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CMS issues proposed rule changing federal marketplace enrollment and eligibility requirements
The Centers for Medicare & Medicaid Services March 10 released new proposed policies for health insurance marketplaces, including the issuers, agents and brokers who assist marketplace enrollees.
AHA brief urges court to oppose motion by MultiPlan to end antitrust case
The AHA March 10 filed a friend-of-the-court brief in the U.S. District Court for the Northern District of Illinois, urging the court to oppose a motion by data analytics firm MultiPlan to dismiss claims that the company conspired with insurers to reduce out-of-network reimbursements for hospitals and health systems.
AHA Amicus Brief Challenges MultiPlan, Inc. Motion to Dismiss Antitrust Litigation
Commercial insurance reimbursements comprise the majority of many hospitals’ revenue. Moreover, because government programs like Medicare do not cover the costs of providing care, commercial reimbursements can be the difference between losing money, breaking even, or earning a sustainable margin.
Blog: 3 Ways Not Extending the Enhanced Premium Tax Credits Would Hurt Patients in Rural Communities
Congress passed into law legislation in 2021 that allowed additional eligibility for enhanced premium tax credits to help certain individuals and families purchase insurance on the health insurance marketplaces.
KFF: Cutting Medicaid expansion match rate could result in 20 million losing coverage
An analysis released Feb. 13 by KFF found that a proposal to cut the Affordable Care Act's Medicaid expansion match rate could reduce total Medicaid spending by up to $1.9 trillion over a 10-year period, causing potentially 20 million people to lose Medicaid coverage.
HHS: 45M enrolled in coverage through ACA Marketplace, Medicaid expansion
Over 21.4 million Americans selected or were automatically re-enrolled in 2024 Marketplace coverage, the Centers for Medicare & Medicaid Services reported March 22, up slightly from the 21.3 million reported in January.
Special Bulletin: CMS Issues Proposed Notice of Benefit and Payment Parameters for 2026
The Centers for Medicare & Medicaid Services (CMS) Oct. 4 released its proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees, for 2026.
CMS issues proposed notice of benefit and payment parameters for 2026
The Centers for Medicare & Medicaid Services Oct. 4 released its proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees, for 2026.
Regulatory Advisory reviews CMS finalized notice of benefit and payment parameters for 2026
The Centers for Medicare & Medicaid Services Jan. 13 released its standards for the health insurance marketplaces for 2026, including the issuers and brokers who assist marketplace enrollees. The final rule enhances CMS' authority to address and curtail misconduct by agents and brokers, such as fraudulent changes to an enrollee's health care coverage.
CMS Finalizes Notice of Benefit and Payment Parameters for 2026
The Centers for Medicare & Medicaid Services (CMS) Jan. 13 released its standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees, for 2026.