Democrats from both the House of Representatives and the Senate sent a letter to HHS Secretary Alex Azar and CMS Administrator Seema about reported technical problems that may have prevented 100,000...
While HHS celebrated the lowest Medicare fee-for-service improper payment rates in nearly ten years, eligibility complexities and fraud have racked up false payments in Medicaid and the...
On a Sunday afternoon during Florida’s Medicare open enrollment season, Janet Mills is deep into a twelve- or fourteen-hour day of volunteering as area director of the state's patient...
HHS announced the Transparency in Coverage proposed rule requiring payers offering group and individual health insurance plans and employer-sponsored group health plans to offer price transparency...
CMS approved a Section 1115 demonstration that will broaden behavioral health treatment for Medicaid beneficiaries living in the District of Columbia who have been diagnosed with serious mental illness...
CMS has announced the finalization of changes to the home health payment model, known as the home health prospective payment system (HH PPS), which includes a home infusion benefit and offers an...
The Iowa Farm Bureau Federation’s Farm Bureau Health Plan was designed to help unsubsidized Iowans afford a health plan and represents the controversy surrounding association health...
Health Care Service Corporation (HCSC) seeks to address uninsurance in the US by developing an education and patient navigation campaign, known as Be Covered, to inform the uninsured of their health...
When the House Committee on Energy and Commerce brought in CMS Administrator Seema Verma to testify regarding the White House’s attempts to repeal the Affordable Care Act, the hearing covered...
In 2020, the Affordable Care Act (ACA) enrollment process will feature quality star ratings, Enhanced Direct Enrollment (EDE), health reimbursement accounts (HRAs) resources, and a more...
The average premium on Healthcare.gov dropped for a second consecutive year, down by four percent, CMS announced.
Delaware saw the highest Healthcare.gov premium decline, where the premium for a...
CMS sent out two requests for information, one on program integrity issues regarding the fee-for-service to value-based care transition and the other on how to evolve data analytics and artificial...
In a letter released on September 11, CMS informed UnitedHealthcare that its Medicare contract H5322 through Care Improvement Plus failed to meet its medical loss ratio requirement for the third year...
By allowing the HHS to negotiate drug prices tied to international standards, Title I of the Lower Drug Costs Now Act of 2019 (HR-3) would save the federal government $345 billion from 2023 to 2029,...
Medicare Advantage plans with prescription drug coverage (MA-PD) star ratings demonstrate that these plans are flourishing in distribution and, most of all, quality, CMS announced when it released the...
Colorado officials said that the state’s public option plan would save Coloradans 9 to 18 percent or more on monthly premiums, but payers and providers have concerns.
The state released a draft...
The New Jersey Department of Banking and Insurance announced that it will offer $2 million for health navigators to help enrollees and re-enrollees with the transition from a federal-facilitated...
CMS will allow states to expand their wellness programs for the individual marketplace either through state-run or payer-designed programs, CMS announced.
The goal of the demonstration is two-fold,...
Polling from Modern Medicaid Alliance revealed most Americans support the Medicaid program. Similarly, only one in five Americans reported they support cuts to the program’s...
If Kentucky, the first state to pass Medicaid work requirements, appeals to reinstate the rule, it may face the same confusion and rise in uninsurance that Arkansas experienced, researchers from the...
