average…
The Centers for Medicare & Medicaid Services yesterday approved state plan amendments allowing Georgia and Pennsylvania to extend postpartum coverage from 60 days to 12 months after pregnancy for Medicaid and Children’s Health Insurance Program enrollees under the American Rescue Plan Act.
On Nov. 1 at 2 p.m. ET, the Centers for Medicare & Medicaid Services will host a webinar to review and answer questions about its new web form for submitting Notice of Offers to certified Independent Dispute Resolution entities under the No Surprises Act. The webinar also will review changes to…
Most states expect their Medicaid enrollment to decline and spending to increase when enhanced federal funding and the requirement to maintain continuous enrollment eventually end with the COVID-19 public health emergency, according to the latest annual survey of state Medicaid directors by the…
Starting today, consumers can preview their 2023 health coverage options at the federally facilitated Health Insurance Marketplace. Open enrollment for the 2023 marketplace runs Nov. 1 through Jan. 15, with coverage starting Jan. 1 for consumers who enroll by midnight on Dec. 15.
Medicare open enrollment for 2023 began Saturday and runs through Dec. 7. During the annual open enrollment period, beneficiaries can review and change their Medicare coverage options, from Medicare Advantage and prescription drug plans to Original Medicare.