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Health-Exchange-Alert

October 28, 2020 | Daily News

Lawmakers face a host of health policy areas to deal with after the election -- starting with funding the government and health extenders during the lame duck session, followed by COVID-19 stimulus legislation, drug pricing, surprise billing and potentially a fix to the Affordable Care Act in the next Congress, lobbyists say. Other areas that might come into play include easing pay cuts some providers are set to see in 2021 under the physician fee schedule, expanding telehealth and, if Democrats win big on Nov. 3, moving toward a public option.

October 28, 2020 | Daily News

Key House and Senate committees that work on health care are set to look markedly different in 2021 regardless of the election results, coming as the next Congress is likely to take up hot button issues such as COVID-19 stimulus legislation, drug pricing and potentially a fix to the Affordable Care Act.

October 27, 2020 | Daily News

States will have to cut services and lay off workers without additional COVID-19 relief and increased flexibility from Congress, the National Governors Association said after it found states on average have allocated nearly 90% of their relief and most are on target to spend it all by the end of the year.

October 27, 2020 | Daily News

The contract between the federal government and insurers who will be selling plans on the federal exchange in 2021 includes a new clause that says the plans might have cause to end their agreement if the ACA’s tax credits are ended.

October 26, 2020 | Daily News

CMS has posted the plan and pricing information for the 2021 benefit year on healthcare.gov for consumers to preview ahead of this Sunday’s (Nov. 1) launch of the ACA’s eighth open enrollment period.

October 26, 2020 | Daily News

At least two of the 36 states that rely on healthcare.gov to enroll residents into an Affordable Care Act plan are asking HHS to extend the 2021 open enrollment period now slated to end Dec. 15 until the end of January to ensure that residents, including first-time enrollees, have adequate time to purchase coverage.

October 23, 2020 | Daily News

Web-based brokers working to sign consumers up for Affordable Care Act or Medicare private coverage expect the pandemic to drive more people to online services, and one major broker has boosted capacity to prepare for the expected surge.

October 23, 2020 | Daily News

A group of health benefit administrators who support individual coverage health reimbursement arrangements (ICHRAs), which let employers contribute to workers’ individual market premiums, are calling on the administration to change and finalize a rule proposed last year that grants employers offering ICHRA’s several safe harbors from the employer mandate.

October 21, 2020 | Daily News

A new survey of health care priorities among young to middle-aged women says the policy implications for the next administration are clear: The next president must ensure that preexisting conditions are protected, Medicaid is extended in all states, subsides are available to help buy coverage, mental health and substance abuse issues are covered with parity to medical benefits, and telehealth and other remote care is covered.

October 21, 2020 | Daily News

House Ways & Means oversight subcommittee lawmakers from both parties on Tuesday (Oct. 20) pledged support for protecting people with preexisting conditions, while also illustrating a wide gulf in what they believe such protections mean.

October 20, 2020 | Daily News

CMS on Tuesday (Oct. 20) approved a waiver that allows adult Medicaid beneficiaries in Nebraska to receive additional benefits, including vision and dental, if they participate in work requirements.

October 19, 2020 | Daily News

The average premiums for qualified health plans (QHPs) sold through healthcare.gov will decrease by 2%, and 22 more insurers intend to sell plans in 2021, according to a new CMS report out on Monday.

October 19, 2020 | Daily News

The average premiums for qualified health plans (QHPs) sold through healthcare.gov will decrease by 2%, and 22 more insurers intend to sell plans in 2021, according to a new CMS report out on Monday.

October 19, 2020 | Daily News

Insurers are increasing 2021 plan rates moderately compared to last year and most carriers that mentioned COVID-19 in their rate filings didn’t account for the pandemic due to persistent uncertainties about service utilization, treatment costs, potential vaccinations and general morbidity, Kaiser Family Foundation experts say in an analysis of rate filings.

October 19, 2020 | Daily News

A loose coalition of 33 patient organizations has developed a 100-day plan, tailor-made for a Democratic White House and Congress, that seeks to reverse Trump administration policies viewed as undermining the Affordable Care Act and Medicaid, and to institute patient-centered coverage expansions.

October 16, 2020 | Daily News

The vast majority of Medicare beneficiaries surveyed by CMS say they did not forego medical care for non-COVID-19 concerns during the pandemic, according to a survey released Friday (Oct. 16), but 21% said they did skip needed medical care and dental care was the most likely to be skipped.

October 16, 2020 | Daily News

GOP Gov. Brian Kemp and CMS Administrator Seema Verma talked up Georgia’s 1332 waiver during a Thursday event to announce the agency will be approving the state’s controversial request to exit healthcare.gov and rely on its own agents, brokers and insurers -- although they have yet to agree on the final terms.

October 15, 2020 | Daily News

CMS on Thursday (Oct. 15) approved an 1115 waiver to allow Georgia to partially expand Medicaid and impose work requirements.

October 14, 2020 | Daily News

Health care navigators tasked with helping consumers purchase coverage through healthcare.gov have been preparing to tackle one the most challenging open enrollment periods to date by moving to virtual enrollment method signups to keep consumers and workers safe during the pandemic, while also facing a dearth of guidance from an administration that is trying to scrap the very law that navigators are trying to get consumers to embrace.

October 14, 2020 | Daily News

Lobbies representing community health plans are asking CMS to extend the 2021 open enrollment period through January, or create a special enrollment period to let consumers affected by COVID-19 enroll in early 2021.

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