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Health-Exchange-Alert

August 05, 2019 | Daily News

Stakeholders are again urging Congress to create a mechanism allowing employers to tell the health insurance exchanges that their businesses offer ACA-complaint coverage in advance of the annual open enrollment period instead of submitting the information to the IRS after the fact.

August 02, 2019 | Daily News

Centene CEO Michael Neidorff last week touted the company’s exchange business and pointed to the administration’s final health reimbursement arrangement proposed rule as well as Georgia and Utah’s efforts to leverage the private sector for their Medicaid expansion as potential growth opportunities.

August 02, 2019 | Daily News

House Ways & Means leaders are pressing the Department of Transportation to immediately set up an advisory committee that Congress had tasked with recommending ways to prevent patients using air ambulance transports from receiving high-cost bills.

August 01, 2019 | Daily News

Former Vice President Joe Biden and California Sen. Kamala Harris (D-CA) went head-to-head again over their health care proposals during Wednesday night's second Democratic debate, with Biden accusing Harris of flip-flopping over the role of private insurance and designing an unworkable Medicare for All plan, and Harris saying Biden’s plan falls short of universal coverage.

July 31, 2019 | Daily News

CMS on Wednesday (July 31) gave Colorado and North Dakota approval to move forward with their planned reinsurance programs via 1332 waivers. Both states had submitted waiver applications in May as part of an effort to drive down premiums for the 2020 plan year.

July 31, 2019 | Daily News

A federal appeals court has scheduled an oral argument for Oct. 11 on the legality of Medicaid work requirements.

July 31, 2019 | Daily News

Senate Democrats are using the Congressional Review Act in a bid to block the Trump administration’s policy changing the purpose of the Affordable Care Act’s 1332 waivers.

July 31, 2019 | Daily News

CMS Administrator Seema Verma warned a receptive audience at the Heritage Foundation about what she called the dangers of Medicare for All or a public health insurance option the morning after Democratic primary candidates touted these types of plans on the debate stage in Detroit.

July 30, 2019 | Daily News

Democrats vying for the 2020 nomination spent the first 45 minutes of the second debate hashing out policy disagreements on Medicare for All versus a public option, with progressives arguing that a single-payer system would provide the most benefit to the most people and more moderate candidates saying it would eliminate choice and raise taxes on the middle class.

July 30, 2019 | Daily News

Texas District Judge Reed O’Connor on Tuesday (July 30) rejected Nevada’s motion to intervene is a class action case over the Affordable Care Act’s contraceptive mandate and entered a final judgment blocking enforcement of the Affordable Care Act’s requirement that plans cover all FDA-approved birth control methods without cost-sharing for any individual or employer that objects to the mandate due to religious reasons.

July 30, 2019 | Daily News

Support for Medicare for All and public option proposals is losing favor as voters from both parties learn more about the policies, a new report from the nonpartisan Kaiser Family Foundation found.

July 29, 2019 | Daily News

A coalition of seven stakeholders appealed a federal district court’s decision to uphold the Trump administration’s rule expanding the scope of short-term health plans, arguing that the plans undermine consumer protections for people with preexisting conditions and can discriminate based on age, gender or health status.

July 29, 2019 | Daily News

The Trump administration will not allow states to receive enhanced federal Medicaid funding under the Affordable Care Act if they only partially expand Medicaid, a CMS spokesperson confirmed Saturday (July 27), dealing a blow to Utah and other red states that were hoping to adopt limited versions of expansion and still receive the ACA’s full 90% federal match rate.

July 26, 2019 | Daily News

The American Medical Association and America’s Health Insurance Plans are sparring over the arbitration policy in the House’s surprise billing fix as Senate health committee Chair Lamar Alexander (R-TN) weighs adding a similar policy to his bill.

July 25, 2019 | Daily News

Exchange technology firm GetInsured announced it is the first company CMS approved for phase 3 enhanced direct enrollment, which lets consumers enroll in coverage without having to first visit healthcare.gov, and it can handle 100% of enrollment scenarios end-to-end.

July 24, 2019 | Daily News

Air ambulance providers are pressing Senate health committee leaders to change the surprise billing policy in their cost-cutting legislation to better address out-of-network air ambulance bills by updating the Medicare reimbursement rate, requiring all insurers cover air ambulances and increasing the reimbursement rate above the median in-network rate for a geographic area.

July 23, 2019 | Daily News

The Center for American Progress (CAP) is touting an Avalere analysis that found the think tank’s universal health care proposal, under which Americans could choose between enrolling a beefed-up Medicare plan or keeping their existing coverage, would cost less than $3 trillion over 10 years and could be fully funded without having to levy taxes on the middle class.

July 23, 2019 | Daily News

The Trump administration on Tuesday (July 23) asked a federal judge to delay ruling on the legality of CMS’ approval of Medicaid work requirements in New Hampshire, but advocates for beneficiaries and a lawyer for New Hampshire urged the judge to rule quickly.

July 23, 2019 | Daily News

HHS Secretary Alex Azar is attempting to deflect attention away from the Affordable Care Act to the administration’s other health care priorities as a lawsuit, now backed by the administration, to unravel the health law moves through the courts.

July 22, 2019 | Daily News

Some residents in Colorado could see premiums drop by 33.5% in 2020 and Californians may see decreases of up to 10 % compared to 2019 prices based on preliminary rates, and both states attributed the cost reduction to state-level actions to shore up the marketplace.

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