HHS

HHS Proposal Could Boost Health Insurance Coverage for DACA Recipients

by Victoria Bailey

The US Department of Health and Human Services (HHS) has released a proposal that would expand access to health insurance coverage for Deferred Action for Childhood Arrivals (DACA) recipients. The...

Public-Private Program Boosts Uninsured Access to COVID-19 Vaccines

by Kelsey Waddill

In an effort to maintain access to coronavirus vaccines for uninsured Americans, HHS has introduced a public-private partnership with pharmaceutical companies. The partnership, known as the “HHS...

HHS Guidance Increases Care Access for Incarcerated Medicaid Beneficiaries

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has released guidance to help states boost access to healthcare for incarcerated...

HHS Finalizes Notice of Benefit and Payment Parameters for 2024

by Kelsey Waddill

The Department of Health and Human Services (HHS) has released the HHS Notice of Benefit and Payment Parameters for 2024 final rule which addressed network adequacy, plan selection, special enrollment...

Medicare Advantage Final Rule Addresses Prior Authorization, Health Equity

by Victoria Bailey

CMS has finalized a Medicare Advantage rule that aims to increase marketing oversight, streamline prior authorization requirements, and improve access to affordable prescription drugs. “The...

HHS Finalizes 3.32% Increase in 2024 Medicare Advantage Payments

by Victoria Bailey

HHS has finalized the 2024 Medicare Advantage and Part D rate announcement, which includes a 3.32 percent increase in Medicare Advantage payments. “Medicare should be providing equitable,...

4 Changes to OMB Data Regulations That Could Improve Health Equity

by Kelsey Waddill

The Office of Management and Budget (OMB) has an opportunity to improve race, ethnicity, language, sexual orientation, and gender identity data collection practices and health equity nationwide by...

How to Fix ERISA Waivers to Pursue Employer Sponsored Health Plan Reform

by Kelsey Waddill

Preemptions in the Employee Retirement Income Security Act (ERISA) present barriers to healthcare reform in employer-sponsored health plans, but Congress can take steps to rectify these barriers, a...

AHIP: Proposed 2024 Medicare Advantage Advance Notice Cuts MA Rates

by Kelsey Waddill

AHIP is pushing back on the proposed 2024 Medicare Advantage advance notice because it presents a dramatic rate cut that would impact beneficiaries, Matt Eyles, president and chief executive officer of...

HHS Introduces Models for Lowering Prescription Drug Spending

by Kelsey Waddill

The Department of Health and Human Services (HHS) has released three models intended to bring down prescription drug spending for consumers in Medicare and Medicaid. “These selected models will...

HHS Shares COVID-19 Public Health Emergency End Date, What to Expect

by Kelsey Waddill

HHS announced that the coronavirus public health emergency (PHE) will end on May 11, 2023, giving states 90 days to finalize arrangements for relevant policy changes. “We have come to this point...

HHS Approval Boosts Access to Care for Incarcerated Medicaid Beneficiaries

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has approved a section 1115 demonstration in California to help improve access to...

Proposed Rule Adds Contraceptive Coverage Pathway, Cuts Moral Exemption

by Kelsey Waddill

Under a newly proposed rule, the Biden administration would remove the moral exemption for health plan coverage of birth control while keeping the religious exemption intact, a fact sheet from the US...

HHS Finalizes Medicare Advantage Risk Adjustment Data Validation Program Rule

by Kelsey Waddill

The US Department of Health and Human Services (HHS) has released a final rule that aims to introduce more oversight into the Medicare Advantage risk adjustment data validation and payment...

CMS Announces ACA Special Enrollment Period during PHE Unwinding

by Kelsey Waddill

CMS announced that there will be a special enrollment period on the Affordable Care Act marketplace for individuals who lose their Medicaid coverage due to the public health emergency...

2023 Affordable Care Act Marketplace Enrollment Breaks Historic Records

by Kelsey Waddill

Affordable Care Act marketplace enrollment broke the previous all-time high by surpassing 16.3 million signups for the 2023 plan year, CMS and the Department of Health and Human Services (HHS)...

US Uninsurance Dropped to 10.5% in 2021, Greater Equity in Coverage Gains

by Kelsey Waddill

The US non-senior uninsurance rate declined from 11.1 percent in 2019 to 10.5 percent in 2021, with low-income and historically underserved demographics seeing the highest growth in health insurance...

HHS Posts Timeline for Medicare 2026 Drug Price Negotiations

by Kelsey Waddill

In accordance with the Inflation Reduction Act, the US Department of Health and Human Services (HHS) announced that Medicare will begin drug price negotiations for prices going into effect in 2026 and...

HHS, CMS Guidance Boosts Access to Specialty Behavioral Healthcare

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has expanded access to specialty behavioral healthcare for Medicaid and...

HHS, CMS Aim to Improve Medicaid Social Determinants of Health ILOS Efforts

by Kelsey Waddill

The Department of Health and Human Services (HHS) and CMS released guidance for state Medicaid programs’ in lieu of services or settings (ILOS) to improve the quality of Medicaid social...