Healthcare Dive

OCTOBER 11, 2022

Bright is doubling down on its decision earlier this year to contract its business, halting the sale of ACA plans to focus on care delivery business NeueHealth as well as MA in higher-performing markets.

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ACA 261

Healthcare Dive

APRIL 3, 2024

Starting in 2026, plans sold in state-based exchanges will be required to meet time and distance standards for provider access that are already applied to plans sold federally.

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ACA 196

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 286

Center for Health Insurance Reform

FEBRUARY 12, 2024

The Affordable Care Act (ACA) requires coverage of pediatric dental services in many commercial plans, but the law has had less of an impact on adult dental coverage. Dental care is an important element of comprehensive health care.

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ACA 85

Compliance Now

NOVEMBER 24, 2021

On November 22, 2021, the Internal Revenue Service (IRS) published proposed regulations that introduce significant changes to the Affordable Care Act (ACA) reporting process for both large and small employers. Since 2015, the IRS has also provided good faith transition relief to ACA reporting. Good Faith Transition Relief Eliminated.

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ACA Compliance 157

Fierce Healthcare

SEPTEMBER 6, 2023

When the Affordable Care Act (ACA) was passed in 2010, the legislation set forth requirements for insurers to cover lactation services for mothers, a stark contrast from expecting families to pay o | The Affordable Care Act says insurance companies must front the cost for lactation care.

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ACA 111

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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ACA 111

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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ACA Compliance 100

Fierce Healthcare

NOVEMBER 9, 2023

Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's (ACA's) risk adjustment program is working, especially whether it's | Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's risk (..)

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ACA 111

Healthcare Dive

MARCH 30, 2023

The Thursday ruling means that, effective immediately, health plans nationwide are no longer required to fully cover certain preventative medical services like cancer, HIV and diabetes screenings.

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ACA 301

Healthcare Dive

MARCH 13, 2024

The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.

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ACA Medicaid Medicaid Hospitals 242

Fierce Healthcare

JUNE 13, 2023

The Affordable Care Act's (ACA's) preventive care mandate remains in effect as a federal appeals court mulls a legal challenge to the requirements. | The Affordable Care Act's preventive care mandate remains in effect as a federal appeals court mulls a legal challenge to the requirements.

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ACA 110

Compliance Now

AUGUST 8, 2022

One of the most well-known components of the Affordable Care Act (ACA) is that it requires applicable large employers (ALEs) to either offer affordable, minimum value medical benefits to their full-time employees or pay tax penalties. The ACA defined a plan as being affordable if the lowest-cost, employee-only option costs less than 9.5%

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ACA 100

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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ACA 118

Modern Healthcare

APRIL 17, 2023

CMS' final rule for ACA exchanges sets plan limits, requires plans to include substance abuse and mental health providers and makes Medicaid's special enrollment period a permanent option.

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ACA Medicaid Medicaid 95

Fierce Healthcare

OCTOBER 31, 2023

Open enrollment on the Affordable Care Act's (ACA's) exchanges is set to begin, but signing up for coverage remains confusing for many, a

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ACA 105

Fierce Healthcare

JUNE 29, 2023

Medicare Advantage (MA) beneficiaries have less choice when it comes to finding a psychiatrist than Medicaid enrollees or those who buy coverage on the Affordable Care Act (ACA) marketplace do, acc | Medicare Advantage continues to grow, and so does the need for beneficiaries to have access to psychiatrists, says a study in Health Affairs.

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ACA Medicaid Medicaid Medicare 110

Healthcare IT News - Telehealth

JULY 1, 2020

Primary topic: Government & Policy Disable Auto Tagging: Short Headline: White House challenging ACA; Congress mulling permanent telehealth reform Featured Decision Content: Region Tag: Global Edition Right Now:

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ACA Governance 150

Fierce Healthcare

MARCH 17, 2023

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

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ACA 116

Fierce Healthcare

MARCH 30, 2023

Judge blocks feds from enforcing ACA's preventive care coverage mandates pminemyer Thu, 03/30/2023 - 13:49

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ACA 111

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 plans).

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ACA Medicaid Medicaid Health Outcomes 52

Fierce Healthcare

APRIL 13, 2023

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

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ACA 116

Fierce Healthcare

MAY 16, 2023

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

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ACA 98

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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ACA Medicaid Medicaid 286

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

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ACA 111

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

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ACA 105

Fierce Healthcare

DECEMBER 28, 2022

ACA exchange enrollment continues at record pace, nears 11.5M through mid-December. Wed, 12/28/2022 - 11:48.

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ACA 119

Healthcare Dive

JULY 19, 2022

Health insurers' preliminary filings with state regulators point to a 10% median bump in rates for enrollees in 2023, according to the Kaiser Family Foundation.

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ACA Health Insurance 248

Center for Health Insurance Reform

FEBRUARY 25, 2022

The ACA requires coverage of recommended preventive services without cost-sharing for consumers enrolled in most private health plans. Continue reading → The post PrEP Coverage Obstacles Highlight Challenges Implementing the ACA Preventive Services Requirement appeared first on Center on Health Insurance Reforms.

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ACA Health Insurance 100

Fierce Healthcare

NOVEMBER 10, 2022

CMS looking at quality metrics to get ACA exchange plans into value-based care. Thu, 11/10/2022 - 16:00.

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ACA 126

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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ACA 94

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

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ACA 105

Fierce Healthcare

APRIL 3, 2023

ACA benchmark premiums rise 3.4% for 2023 as rate of new insurers slowed: study rking Mon, 04/03/2023 - 15:26

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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

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ACA 98

Fierce Healthcare

JANUARY 11, 2023

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

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ACA 111

Healthcare Dive

MAY 16, 2023

The temporary administrative stay, which now legally requires health plans to provide preventive care for over 150 million Americans, applies while an appeal of the March case is considered by the court.

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ACA 225

Fierce Healthcare

JANUARY 11, 2022

Labor Department demands insurers to stop flouting ACA's birth control rules. Tue, 01/11/2022 - 12:06.

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ACA 126