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Health-Exchange-Alert

November 20, 2019 | Daily News

CMS says another 737,000 consumers selected plans from healthcare.gov in the third week of open enrollment, which is similar to the number last year during the same frame time, but Get America Covered notes the cumulative 1.67 million sign-ups lag by around 250,000 compared to previous years despite more options and lower prices.

November 20, 2019 | Daily News

Sen. Bill Cassidy is concerned the House Energy & Commerce Committee’s surprise billing legislation could cause insurers to lower doctor pay rates so low that rural hospitals would close.

November 20, 2019 | Daily News

A third federal judge has blocked HHS from implementing its so-called conscience rule, which would vastly expand the ability of medical professionals to refuse to provide care based on their religious or moral objections.

November 20, 2019 | Daily News

Democrats and Democrat-leaning independents said they trusted Sen. Bernie Sanders (VT) on health care the most among the Democratic presidential candidates ahead of Wednesday night’s debate, despite a majority of the same respondents saying they support a plan with a government-run public option competing with private insurance rather than Sanders’ Medicare-for-all plan, according to a recent Kaiser Family Foundation (KFF) poll.

November 19, 2019 | Daily News

Pennsylvania hit a “critical milestone” in its move from a federally facilitated to a state-based exchange last week when the health exchange board agreed to a seven--year contract with GetInsured for its exchange platform and consumer services for the new SBM set to go live in 2021, Zachary Sherman, executive director of Pennsylvania’s Health Exchange Board of Directors, tells Inside Health Policy.

November 19, 2019 | Daily News

Nevada’s newly minted state-based marketplace had enrolled more than 60,000 as of Nov. 15, and traffic on the site has increased eight-fold compared to last year, state exchange director Heather Korbulic announced last week.

November 18, 2019 | Daily News

CMS on Friday (Nov. 15) withdrew a proposed guidance letter on Medicaid block grants that had been under review at the White House budget office since June, but the agency on Monday (Nov. 18) reiterated recent comments from Administrator Seema Verma promising that it will soon issue guidance on new ways for states to finance Medicaid.

November 18, 2019 | Daily News

Advocates for Medicaid expansion are claiming another electoral victory after Louisiana Gov. John Bel Edwards (D) narrowly won re-election on Saturday (Nov. 16).

November 18, 2019 | Daily News

Democratic Presidential Candidate Elizabeth Warren laid out a strategy for transitioning to Medicare for All under which she would use her first 100 days as president to reverse the Trump administration’s regulatory changes to the Affordable Care Act, defend the law from the GOP challenge in Texas, and support using reconciliation to pass a Medicare-like public option that would be available for all Americans, reform the ACA and lower the Medicare eligibility age to 50.

November 15, 2019 | Daily News

The Trump administration’s proposal that health insurers be required to disclose the rates they negotiate with providers was immediately blasted by insurers, who said the rule if finalized would confuse patients with complex information and undermine competition.

November 14, 2019 | Daily News

A federal appeals court panel seems inclined to issue a narrow ruling in a lawsuit challenging the Trump administration’s rule expanding association health plans, with two of the three judges on the panel repeatedly asking during oral arguments Thursday (Nov. 14) if they can resolve the case without directly deciding whether the rule violates the Affordable Care Act.

November 14, 2019 | Daily News

House and Senate Democrats called on the Senate Appropriations health subcommittee to reschedule a previously postponed markup of the Labor-HHS spending bill, which includes a Democratic-authored amendment to block the Trump administration’s rule withholding Title X funding from facilities that perform abortions or refer patients for abortion.

November 13, 2019 | Daily News

Plan selections leapt from 177,000 to more than 930,000 through Nov. 9, according to CMS’ second weekly snapshot on healthcare.gov activity, which indicates that sign-ups are stable despite the technical problems on the first day of enrollment.

November 13, 2019 | Daily News

The House Energy & Commerce health subcommittee on Wednesday (Nov. 13) unanimously approved two bills to improve maternal health, including a bill that would allow states to extend Medicaid eligibility for up to one year after a beneficiary gives birth and receive a higher federal match rate.

November 12, 2019 | Daily News

CMS proposed a wide-ranging new rule Tuesday (Nov. 12) that the agency says will crack down on states manipulating Medicaid supplemental payments in order to obtain extra federal matching funds.

November 12, 2019 | Daily News

CMS will soon release a highly anticipated guidance letter that will invite states to use federal block grants to cover non-disabled adult Medicaid beneficiaries, Administrator Seema Verma said Tuesday (Nov. 12).

November 12, 2019 | Daily News

Sources suggest that California progressive Rep. Ro Khanna’s legislation that would give states flexibility to design a single-payer health system using money from all existing public programs would be a heavy political lift, particularly since seniors are wary of changes to Medicare and employers oppose policies that give states authority over self-insured large group plans.

November 12, 2019 | Daily News

Stakeholders that support and took advantage of the Trump administration rule expanding association health plans are hopeful a federal appeals court will overturn a district judge’s decision to toss key parts of the rule, which a pro-AHP source argued has upended coverage for thousands of Americans.

November 08, 2019 | Daily News

White House Domestic Policy Advisor Joe Grogan suggested that lawmakers are close to an agreement on surprise billing legislation and believes that something will pass either stand alone or attached to drug pricing measures by the end of the year.

November 08, 2019 | Daily News

A new study by the Commonwealth Fund highlights the dozens of states that have codified some of the Affordable Care Act’s protections for people with preexisting conditions that are under threat by Texas v. USA, but sources stress that state governments can only do so much for residents without federal support.

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