Center for Health Insurance Reform

JUNE 3, 2022

Beginning in 2023, CMS will require QHP provider networks for plans sold on the federal marketplace to meet minimum time-and-distance standards and, beginning in 2024, minimum standards for appointment wait times.

Medicaid 98

Medicaid Medicaid Health Insurance 98

Healthcare Law Blog

APRIL 24, 2023

On April 17, 2023 , the Centers for Medicare & Medicaid Services (“CMS”) released the U.S. Department of Health and Human Services (“HHS”) Notice of Benefit and Payment Parameters for 2024 Final Rule (the “Notice”) that includes standards for issuers and Marketplaces, and requirements for agents, brokers, web-brokers and others.

Medicaid 52

Medicaid Medicaid Compliance Health Insurance 52

Healthcare IT Today

FEBRUARY 26, 2023

million at-risk patients access preventative services – and stronger standards for Medicaid network adequacy – which could give nearly 300,000 additional Black children access to specialty hospitals and drive $912 million annual Medicaid savings due to reduced avoidable admissions.

Medicaid 94

Medicaid Medicaid FDA Health Insurance 94

Healthcare Law Blog

DECEMBER 11, 2023

Permitting states to expand Medicaid eligibility by disregarding more income and resource threshold standards for individuals that are excepted from the application of the Modified Adjusted Gross Income financial methodology.

Medicaid 52

Medicaid Medicaid ACA Medicare 52

Healthcare Law Blog

NOVEMBER 13, 2023

On November 6, 2023, the Centers for Medicare and Medicaid Services (“CMS”) released the contract year 2025 proposed rule for Medicare Advantage (“MA”) organizations and Part D sponsors (the “Proposed Rule”). Below is a summary of some of the Proposed Rule’s key changes.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

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.

Health Insurance 52

Health Insurance ACA Medicaid Medicaid 52

Hall Render

JULY 8, 2022

CMS is creating a new provider type, Rural Emergency Hospitals. Why health systems are choosing Amazon as their cloud provider. Alabama Department of Corrections picks new medical, mental health care provider. California Proposes Permanent COVID-19 Standard. Hospital Can Sue Illinois to Enforce Medicaid Pay, Court Says.

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nursing Homes Nurses 40