Cigna to exit Missouri and Kansas ACA marketplaces in 2024
Healthcare Dive
AUGUST 28, 2023
The insurer will offer ACA marketplace plans in two fewer states after announcing it would expand its presence on the exchanges last year.
ACA enrollment for 2024 reaches record high
Healthcare Dive
JANUARY 11, 2024
More than 20 million Americans have signed up for Affordable Care Act plans since open enrollment began in November. Sign-ups are expected to continue to grow.
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ACA Affordability Percentage Drops to a New Low for 2024
Compliance Now
AUGUST 28, 2023
By: David Mordo, Senior Compliance Consultant, MZQ Consulting The IRS recently released Revenue Procedure 2023-29 , which declared that the Affordable Care Act (ACA) benchmark for determining the affordability of employer-sponsored health coverage will significantly decrease to 8.39% of an employee’s household income for the 2024 plan year.
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UnitedHealthcare adding 4 new states to ACA exchange footprint for 2024
Fierce Healthcare
OCTOBER 24, 2023
UnitedHealthcare is expanding its footprint on the Affordable Care Act (ACA) exchanges to four new states in 2024, the insurance giant
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Over 19M could enroll in ACA plans for 2024, CMS says
Healthcare Dive
DECEMBER 21, 2023
Enrollment in the Affordable Care Act exchanges could be boosted by extended subsidies and the effects of Medicaid redeterminations.
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CEO Mark Bertolini: Oscar Health to exit California's ACA exchange in 2024
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
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Blue Cross NC plans to cut ACA premiums by 4% on average for 2024
Fierce Healthcare
SEPTEMBER 11, 2023
At a time when inflation seems to be on the nation’s radar, it’s no surprise that Blue Cross and Blue Shield of North Carolina would tout that members in the healthcare plans it offers in the Affor | The rate decrease, approved by the North Carolina Department of Insurance, will lower total premiums by an estimated $130 million for enrollees in the (..)
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CMS proposes cap on non-standard ACA plans, network adequacy standard changes for 2024
Fierce Healthcare
DECEMBER 12, 2022
CMS proposes cap on non-standard ACA plans, network adequacy standard changes for 2024. Mon, 12/12/2022 - 17:34.
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2024 Out-of-Pocket Limits Released
Compliance Now
DECEMBER 22, 2022
The Department of Health and Human Services has announced the new out-of-pocket (OOP) limits that will apply to group and individual health plans during the 2024 plan year. 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.
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Compliance Now
DECEMBER 22, 2022
The Department of Health and Human Services has announced the new out-of-pocket (OOP) limits that will apply to group and individual health plans during the 2024 plan year. 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.
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Oscar Health charts ACA exchange expansion for 2024, adding 165 new counties
Fierce Healthcare
OCTOBER 12, 2023
Oscar Health will expand its footprint on the Affordable Care Act exchanges into 165 new counties for 2024, the insurtech announced Thursday.
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What’s New for 2024 Marketplace Enrollment?
Center for Health Insurance Reform
OCTOBER 19, 2023
The annual open enrollment period for Affordable Care Act (ACA) Marketplace coverage kicks off November 1 in most states.
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Oscar Health execs weigh in on future of ACA subsidies, signal 2024 profitability
Fierce Healthcare
FEBRUARY 8, 2024
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. | CEO Mark Bertolini told investors that Oscar “closed out 2023 with another strong quarter, driving financial performance for the full year.”
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Cigna exiting ACA exchanges in Kansas, Missouri for 2024
Fierce Healthcare
AUGUST 25, 2023
Cigna is cutting down its Affordable Care Act exchange footprint down to 14 states, the company said Monday. Cigna is cutting down its Affordable Care Act exchange footprint down to 14 states, the company said Monday.
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Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers
Center for Health Insurance Reform
MARCH 31, 2023
The Affordable Care Act (ACA) recently celebrated its 13th anniversary with historic enrollment growth in the health insurance Marketplaces and the lowest-ever recorded uninsured rate. Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: Health Insurers
Electronic Filing Threshold Reduced in Draft 2023 Form 1094 and 1095 Instructions
Compliance Now
OCTOBER 10, 2023
For the 2023 ACA filing and beyond, employers that cumulatively submit at least ten forms to the IRS, including W-2s, 1099s, ACA Forms 1094/1095, and other common form series, must file all of those forms electronically. Ultimately, the ten-form aggregate threshold will necessitate electronic filing for nearly every employer.
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Industry Voices—Why hospitals must prioritize patient assistance in 2024
Fierce Healthcare
FEBRUARY 25, 2024
One of the most powerful components of the Affordable Care Act (ACA) was the mandate that nonprofit hospitals provide an income-based financial assistance program.
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Navigator Guide FAQs of the Week: The Risks of Buying Coverage Outside the Marketplace
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.
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Payer Roundup–Cigna invests in 9amHealth; Voters give ACA thoughts
Fierce Healthcare
FEBRUARY 22, 2024
Below is a roundup of payer-centric news for the week of Feb.19, This week, voters said they are worried about insurance premium costs in a new poll, Cigna invests nearly $10 million in 9amHealth, Waltz Health enters the Medicare market and more.
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Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults
Kaiser Health News
JANUARY 12, 2024
The ACA also includes subsidies that offset all or part of the premium costs for the majority of low- to moderate-income people who seek to buy their own insurance. Those subsidies are one of the reasons cited for record enrollment in 2024 plans , with more than 20 million people signing up so far. And even with insurance, many U.S.
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The Cost of Treating Patients is On the Rise: PwC Goes What’s Behind the 2024 Medical Spending Numbers
Health Populi
JUNE 30, 2023
in 2024, according to the annual report from the PwC Health Research Institute, Medical cost trend: Behind the numbers 2024. for 2024 medical trend. The post The Cost of Treating Patients is On the Rise: PwC Goes What’s Behind the 2024 Medical Spending Numbers appeared first on HealthPopuli.com.
New Guidance Issued on Surprise Billing, Out-of-Pocket Limits, and Facility Fees
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.
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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity
Jane Sarashon
FEBRUARY 27, 2024
While the digital health stakeholder community is convening this week at VIVE in Los Angeles to share innovations in health tech, NABIP has assembled health insurance leaders in Washington, DC, for the 2024 Capital Conference to focus on major health reform issues that are top-of-mind for health care payors — which in today’s U.S.
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Leading Healthcare Payer Consulting Firm HealthScape Advisors Joins Chartis
Healthcare IT Today
FEBRUARY 21, 2024
Based in Chicago with 160 professionals, HealthScape helps payers across all segments, including commercial, Medicare, Medicaid, ACA, and federal, navigate the evolving healthcare landscape. Originally announced February 6th, 2024
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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes
Compliancy Group
FEBRUARY 12, 2024
Pharmacy Fraud and Kickback Scheme In early February 2024, the co-owner and the administrator of a New Jersey pharmacy admitted to defrauding insurance providers, including Medicare and Medicaid. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received.
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Who Started the First Healthcare Compliance Program?
MedTrainer
JANUARY 31, 2024
In 2023, the OIG provided updated guidance with a promise of updates to industry-specific guidance in 2024. The introduction of laws like the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Modernization Act have added layers of complexity to healthcare compliance.
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Americans Come Together in Worries About Medical Bills, the Cost of Health Care, and Prescription Drug Costs
Health Populi
FEBRUARY 22, 2024
there is still a negative feeling about the economy in a personal context, revealed in the Kaiser Family Foundation Health Tracking Poll for February 2024. But among individual residents of the U.S.,
Stakeholder Perspectives on CMS’s 2024 Notice of Benefit and Payment Parameters: State Insurance Departments and Marketplaces
Center for Health Insurance Reform
APRIL 6, 2023
The Biden administration has proposed new rules for the Affordable Care Act’s (ACA) marketplaces in 2024, which are expected to be finalized any day. In the final installment of our annual NBPP stakeholder comment series, CHIR's Rachel Schwab reviews state responses to the proposed rule.
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Biden’s Budget Sets Up a Spending Showdown, With ACA Subsidies in the Crosshairs
Center for Health Insurance Reform
APRIL 3, 2023
President Biden released his Fiscal Year 2024 budget earlier this month, outlining the administration’s spending and policy priorities for a number of key programs, including the Affordable Care Act (ACA) Marketplaces.
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Final 2024 Payment Rule, Part 1: Insurance Market Rules And Consumer Assistance
Center for Health Insurance Reform
APRIL 26, 2023
The Biden administration has published its rules for the ACA's insurers and Marketplaces for plan year 2024. In a post for Health Affairs' Forefront, Sabrina Corlette reviews what is changing, and what is not.
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Hall Render
SEPTEMBER 1, 2023
Louis hospital ‘You can’t do this to people’: Patients say they waited 12 hours to be treated at hospital Missouri health system names CEO Petitions seek to add rape, incest exceptions to Missouri abortion law Cigna exiting ACA exchanges in Kansas, Missouri for 2024 ‘It’s a win-win for everybody’: Gov.
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La atención de salud, en el centro del debate entre DeSantis y Newsom
Kaiser Health News
NOVEMBER 27, 2023
Newsom, un agitador liberal en su segundo mandato como gobernador de California, no se presenta a las elecciones presidenciales de 2024. Obamacare Florida DeSantis se ha negado a ampliar la elegibilidad de Medicaid a más personas bajo la Ley de Cuidado de Salud a Bajo Precio (ACA). “Yo llevaré mi gomina.
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Stakeholder Perspectives on CMS’s 2024 Notice of Benefits and Payment Parameters: Consumer Advocates
Center for Health Insurance Reform
APRIL 6, 2023
The Biden administration is poised to finalize new rules governing the Affordable Care Act Marketplaces and insurance reforms for plan year 2024.
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C&M Health Law
NOVEMBER 23, 2020
Then, beginning in 2024, price estimates for all remaining items and services offered, including procedures, drugs, durable medical equipment, must be disclosed. Among the 500 “shoppable services” are mammograms, physician visits, colonoscopies, and various blood tests, biopsies, and X-rays, and the full list is specified in the regulations.
CMS Promotes Health Equity through Marketplace Standards and More in New Proposed Rule
Healthcare Law Blog
DECEMBER 11, 2023
CMS will be accepting public comments on this Proposed Rule through January 8, 2024. 1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity.
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Health Provider News
Hall Render
NOVEMBER 27, 2023
11 Plan To Slash $1.5B renovation St. renovation St.
Health Provider News
Hall Render
MARCH 31, 2023
in 2022, survey finds Senate votes to end COVID-19 national emergency Why are 600+ rural hospitals at risk of closing?
Health Provider News
Hall Render
OCTOBER 27, 2023
Louis-based health system to form Michigan joint venture Mercy opens ‘high-tech’ multispecialty center, ASC in St. finds new C-suite exec at a subsidiary MONTANA COVID Map Shows Five States With ‘Substantial Increase’ in Hospital Admissions St.
Healthcare Reforms Under the IRA: Expanding Access to Care
Healthcare Law Blog
AUGUST 25, 2022
Additional updates of note include: ACA Premium Tax Credit Eligibility. As of 2024, the 5% cost-sharing under Part D for beneficiaries has been eliminated when costs exceed $7,000 (i.e., Other Updates. Catastrophic Phase Cost-Sharing. the “catastrophic phase”). Out-of-Pocket Costs. Incentivization of Biosimilar Products.
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HHS Proposes Health Insurance Market Reforms for 2024
Healthcare Law Blog
JANUARY 4, 2023
The HHS Notice of Benefit and Payment Parameters for 2024 (“Proposed Rule”) would streamline ACA health plan selection, simplify marketplace enrollment, and expand access to care for low-income and medically underserved consumers through revision of network adequacy and essential community provider (“ECP”) standards.
Comienza la inscripción para los seguros de salud del Obamacare
Kaiser Health News
OCTOBER 31, 2023
Para millones de personas que compran su propio seguro de salud a través del mercado establecido por la Ley de Cuidado de Salud a Bajo Precio (ACA, popularmente conocida como Obamacare), el final del año trae un ajuste de cuentas: es el momento de comparar beneficios y precios, cambiar a un nuevo plan o inscribirse por primera vez.
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Health Provider News
Hall Render
MARCH 29, 2024
migrants are a housing challenge. migrants are a housing challenge.
Start Shopping: Enrollment Begins Nov. 1 for Most Obamacare Insurance Plans
Kaiser Health News
OCTOBER 31, 2023
1 for the ACA’s federal and state exchanges. Consumers can go online, call, or seek help from a broker or other assister to learn their 2024 coverage options, calculate their potential subsidies, or change plans. It Could Be Another Record Year ACA plans are now well entrenched — an estimated 16.3
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Health Provider News
Hall Render
NOVEMBER 3, 2023
s largest community health center move to unionize DELAWARE Delaware gets top rating for hospital maternity care Delaware system hits funding goal, raises objective ACA enrollment begins, most plan options offered in Delaware marketplace history Nemours Children’s Health Names Delaware Valley Regional President FLORIDA Ascension St.
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