Efforts to create a federal public option health plan may have stalled, but public options on the state level are slowly emerging, according to a Manatt Health mid-year update.
While President...
In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider organizations have thrown their support behind the Value in Health Care Act of...
Price gouging of coronavirus tests continues to drive healthcare spending higher as out-of-network providers charge up to three times the actual cost of the test, according to recent data from...
Behavioral healthcare parity compliance has been complicated due to disparate strategies and data collection challenges, particularly around non-quantitative treatment limitations, a recent MACPAC...
The healthcare industry has changed substantially since the Affordable Care Act went into effect, but a recent Kaiser Family Foundation issue brief found that one fact remains the same: individuals in...
The Alliance of Community Health Plans (ACHP) has asked CMS to reassess surprise billing, cost transparency, and interoperability compliance deadlines and health data exchange policies that are putting...
The Biden administration has issued an interim rule that regulates surprise billing in commercial health plans and employer-sponsored health plans, CMS announced.
“No patient should forgo care...
In its latest proposed update to the 2022 Payment Parameters, CMS has suggested steps to expanding access to coverage through the Affordable Care Act marketplace, steps which would impact the Navigator...
Ground ambulance rides, which were excluded from the No Surprises Act, continue to contribute to surprise billing in the US, a Peterson-Kaiser Family Foundation brief found.
Experts analyzed 2018...
The Supreme Court has denied a petition to hear a case brought against the US by Maine Community Health Options and Community Health Choice on cost-sharing reduction reimbursements.
According to the...
Since the Supreme Court dismissed California v Texas on June 17, payers and healthcare leaders have vocalized their support for the decision, their readiness to continue building on the Affordable Care...
The case against the Affordable Care Act has come to a close and the law remains unscathed, according to the Supreme Court which dismissed the case against the law by a vote of seven to two.
There...
Congress and the Biden administration will have to determine which emergency, COVID-19 Medicare policies should be made permanent or be extended, according to a recent Commonwealth Fund study, and...
By making all family members eligible for marketplace premium tax credits with the exception of those who have access to affordable coverage individual health insurance marketplace premiums may decline...
Updated 5/11/2021: This article has been updated to include a statement from David Brown, legal director at TLDEF.
HHS has announced that it will enforce its interpretation of the Affordable...
As CMS reconsiders the Medicare Coverage of Innovative Technology (MCIT) rule which was finalized in mid-January 2021, America’s Health Insurance Plans (AHIP) has expressed its concerns regarding...
If Congress made permanent the American Rescue Plan’s Affordable Care Act subsidy increases, then uninsurance might drop, marketplace enrollment could rise, and non-group premiums could decline...
In order to support rural and Black maternal healthcare, HHS has offered states the option to extend maternal Medicaid coverage and Illinois is the first state to receive approval for the amendment,...
Approximately 5.1 million individuals are caught in the Affordable Care Act’s “family glitch,” according to a recent Kaiser Family Foundation (KFF) analysis.
Under the Affordable...
The Biden administration has extended the federal special enrollment period on the Affordable Care Act marketplace until August 15, US Department of Health and Human Services...
