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ACA Health Plans — Key considerations for staying relevant

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.

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CMS Includes MAOs in Data Exchange and Prior Authorization Requirements

Healthcare Law Blog

DECEMBER 15, 2022

Citing the ongoing impact that prior authorization has on patient care, health system costs, and administrative burdens for providers, CMS seeks to streamline the prior authorization process in the Proposed Rule by requiring the following changes. The CMS Fact Sheet and FAQs provide further insight on the proposed changes.

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Medicaid Medicaid Medicare Medicare 52
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