HHS

HHS, CMS Extend American Rescue Plan Funding For HCBS Another Year

by Kelsey Waddill

The US Department of Health and Human Services (HHS) and CMS announced that states will have another year to invest American Rescue Plan funds in home- and community-based services (HCBS). “The...

AHIP Supports Using Texts, Calls for Medicaid Enrollment Processes

by Kelsey Waddill

AHIP has expressed its support for a request from the US Department of Health and Human Services (HHS) and CMS to the Federal Communications Commission, which seeks confirmation of the agencies’...

CMS, HHS Finalize 2023 Notice of Benefits, Payment Parameters

by Kelsey Waddill

CMS and the Department of Health and Human Services (HHS) released the 2023 Notice of Benefits and Payment Parameters Final Rule, which includes standardized plan options, changes to network adequacy...

Feds Reflect on the Impact of the Affordable Care Act

by Kelsey Waddill

As the Affordable Care Act turns 12 years old, CMS and the Department of Health and Human Services (HHS) commemorate the law’s impact on the US healthcare system. “On the...

How Ending the Public Health Emergency Impacts Medicaid Spending

by Kelsey Waddill

The end of the coronavirus public health emergency declaration could lead to a shift in Medicaid spending for state Medicaid programs and federal Medicaid costs, according to a report from the Robert...

Key Payer Concerns in Proposed 2023 Benefit, Payment Parameters

by Kelsey Waddill

Payers are responding to the proposed Notice of Benefit and Payment Parameters for 2023 for the individual health insurance marketplace. The proposed rule addressed a broad range of issues on the...

Record-Breaking ACA Open Enrollment Gains 5.8M New Enrollees

by Kelsey Waddill

CMS and HHS have announced that the Affordable Care Act marketplace gained 5.8 million new enrollees in the 2022 open enrollment season, contributing to a record-breaking 14.5 million...

Top Reasons Why Health Plans Fail Mental Health Parity Compliance

by Kelsey Waddill

Payers have not improved their execution of the mental health parity compliance assessment, the Department of Labor’s Employee Benefits Security Administration (EBSA) recently reported to...

AHIP, BCBSA Back HHS, Interim Final Rule in Surprise Billing Lawsuit

by Victoria Bailey

AHIP and the Blue Cross Blue Shield Association (BCBSA) have filed amicus briefs that support the Department of Health and Human Services (HHS) in the surprise billing lawsuit raised by the Texas...

HRSA Expands Preventive Care Coverage Under ACA for Women, Children

by Victoria Bailey

The Health Resources and Services Administration (HRSA) has updated the preventive healthcare guidelines under the Affordable Care Act (ACA) to expand low-cost coverage of preventive care services for...

HHS Releases 2023 Payment Notice, Medicaid Waiver Guidance

by Kelsey Waddill

The Department of Health and Human Services (HHS) announced the Notice of Benefit and Payment Parameters 2023 proposed rule for the Affordable Care Act marketplace and released Medicaid waiver...

ACA Marketplace Open Enrollment Sees 4.6M Enrollees So Far

by Victoria Bailey

Nearly 4.6 million individuals have signed up for 2022 healthcare coverage since the start of the Affordable Care Act (ACA) marketplace open enrollment period, the Department of Health and Human...

Expanding Social Determinants of Health Benefits Among Public Payers

by Kelsey Waddill

HHS needs to expand the list of social determinants of health that public payers can cover and hold public payers accountable to covering preventive services that can help address social determinants...

CMS: KY, ME, NM Will Launch State-Based Marketplaces in 2022

by Kelsey Waddill

Three states will launch their own state-based marketplaces in 2022, the Department of Health and Human Services (HHS) announced through CMS. Kentucky, Maine, and New Mexico will each bring have their...

Uninsured Adults Remain Unaware of ACA Coverage, Subsidy Options

by Kelsey Waddill

Despite the White House’s efforts to increase awareness about Affordable Care Act marketplace health plans, uninsured adults are still largely unaware of their coverage options, according to...

Affordable Care Act Marketplace Sees Boost in Diversity, Savings

by Kelsey Waddill

HHS has announced that 2.8 million people gained health insurance coverage through the Affordable Care Act marketplace during the special enrollment period. This influx of enrollees raised marketplace...

Unvaccinated COVID-19 Hospitalizations Drive Up Healthcare Spend

by Kelsey Waddill

Unvaccinated COVID-19 hospitalizations cost payers and the healthcare system at large billions in healthcare spending, according to a Peterson-Kaiser Family Foundation (KFF) Health System Tracker...

ACHP: Current Medicare Advantage Benchmark Caps Penalize Seniors

by Kelsey Waddill

The Alliance of Community Health Plans (ACHP) voiced its support for the Quality Payment Relief Act, which the organization argued would correct the use of Medicare Advantage benchmark caps and enable...

HHS, CMS Urge States To Correct Public Charge Rule Misinformation

by Kelsey Waddill

CMS and the Department of Health and Human Services (HHS) are urging all states to take steps to ensure that immigrants who are eligible for Medicaid are aware of their eligibility. “As...

HHS Addresses Surprise Billing in Commercial Health Plans

by Kelsey Waddill

The Biden administration has issued an interim rule that regulates surprise billing in commercial health plans and employer-sponsored health plans, CMS announced. “No patient should forgo care...