The US Department of Health and Human Services (HHS) announced that the Treasury Department has finalized a rule from the Biden administration that would seek to address the Affordable Care Act family...
The Biden administration announced a historic boost in funding for the Affordable Care Act marketplace Navigator program.
The US Department of Health and Human Services (HHS) and CMS have set...
When federal funding for the Navigator program was reduced significantly, private companies did not make up for the lack of outreach, according to a study published in JAMA Network Open.
“Many...
When the Senate passed the Inflation Reduction Act on August 4, 2022, payers and payer organizations met the proposed law with largely positive reactions, though some payer groups pointed out areas...
Aetna CVS Health announced that it plans to enter California’s individual health insurance marketplace.
“With millions of Americans being uninsured or underinsured, our plans provide...
The national uninsurance rate has dropped to eight percent, a record-breaking low for the US, according to data from the Assistant Secretary for Planning and Evaluation’s Office of Health Policy...
The maximum out-of-pocket limit in Affordable Care Act (ACA) marketplace plans is rising faster than enrollee wages and salaries, a Peterson-KFF Health System Tracker found.
Researchers used data from...
The preventive care coverage requirement under the Affordable Care Act (ACA) helped improve no-cost access to care, including cancer screenings, vaccines, and contraceptive care, according to an Urban...
Making the American Rescue Plan Act of 2021’s enhanced subsidies permanent would increase the federal deficit by over $247 billion over nearly a decade, according to a letter from the...
Affordable Care Act (ACA) marketplace premiums will increase by five to ten percent in 2023, with payers attributing premium growth to rising healthcare prices and utilization rates, according to...
Around 850,000 women could lose health insurance coverage and reproductive healthcare access in 2023 if policymakers do not extend the premium tax credits under the American Rescue Plan Act (ARPA),...
Parent companies that offer Medicare Advantage plans may generate substantial profits through operating related businesses that are not subject to medical loss ratio limitations, according to a report...
Given the 18 percent denial rate for in-network claims in 2020, payers on the Affordable Care Act marketplace should offer more robust transparency around data reporting for in-network claims denials,...
The elimination of small premiums could lead to better coverage, lower costs, and more effective retainment of consumers, according to research from the USC-Brookings Schaeffer Initiative for Health...
The expiration of the American Rescue Plan Act (ARPA) premium subsidies and the return of Medicaid redeterminations will likely result in 2023 premium rate changes for individual and small group health...
The implementation of the Affordable Care Act coincided with some improvements in patient experience and access to care for low-income enrollees, but did not significantly impact their care utilization...
Payers will issue about $1 billion in medical loss ratio rebates across the individual market, small group market, and large group market in 2022, according to research from the Kaiser Family...
Affordable Care Act marketplaces could play a crucial role in race and ethnicity data collection, but may states are failing to collect such information, according to a blog post from...
Members of the LGBTQ+ community reported varying experiences of discrimination in the health insurance industry but indicated that payer health equity may be improving, according to a survey from...
Insurer participation in the Affordable Care Act marketplace may contribute to a lack of health equity, at least in the early days of the Affordable Care Act individual marketplace, a study published...
