A United States district court has ruled against Blue Cross Blue Shield of Illinois (BCBSIL), stating that the payer cannot exclude coverage for medically necessary gender-affirming care in its...
Continuous eligibility policies can help reduce Medicaid churn and disenrollment among children, according to an issue brief from the Kaiser Family Foundation (KFF).
The year-end spending legislation...
The Transgender Legal Defense and Education Fund (TLDEF) has filed a lawsuit against the state of Georgia for denying coverage of transgender-related healthcare for members of the Georgia State Health...
The Biden administration has released its 2024 Notice of Benefit and Payment Parameters Proposed Rule which focused on streamlining Affordable Care Act health plan selection, simplifying Affordable...
The number of uninsured children declined during the COVID-19 pandemic due to Medicaid’s continuous coverage requirement, with 12 states seeing significant decreases, according to a report from...
All-payer claims databases (APCDs) offer healthcare leaders and policymakers a wealth of data, but there are still many gaps in the data and challenges in data collection practices that states can...
Almost two-fifths of US states—particularly those that have avoided Medicaid expansion—will need to change their Medicaid vaccine coverage policies in order to align with the Inflation...
Enrollment on the individual health insurance marketplace has grown with most enrollees finding their health plan through the Affordable Care Act marketplace, according to enrollment data compiled by...
The North Carolina Healthcare Association (NCHA) has submitted a proposal to lawmakers that aims to overcome the stall in negotiations and pass Medicaid expansion.
The proposal was delivered to Senate...
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...
The American Rescue Plan Act established enhanced tax credits that boosted New York’s state health insurance marketplace enrollment, but the end of those tax credits could lead to a spike in...
Although the No Surprises Act went into effect at the beginning of 2022 to protect consumers from receiving unexpected healthcare bills, consumers have reported that they continue to be affected by...
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 Association for Community Affiliated Plans (ACAP) has initiated a center designed to spur new ideas about how to address social determinants of health, according to a press release that...
The children’s uninsurance rate may escalate after the end of the public health emergency, barring policy changes, according to an article published by Urban Institute.
The researchers used...
The Supreme Court has sided with Marietta Memorial Hospital Employee Health Benefit Plan and rejected a claim that the payer’s low dialysis reimbursement rates federal law.
In 2018, DaVita, one...
The No Surprises Act used a couple of methods to reduce surprise billing, though the need for some modifications may remain, according to a resource from AHIP.
“The real problem of surprise...
As the public health emergency (PHE) nears an end, policymakers must consider expanding temporary public payer policies that improve person-centered care for beneficiaries, including telehealth and...
Major payer organizations are reacting to payer-related aspects of the State of the Union address, including making permanent the American Rescue Plan Act premium subsidies and lowering drug...
