Fierce Healthcare

APRIL 13, 2023

Justice Department seeks stay on parts of ACA preventive services ruling rking Thu, 04/13/2023 - 16:29

ACA 116

ACA 116

Fierce Healthcare

MARCH 17, 2023

The ACA slimmed coverage gaps between racial and ethnic groups: study pminemyer Fri, 03/17/2023 - 16:21

ACA 116

ACA 116

Fierce Healthcare

MARCH 8, 2023

Patients are likely to avoid preventive care should ACA coverage ruling stand, survey finds pminemyer Wed, 03/08/2023 - 14:10

ACA 111

ACA 111

Fierce Healthcare

MAY 16, 2023

Federal appeals court grants stay in ACA preventive care ruling pminemyer Tue, 05/16/2023 - 11:58

ACA 98

ACA 98

Fierce Healthcare

MARCH 31, 2023

Despite court ruling, insurers say they will continue to offer ACA-mandated free preventive services fdiamond Fri, 03/31/2023 - 13:33

ACA 105

ACA 105

Healthcare Dive

JULY 19, 2023

Although it’s still early in the redeterminations process, Elevance is seeing “encouraging” signs that many Medicaid members who lose coverage are transitioning onto ACA plans, according to its CFO.

ACA 130

ACA Medicaid Medicaid 130

Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception.

ACA 52

ACA Medicaid Medicaid Health Outcomes 52

Fierce Healthcare

FEBRUARY 2, 2023

Payers, providers clash over scope of CMS review of ACA's essential health benefits rking Thu, 02/02/2023 - 17:40

ACA 105

ACA 105

Fierce Healthcare

FEBRUARY 1, 2023

Insurers slam CMS' proposed limit on nonstandardized ACA plans sold on HealthCare.gov rking Wed, 02/01/2023 - 15:18

ACA 98

ACA 98

Fierce Healthcare

JANUARY 11, 2023

people enrolled in ACA marketplace plans so far, CMS says. Wed, 01/11/2023 - 10:36. A record 15.9M

ACA 111

ACA 111

Healthcare Dive

APRIL 18, 2023

million Americans, spurred by COVID-19 incentives, signed up for ACA marketplace plans during 2023 open enrollment. The final rule comes as a record 16.3

ACA 245

ACA COVID-19 245

Healthcare Dive

MAY 16, 2022

Proposed 2023 plan year average increases on individual and family plans of 17% for MVP Health Care and 12% for Blue Cross Blue Shield in the state buck the national trend of declining ACA exchange premiums.

ACA 331

ACA 331

Fierce Healthcare

MAY 9, 2023

CEO Mark Bertolini: Oscar Health to exit California's ACA exchange in 2024 fdiamond Tue, 05/09/2023 - 18:16

ACA 94

ACA 94

Fierce Healthcare

MARCH 31, 2023

HHS appeals judge's ruling on ACA preventive care pminemyer Fri, 03/31/2023 - 17:53

ACA 75

ACA 75

Fierce Healthcare

JANUARY 25, 2023

people signed up for coverage on ACA exchanges during open enrollment, CMS says pminemyer Wed, 01/25/2023 - 16:40 A record 16.3M

ACA 72

ACA 72

Health Populi

MARCH 8, 2023

would likely skip receiving preventive health care services if the Affordable Care Act’s (ACA) coverage for them goes away, a Morning Consult survey found. One of the key benefits embedded in the ACA was “free” without co-pay shares for preventive care. Many health citizens in the U.S.

ACA 62

ACA COVID-19 FDA Health Care Access 62

Fierce Healthcare

FEBRUARY 8, 2024

CEO Mark Bertolini told investors that Oscar “closed out 2023 with another strong quarter, driving financial performance for the full year.” Enrollment in individual market plans continues to grow, with a record high of 21.3 million people signing up for plans during the most recent open enrollment period. |

ACA 119

ACA 119

Fierce Healthcare

MARCH 28, 2023

Hospital groups aim to blunt effort to reverse ACA ban on physician-owned hospitals rking Tue, 03/28/2023 - 16:21

ACA 59

ACA Hospitals 59

Fierce Healthcare

JANUARY 30, 2023

CMS proposes rules to expand access to contraception under ACA pminemyer Mon, 01/30/2023 - 14:47

ACA 52

ACA 52

Center for Health Insurance Reform

DECEMBER 15, 2023

As 2023 comes to a close, it’s time to think about health insurance for 2024. Consumers searching for a 2024 plan online may come across products that do not have to comply with the Affordable Care Act's (ACA) consumer protections.

ACA 95

ACA Health Insurance 95

Center for Health Insurance Reform

MARCH 31, 2022

In the proposed Notice of Benefit and Payment Parameters for 2023, the Centers for Medicare & Medicaid Services asked for feedback on how to promote health equity through ACA marketplace operations and plan certification standards.

ACA 94

ACA Health Insurance Medicaid Medicaid 94

Fierce Healthcare

FEBRUARY 7, 2023

Podnosis': What it takes for providers to care for the Latino population and how payers can stay competitive with ACA's growth tcarey Tue, 02/07/2023 - 13:48

ACA 52

ACA 52

Fierce Healthcare

APRIL 17, 2023

CMS raises cap on nonstandard plans in final ACA exchange rule pminemyer Mon, 04/17/2023 - 17:22

ACA 40

ACA 40

Compliance Now

DECEMBER 22, 2022

To comply with the ACA, non-grandfathered health plans cannot require a participant to pay more out-of-pocket during the plan year than the amounts listed below. The 2024 limits are listed below in comparison to the 2023 limits: Out-of-Pocket Limits Coverage Type 2023 2024 Self-Only Coverage $9,100 $9,450 Family Coverage $18,200 $18,900.

ACA 100

ACA Compliance Hospitals 100

Compliance Now

DECEMBER 22, 2022

To comply with the ACA, non-grandfathered health plans cannot require a participant to pay more out-of-pocket during the plan year than the amounts listed below. The 2024 limits are listed below in comparison to the 2023 limits: Out-of-Pocket Limits Coverage Type 2023 2024 Self-Only Coverage $9,100 $9,450 Family Coverage $18,200 $18,900.

ACA 100

ACA Compliance Hospitals 100

Compliance Now

APRIL 6, 2022

On April 5, 2022, the Administration issued new proposed regulations changing certain aspects of the affordability and minimum value rules under the Affordable Care Act (“ACA”). If finalized, the new rules will increase access to federal subsidies beginning January 1, 2023.

Health Insurance 189

Health Insurance ACA Hospitals 189

Center for Health Insurance Reform

MAY 19, 2023

On May 15, 2023, the 5th Circuit Court of Appeals temporarily paused the Braidwood v. That court's decision would have blocked federal enforcement of the ACA's requirements that insurers cover and waive cost-sharing for preventive services. Becerra ruling by a federal district court.

ACA 96

ACA 96

Compliance Now

JULY 14, 2023

By Jessica Waltman Late last week, the Departments of Health and Human Services, Labor, and Treasury (the Departments) published a set of FAQs that clarify how certain surprise billing protections interact with the Affordable Care Act’s (ACA) maximum out-of-pocket limit (OOP) requirements.

ACA 100

ACA Hospitals 100

Compliance Now

DECEMBER 20, 2022

With this extension, employers need to make sure that 2022 forms are distributed to employees by March 2, 2023. 2022 Forms 1095-B/C and Form 1094-B/C must be successfully e-Filed with the IRS by March 31, 2023. Applicable large employers should carefully analyze affordability for their 2023 plan year in advance of open enrollment.

Compliance 100

Compliance COVID-19 ACA Governance 100

Compliance Now

DECEMBER 20, 2022

With this extension, employers need to make sure that 2022 forms are distributed to employees by March 2, 2023. 2022 Forms 1095-B/C and Form 1094-B/C must be successfully e-Filed with the IRS by March 31, 2023. Applicable large employers should carefully analyze affordability for their 2023 plan year in advance of open enrollment.

Compliance 100

Compliance COVID-19 ACA Governance 100

Jane Sarashon

FEBRUARY 27, 2024

The Affordable Care Act (ACA) of 2010 had embedded within the law a Patient’s Bill of Rights. The aspirational document sets out the mission that “every individual deserves the right to obtain health care that is comprehensive, equitable and compassionate.”

ACA 113

ACA Prescription Drug Pricing Health Insurance Hospitals 113

Hanys

JANUARY 20, 2023

9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. HANYS standing membership call Jan. 24 HANYS fiscal policy update call Jan. 26 Government relations update Feb. 3 HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb.

ACA 40

ACA Governance Hospitals 40

Hanys

FEBRUARY 3, 2023

9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb. 9 Regional state budget briefing | Northern Metropolitan Hospital Association and Nassau-Suffolk Hospital Council Feb.

ACA 40

ACA Hospitals 40

Hanys

JANUARY 27, 2023

9 ACA IRS reporting: What's new for 2022, 2023 reporting years Feb. Government relations update Feb. 3 HANYS standing membership call on state and federal issues Feb. 7 Regional state budget briefing | Greater New York Hospital Association Feb. 15 Regional state budget briefing | Iroquois Healthcare Alliance Feb.

ACA 40

ACA Governance Hospitals 40

Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured. First, while the U.S.

COVID-19 157

COVID-19 Public Health ACA Health Insurance 157

Healthcare IT News - Telehealth

AUGUST 29, 2022

We currently power UnitedHealthcare's Virtual-First ACA Exchange plan in multiple states with more coming in 2023. We provide virtual-first care for all of MVP Health Care's members in New York and Vermont, including Medicaid and Medicare as well as ACA members, amongst others.

Telemedicine 152

Telemedicine ACA Medicaid Medicaid 152

Health Populi

JUNE 30, 2023

In 2023, the Humira biosimilar launch is seen as a “new milestone” for biosimilars in the U.S. Here is a de ep analysis from GoodRx on the launch of at least 9 Humira biosimilars for 2023, foretelling this one product alone could have a major impact on the overall cost of prescription drugs in the U.S.

Prescription Drug Pricing 81

Prescription Drug Pricing COVID-19 ACA Hospitals 81