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Administration finalizes rule limiting short-term, limited-duration insurance

The Departments of Health and Human Services, Labor and Treasury March 28 released a final rule to limit the sale of one type of non-comprehensive health care coverage and promote greater consumer understanding of their coverage options. 
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Administration Finalizes Limit on Short-term, Limited-duration Health Insurance

The Departments of Health and Human Services, Labor and Treasury releases final rule limiting the sale of non-comprehensive health care coverage and promoting greater consumer understanding of their coverage options.

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.

AHA shares ERISA recommendations with House committee

Responding March 15 to a House Committee on Education and the Workforce request for comments on ways to strengthen the Employee Retirement Income Security Act, AHA called for greater oversight of ERISA-regulated insurers to prevent inappropriate care denials, payment delays and self-dealing by vertically integrated insurers.
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AHA Response to Employee Retirement Income Security Act (ERISA) RFI

Health insurers have gone through dramatic vertical consolidation since ERISA was signed into law. Over the last decade, the major corporate insurers have spent billions of dollars acquiring not only other plans, but also providers, pharmacy service companies, and health technology and claims adjudication systems.

AHA shares recommendations with House Budget Committee task force

Responding to a request for stakeholder input, AHA shared (LINK) with the House Budget Committee Health Care Task Force its recommendations to make health care more affordable without compromising access to high quality care.

CMS releases star ratings for 2024 Medicare Advantage, prescription drug plans

The Centers for Medicare & Medicaid Services released its star ratings for 2024 Medicare Advantage and prescription drug plans, which are available through the Find Plans tool at Medicare.gov.

AHA submits comments to House hearing on Medicare legislative proposals

AHA on Oct. 19 submitted a statement to the House Energy and Commerce Health Subcommittee on legislative proposals involving Medicare.

House letter on AI use in Medicare Advantage denials

Over 30 members of the House of Representatives Nov. 3 urged the Centers for Medicare & Medicaid Services to monitor and evaluate how Medicare Advantage plans use artificial intelligence and algorithms to guide their coverage decisions, and ensure these tools comply with Medicare rules and do not create barriers to care.

CMS releases proposed rule for 2025 Medicare Advantage, prescription drug plans

The Centers for Medicare & Medicaid Services Nov. 6 proposed changes to the Medicare Advantage and prescription drug programs for contract year 2025 intended to improve access to behavioral health care; ensure that agents and brokers enroll individuals in the best plan for their needs and that MA plans offer appropriate supplemental benefits; streamline enrollment for individuals dually eligible for Medicare and Medicaid; and annually review MA utilization management policies for health equity considerations.