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AHA files amicus brief in case alleging collusion to reduce out-of-network payments
AHA Jan. 9 filed a friend-of-the-court brief in an antitrust lawsuit filed by AdventHealth last year that alleges insurer MultiPlan conspires with other commercial health insurers that use its repricing tool to reduce what they pay health care providers for out-of-network services.
2024 Marketplace enrollment surpasses 20 million
Nearly 20.4 million people selected a 2024 health plan through the federally facilitated and state-based Health Insurance Marketplaces between Nov. 1 and Dec. 23, the Centers for Medicare & Medicaid Services reported Jan. 10.
2024 Marketplace enrollment approaches 4.6 million
Nearly 4.6 million people selected a 2024 health plan through the federally facilitated and state-based marketplaces Nov. 1-18, the Centers for Medicare & Medicaid Services reported last week.
AHA voices support for proposed standards for 2025 marketplace plans
Commenting Jan. 8 on the Centers for Medicare & Medicaid Services’ proposed standards for qualified health plans offered through the health insurance marketplaces for 2025, AHA said it supports the agency’s efforts to strengthen network adequacy standards, standardize and streamline marketplace operations, ease the enrollment process and improve access to certain health care services.
Administration proposes reopening of IDR operations comment period
The departments of Health and Human Services, Labor, and the Treasury, along with the Office of Personnel Management, Dec. 22 announced they intend to reopen the period for submitting comments on a proposed rule for new requirements relating to the disclosure of information that group health plans and health insurance issuers offering group or individual health insurance coverage must include.
CMS: Marketplace enrollment exceeds 15 million
More than 15 million people have selected a 2024 health plan through the federally facilitated or state-based marketplaces, a 33% increase compared to last year, the Centers for Medicare & Medicaid Services reported Dec. 20.
Study: Commercial health insurance markets becoming more concentrated
Seventy-three percent of U.S. commercial health insurance markets were highly concentrated in 2022, according to the latest annual report on health insurance competition by the American Medical Association.
2024 marketplace enrollment surpasses 7 million
Nearly 7.3 million people selected a 2024 health plan through the federally facilitated and state-based Health Insurance Marketplaces Nov. 1 through Dec. 2, the Centers for Medicare & Medicaid Services announced Dec. 6.
AHA Expresses Support for the No Fees for EFTs Act
AHA expresses support for the No Fees for EFTs Act.
CMS Issues Proposed Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) Nov. 16 released its proposed standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025.