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Health-Exchange-Alert

April 03, 2020 | Daily News

HHS Secretary Alex Azar said Friday (April 3) that the administration plans to use a portion of the $100 billion CARES Act funding for hospitals to reimburse providers for treating the uninsured with COVID-19.

April 03, 2020 | Daily News

The Supreme Court Friday (April 3) agreed to an extended briefing schedule in the high-profile lawsuit over the Affordable Care Act, now known as California v. Texas, in a move the Democratic AGs say could lead to oral arguments in October.

April 03, 2020 | Daily News

CMS told states on Thursday (April 2) that they have various ways to use federal Medicaid funds to expand telehealth treatments of substance use disorders -- and the agency advised that these telehealth options may be useful during the COVID-19 crisis.

April 03, 2020 | Daily News

While the federal government refuses to open healthcare.gov for a special enrollment period during the coronavirus pandemic, several state-based exchanges that already created SEPs have extended their deadlines.

April 03, 2020 | Daily News

Several small air ambulance companies have stopped transporting COVID-19 patients due to a lack of personal protective equipment, and larger, national, air ambulance companies are spending most of their time sourcing protective equipment for their flights, air ambulance providers tell Inside Health Policy.

April 03, 2020 | Daily News

The Trump administration continues to dismiss the idea of opening up a special enrollment period (SEP) for healthcare.gov, and instead looks to provide cash payments to providers for treating the uninsured using the $100 billion in funding from the newly passed CARES Act.

April 02, 2020 | Daily News

The Medicaid and CHIP Payment and Access Commission indicated Thursday (April 2) that it will closely monitor lessons learned in Medicaid after the coronavirus pandemic is over, including how Medicaid expansion states fared over non-expansion states.

April 02, 2020 | Daily News

Congress’ Medicaid advisers voted in favor what staff called modest but important recommendations to improve care for beneficiaries eligible for both Medicare and Medicaid -- one would create a special enrollment period for duals eligible for Medicare-Medicaid plans and another would propose Congress provide states with funding to put integrated care models in place.

April 02, 2020 | Daily News

Anthem said Wednesday (April 1) it would waive cost-sharing for all treatments related to the COVID-19 diagnosis through May 31, the fourth major insurer to make such a decision in recent weeks.

April 02, 2020 | Daily News

CMS has agreed to withhold federal Medicaid reimbursements to states in cases where providers are serving Medicaid beneficiaries without being enrolled in state programs after an HHS Office of Inspector General report found 23 states hadn’t enrolled all providers as required by the 21st Century Cures Act.

April 02, 2020 | Daily News

CMS revealed Wednesday that 11.4 million people enrolled in coverage via healthcare.gov or 13 state-based exchanges during the 2020 open enrollment period, the same outcome as last year, although more sign-ups came through the states this season, and down from 12.7 million for the 2016 plan year.

April 01, 2020 | Daily News

The White House Wednesday (April 1) doubled down on its decision not to open healthcare.gov for a special enrollment period due to the coronavirus, telling Inside Health Policy that doing so would be moot since the marketplace already lets people who lost their jobs enroll via a SEP -- even though existing events that trigger a new enrollment window are more limited.

April 01, 2020 | Daily News

CMS on Wednesday (April 1) opened the comment period for an 1115 waiver submitted in February by New Jersey that would extend Medicaid coverage for beneficiaries for 180 days after they give birth.

April 01, 2020 | Daily News

Consumer, labor and beneficiary advocacy groups are urging insurance companies to drop all cost-sharing for all services related to diagnosis and treatment of the COVID-19 and its symptoms.

March 31, 2020 | Daily News

Eschewing calls from a wide-range of stakeholders and lawmakers, the White House on Tuesday (March 31) said the administration will not open a coronavirus-specific special enrollment period (SEP) for healthcare.gov.

March 31, 2020 | Daily News

A growing number of insurers have agreed to waive copays for all medical treatment related to COVID-19, not just for testing and diagnostic services which Congress mandated under the third stimulus bill.

March 31, 2020 | Daily News

Republican authors of bipartisan surprise billing legislation say passing their bill as a part of the next stimulus package should be a top priority.

March 30, 2020 | Daily News

A provision in the $2 trillion stimulus law lets hospitals and laboratories set prices on COVID-19 tests, and employers and insurers worry some providers might price gouge and balance bill patients.

March 30, 2020 | Daily News

CMS is allowing private individual and small group market insurers to alter their plan designs mid-year to expand or provide telehealth services in light of the coronavirus pandemic and asks states to take a similar approach.

March 30, 2020 | Daily News

Democratic leaders in the House and Senate health committees Friday (March 27) said they’ll fight to include in the next stimulus package a number of proposals aimed at expanding access to affordable health insurance and making COVID-19 vaccines and treatments free for all patients.

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