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Health-Exchange-Alert

August 15, 2019 | Daily News

Health insurance exchanges nationwide will be required to display where qualified health plans stand on a 5-star quality rating system for the 2020 plan year, CMS announced Thursday (Aug. 15), and the agency released data revealing that 95% of the 175 plans eligible for scoring in the 2019 plan year had a rating of 3 stars or more but only 19% (36) had a 5-star rating. 

August 15, 2019 | Daily News

Nevada’s attorney general is still considering whether to appeal U.S. District Judge Reed O’Connor’s refusal to let the state intervene in an under-the-radar class action case, DeOtte, et al v. Azar, that bars HHS from enforcing the Affordable Care Act’s contraceptive mandate on any members of two broadly drawn classes, a spokesperson for Nevada Attorney General Aaron Ford tells Inside Health Policy.

August 14, 2019 | Daily News

A group of 22 Democratic attorneys general warned the Trump administration that it will land in court if it finalizes a proposal to revise the Affordable Care Act’s non-discrimination provision by rolling back protections for transgender individuals, eliminating language requirements for people with limited English proficiency (LEP) and reducing the number of entities that must comply.

August 13, 2019 | Daily News

The insurance industry on Monday (Aug. 12) joined the chorus of voices urging the Trump administration to reverse course on a proposed regulation that rolls back protections for transgender individuals or those who have ended a pregnancy, but it also wants the agency to maintain proposed changes to the Obama-era rule’s requirements on communications with consumers with limited English proficiency (LEP).

August 13, 2019 | Daily News

Democratic presidential candidate and South Bend, Indiana Mayor Pete Buttigieg unveiled a rural health plan that closely mirrors that of other Democratic presidential candidates, including Sen. Elizabeth Warren’s proposals on reimbursement, telehealth and workforce disparities, and Sen. Michael Bennet’s call for CMS to adopt new payment policies to tackle social determinants of health.

August 12, 2019 | Daily News

The Trump administration on Monday (Aug. 12) finalized a controversial rule that will make it more difficult for legal immigrants who receive Medicaid to become permanent U.S. residents, drawing outcry from stakeholders across the health care industry who say the policy will drive up the number of uninsured patients and increase the costs of uncompensated care.

August 09, 2019 | Daily News

Nevada is on track to transition from reliance on healthcare.gov to a state-based health exchange with a soft launch of the platform set for September, Nevada Health Link Executive Director Heather Korbulic says.

August 08, 2019 | Daily News

NEW YORK -- Randy Pate, director of CMS’ Center for Consumer Information and Insurance Oversight, told regulators at the National Association of Insurance Commissioners summer meeting that the exchange environment is steady, new information on rates suggest the marketplace is moving in the right direction and the administration’s policy changes will be beneficial -- even though other HHS officials have blasted the Affordable Care Act as unworkable.

August 05, 2019 | Daily News

NEW YORK -- Insurance commissioners from 18 states are calling on the Trump administration to scrap its plan to eliminate health care protections for the transgender population via a proposal that would roll back the scope of the Obama-era 1557 antidiscrimination rule.

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.

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