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...
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,...
A US district judge ruled in Braidwood Management vs Becerra that employers do not have to cover preventive care services based on recommendations from US Preventive Services Task Force (USPSTF).
Six...
AHIP submitted an amicus brief in favor of the HHS copay coupon accumulator rule, which would allow states to decide whether pharmaceutical manufacturers’ copay coupons should contribute to...
The CMS Advancing Interoperability and Improving Prior Authorization Processes proposed rule introduces new requirements for healthcare payers that aim to enhance patient data sharing and streamline...
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...
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...
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...
In a report and briefing, Blue Cross Blue Shield Association (BCBSA) recommended policy solutions that could help bring runaway healthcare spending under control, saving $767 billion across 10...
The US Preventive Services Task Force (USPSTF) released a list of its top preventive care recommendations that were finalized in 2022.
The list is not comprehensive. Rather, USPSTF named the...
Medicare Advantage marketing practices have drawn criticism from stakeholders and regulatory changes from policymakers, but tracking the results of these policies is difficult, researchers from the...
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...
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...
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...
Payer and provider organizations are responding positively to the CMS proposed rule that would change the prior authorization process to better support electronic prior authorization.
“CMS is...
The American Medical Association (AMA) defended the Affordable Care Act’s preventive care coverage requirement in an amicus brief in the case of Braidwood Management Inc, et al v Becerra.
The...
The No Surprises Act effectively averted surprise bills for 9 million Americans in the first nine months of 2022, but the federal independent dispute resolution process is overwhelmed, according to a...
AHIP has introduced race and ethnicity data collection standardization recommendations for demographic data collection with the aim of empowering health equity efforts nationwide.
“Robust,...
Federal funding was crucial in enhancing access to coronavirus resources during the initial phases of the pandemic, but questions remain about what will occur when the public health emergency ends and...
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...
