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Health-Exchange-Alert

March 22, 2019 | Daily News

The California State Assembly’s health committee on Tuesday (March 19) approved a revised version of legislation aimed at removing the financial incentives for third-party payers to pay insurance premiums for certain patients, and the committee immediately received kudos from the state’s association of health care plans.

March 21, 2019 | Daily News

A new Urban Institute report out Thursday (March 21) suggests policymakers consider capping provider rates at Medicare levels or introducing a public plan option in exchange rating areas that continue to struggle with competition.

March 20, 2019 | Daily News

Advocates for Medicaid beneficiaries filed a third lawsuit Wednesday (March 20) challenging the Trump administration’s continued approval of Medicaid work requirements.

March 20, 2019 | Daily News

Consumer advocates tell CMS that the proposed exchange rule leaves room for web-based brokers and direct enrollment entities to display qualified health plan (QHP) options in a way that pushes consumers toward plans for which the brokers receive compensation, despite the agency’s stated goals to the contrary.

March 20, 2019 | Daily News

Provider groups and plans are calling on Congress to give them greater access to claims data and to make the true cost of services transparent as the Senate health committee looks for possible solutions to driving down health care costs.

March 20, 2019 | Daily News

A bill moving through the Idaho state legislature would create “enhanced” short-term plans that could eventually end up looking very similar to Idaho’s proposed state-based health plans, state Insurance Commissioner Dean Cameron told Inside Health Policy.

March 19, 2019 | Daily News

The Idaho legislature is mulling proposals to add work requirements and other restrictions to the state’s Medicaid expansion plan that was approved by voters in November and has yet to take effect.

March 19, 2019 | Daily News

The class action lawsuit spearheaded by Wisconsin-based Common Ground Health Cooperative and involving about 90 other exchange issuers has filed an amended complaint with the Federal Court of Claims and now seeks to collect cost-sharing reduction reimbursements owed for plan years 2017, 2018 and 2019.

March 18, 2019 | Daily News

CMS’ fiscal 2020 budget includes no funding authority for exchange operations, but does request a legislative proposal that would allow the agency to use exchange “user fees” collected from issuers participating in exchanges that use the federal platform for all exchange-related operations.

March 18, 2019 | Daily News

In the final days of its session the New Mexico legislature passed legislation to fund a Medicaid Buy-In study for the upcoming fiscal year.

March 15, 2019 | Daily News

The number of Arkansas Medicaid beneficiaries who are out of compliance with the state's work requirement continues to grow, according to data released by the state Friday (March 15).

March 15, 2019 | Daily News

CMS on Friday (March 15) approved Ohio's plan to enact Medicaid work requirements, making it the ninth state to receive federal permission to tie Medicaid coverage to work.

March 15, 2019 | Daily News

HHS Secretary Alex Azar said the department is still reviewing whether to extend for another year the transitional policy that allows plans out of compliance with the ACA to remain on the market, but he strongly indicated that HHS is leaning toward yes.

March 15, 2019 | Daily News

The New Mexico state legislature closed its 2019 session on Friday (March 15) by passing a bill to ensure state insurers protect people with preexisting conditions in the face of challenges to the Affordable Care Act.

March 15, 2019 | Daily News

The lobby representing the nation’s dental plans and dozens of lawmakers from both parties are urging CMS to update healthcare.gov so that all Americans, including Medicare beneficiaries, can purchase stand-alone dental plans without having to first buy medical insurance.

March 15, 2019 | Daily News

CMS says Arkansas received an advanced draft of guidance released Thursday (March 14) on evaluating 1115 waivers -- particularly those testing work requirements -- and the agency has been working with the state on its evaluation plan.

March 14, 2019 | Daily News

House Education & Labor Committee Democrats quickly rejected committee Republicans’ request for a hearing on the House Medicare for All bill (HR 1384), saying the committee will instead focus its energy on shoring up the Affordable Care Act.

March 14, 2019 | Daily News

A federal judge said he hopes to rule on the legality of Medicaid work requirements in Arkansas and Kentucky by the end of the month, unveiling his plan to decide quickly at the conclusion of back-to-back court hearings Thursday (March 14) that tested the reasoning behind one of the Trump administration’s most controversial health care priorities.

March 14, 2019 | Daily News

CMS released a long-awaited guidance to counsel states on how to implement and evaluate 1115 waivers in Medicaid, particularly work-requirement programs, including an implementation template, a monitoring report template and evaluation design guidance on Thursday (March 14).

March 14, 2019 | Daily News

HHS Secretary Alex Azar told Senate Finance Committee members Thursday (March 14) that the more than 18,000 Arkansas residents who lost Medicaid coverage after work requirements took effect is a normal level of churn.

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