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Massachusetts Medicaid demonstration expands services, continuous eligibility
The Centers for Medicare & Medicaid Services April 19 approved an amendment to a Massachusetts Medicaid and Children’s Health Insurance Program demonstration to add health-related social needs services; expand Marketplace subsidies and cost-sharing assistance; provide pre-release services to eligible incarcerated beneficiaries; and expand continuous eligibility to 24 months for older adults experiencing homelessness and 12 months for other adults.
CMS Issues Final Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) April 2 released its standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025. Beginning in plan year 2025.
Agencies seek input on corporate ownership growth in health care
The Justice Department’s Antitrust Division, Federal Trade Commission and Department of Health and Human Services seek public input through May 6 on increasing private-equity and other corporate ownership in health care, which will inform their future enforcement priorities and efforts to promote competition in health care markets.
AHA Supports CMS' Health Insurance Marketplace Proposed Rules
The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid ServicesHubert H. Humphrey Building
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.
CMS Issues Final Notice of Benefit and Payment Parameters for 2024
The Centers for Medicare & Medicaid Services (CMS) April 17 issued a
Providers with Health Plans
Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors.
AHA Comments on the CMS’ Proposed Notice of Benefit and Payment Parameters for 2024
AHA comments on the CMS' proposed Notice of Benefit and Payment Parameters for 2024.
CMS Issues Proposed Notice of Benefit and Payment Parameters for 2024
The Centers for Medicare & Medicaid Services (CMS) Dec. 12 issued a proposed rule that would implement for 2024 the standards governing health insurance issuers and the Health Insurance Marketplaces. In the rule, CMS proposes changes to the qualified health plan (QHP) network adequacy standards, including by proposing new categories of essential community providers (ECP), as well as changes to requirements related to standardized plans, the risk adjustment methodology, and rules related to outreach and enrollment, among other things.
CMS Proposes Rules to Standardize Prior Authorization Processes
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.