HHS

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...

Affordable Care Act Marketplace Enrollment Up by 1.8M From Last Year

by Victoria Bailey

Affordable Care Act (ACA) marketplace enrollment has grown 18 percent from last year, with 11.5 million people signing up for coverage as of December 15, 2022, HHS announced. “Unprecedented...

7 Key Changes to ACA Enrollment, Plan Selection in 2024 Proposed Rule

by Kelsey Waddill

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...

7 Challenges, Opportunities for All-Payer Claims Databases

by Kelsey Waddill

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...

Early 2023 Affordable Care Act Marketplace Enrollment Exceeds 2022 Trends

by Kelsey Waddill

Since enrollment season began on November 1, the number of signups on the Affordable Care Act marketplace for the 2023 plan year has significantly outpaced the enrollment levels from the same timeframe...

HHS: Over Half of States Have Extended Medicaid Postpartum Coverage

by Victoria Bailey

Following Georgia and Pennsylvania’s recent approvals to expand Medicaid postpartum coverage, beneficiaries in more than half of all states can now access maternal healthcare services for 12...

2022 Marketplace Enrollment Grew Significantly for Black, Latino Enrollees

by Victoria Bailey

Marketplace enrollment through HealthCare.gov grew significantly between 2020 and 2022, with Latino and Black enrollees seeing the highest respective increases of 53 percent and 49 percent, according...

CMS Expects More Americans Will Qualify for Affordable Care Act Coverage in 2023

by Kelsey Waddill

Consumers can start checking out Affordable Care Act marketplace health plans ahead of the 2023 open enrollment season, the Biden Administration announced. “All families have the right to...

HHS Finalizes Rule That Aims to Fix the Affordable Care Act Family Glitch

by Kelsey Waddill

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...

Inflation Reduction Act Takes Effect: Biosimilar Payment Boost for Medicare

by Kelsey Waddill

CMS and the Department of Health and Human Services (HHS) have initiated certain elements of the Inflation Reduction Act related to biosimilars. On October 3, 2022, the statements from the Inflation...

HHS Procures Federally-Covered COVID-19 Treatment Doses For Uninsured

by Kelsey Waddill

The US Department of Health and Human Services (HHS) will cover doses of the coronavirus monoclonal antibody treatment bebtelovimab for the uninsured and underinsured, the department...

Public Charge Final Rule Published, Pursues Health Equity For Immigrants

by Kelsey Waddill

The US Department of Homeland Security (DHS) released its public charge final rule which clarifies how HHS and states will supply benefits for noncitizens—namely, that the use of most public...

HHS, CMS Bump Affordable Care Act Marketplace Navigator Funding

by Kelsey Waddill

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...

15M Beneficiaries Will Lose Medicaid Coverage When PHE Ends

by Victoria Bailey

Around 15 million beneficiaries will lose Medicaid coverage when the program’s continuous enrollment provision ends with the COVID-19 public health emergency (PHE), according to a report from the...

CMS Proposes Reporting Requirement for Medicaid, CHIP Quality Measures

by Victoria Bailey

CMS has released a proposed rule that aims to establish reporting requirements and standardize quality measures across Medicaid and the Children’s Health Insurance Program (CHIP) to help identify...

HHS, CMS Approve Extended Medicaid Postpartum Coverage in 3 States

by Victoria Bailey

HHS and CMS announced that Hawaii, Maryland, and Ohio have been approved to extend Medicaid postpartum coverage for 12 months after pregnancy, increasing maternal healthcare access for an additional...

HHS Resources Address Oversight of Medicaid, CHIP Quality of Care

by Mark Melchionna

The US Department of Health and Human Services (HHS) released new resources through CMS, aiming to improve the quality of care that Medicaid and the Children’s Health Insurance Program (CHIP)...

Colorado Implements Section 1332 Waiver to Advance Health Equity

by Kelsey Waddill

The US Department of Health and Human Services (HHS) has approved the “Colorado Option,” a Section 1332 state innovation waiver amendment intended to address health equity in the Centennial...

HHS: ARPA Premium Subsidy Expiration Will Boost Uninsurance, Costs

by Kelsey Waddill

The US Department of Health and Human Services (HHS) has released a fact sheet elucidating the fallout of the impending American Rescue Plan’s premium subsidy expiration, including higher...

More States Extend Medicaid Postpartum Coverage to a Full Year

by Kelsey Waddill

CMS and the US Department of Health and Human Services (HHS) announced that three states plus Washington, DC have received approvals for plans to extend Medicaid postpartum coverage for a full year due...