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Health-Exchange-Alert

October 25, 2018 | Daily News

Plaintiffs in the high-profile case to block the Trump administration’s rule expanding short-term health insurance plans take issue with the Department of Justice's arguments that the stakeholders do not have standing and argue the rule violates the intent of the Affordable Care Act by steering patients away from ACA-compliant plans. The plaintiffs’ reply brief was filed Monday (Oct. 22), days before the federal DC district court was slated to hear oral arguments Friday (Oct. 26) on their motion for the court to immediately suspend the rule.

October 25, 2018 | Daily News

The issue of how to stabilize the Affordable Care Act's individual market, until recently a prime focus of health policy debates, has receded from center stage in midterm campaigning as candidates turned to politically salient topics such as protections for people with preexisting conditions and the debate over single-payer.

October 25, 2018 | Daily News

The issue of how to stabilize the Affordable Care Act's individual market, until recently a prime focus of health policy debates, has receded from center stage in midterm campaigning as candidates turned to politically salient topics such as protections for people with preexisting conditions and the debate over single-payer.

October 25, 2018 | Daily News

Two California men have pleaded guilty to conspiring to defraud Affordable Care Act plans in at least 12 states by enrolling people in coverage and transporting them to expensive drug treatment facilities in California that paid referral and other fees, the Department of Justice announced.

October 24, 2018 | Daily News

Employer representatives welcome the Trump administration's regulatory proposal to let businesses send workers to the individual market to purchase health coverage and cover the costs via a tax-preferred health reimbursement arrangement starting in 2020.

October 23, 2018 | Daily News

A New Mexico judge denied HHS’ request that he reconsider a February ruling that the regulations over the Affordable Care Act's risk adjustment program for the 2014-2018 plan years violated the Administrative Procedure Act by failing to explain why the program would operate in a budget-neutral manner.

October 23, 2018 | Daily News

The White House Council of Economic Advisers links single-payer healthcare to what it calls the pitfalls of socialism, arguing in a new report that socialism is making a comeback in American politics and that Medicare-for-all would hurt seniors and cause the Gross Domestic Product to fall.

October 23, 2018 | Daily News

Although President Donald Trump has pledged to make drug companies bid for government business, the White House Council of Economic Advisers said Tuesday (Oct. 23) that Medicare negotiation of drug prices would significantly curtail the invention of new pharmaceuticals.

October 23, 2018 | Daily News

A White House official said the administration needs to make sure no regulations or policies get in the way of insurers shifting to a new value-based model where payments are made over time for new, expensive curative treatments and refunds are obtained if the treatments stop working.

October 23, 2018 | Daily News

Maryland Attorney General Brian Frosh asked the Supreme Court to review the state’s law that would give its attorney general authority to sue generic drug manufacturers for “unconscionable” drug price increases, after a Fourth Circuit panel stopped the law from going into effect.

October 22, 2018 | Daily News

The Trump administration late Monday (Oct. 22) offered a preview of a proposed regulation that will  business to offer employees tax-preferred health reimbursement arrangements that can be used to purchase coverage on or off the exchanges.

October 22, 2018 | Daily News

Anthem Inc. Public Policy Director Doug Saunders implored state officials, advocates and stakeholders to consider other options to shore up their local health insurance markets before turning to Medicaid buy-in, cautioning that such a program could hurt both the commercial insurance markets and Medicaid enrollees.

October 22, 2018 | Daily News

The Trump Administration released new guidelines for the Affordable Care Act's state innovation waivers declaring that federal officials will prioritize access to coverage over the comprehensiveness and content of the coverage individuals purchase when evaluating waiver applications.

October 19, 2018 | Daily News

CMS Friday (Oct. 19) revealed that its Direct Enrollment pathway that allows agents and brokers to enroll subsidy-eligible individuals into plans sold through healthcare.gov has been breached, and is now temporarily disabled.

October 19, 2018 | Daily News

Senate Majority Leader Mitch McConnell (R-KY) is defending the administration's decision to ask a federal court to throw out the Affordable Care Act's protections for people with preexisting conditions if it finds the mandate is no longer valid, and suggested that a win would allow the GOP to “start over” on health care reforms.

October 18, 2018 | Daily News

Democrats have exhausted their immediate legislative options to block the expansion of short-term health plans, leaving the upcoming federal court case as the party's best chance to restrict so-called junk insurance policies prior to the midterms or the start of Obamacare open enrollment.

October 18, 2018 | Daily News

The Trump Administration is arguing that the stakeholders seeking to immediately suspend new federal regulations on short-term plans fail to show that they would be harmed by the rule and therefore their request for a preliminary injunction should be rejected.

October 16, 2018 | Daily News

In the weeks leading up to the midterm elections, the Trump administration has seized every opportunity to link the entire Democratic Party to Sen. Bernie Sanders’ (I-VT) Medicare for All proposal, even though the majority of Democratic candidates in the midterms do not support Sanders’ plan.

October 16, 2018 | Daily News

CMS recently announced it will continue pilot testing the exchange plan quality rating system for a third year, and will expand the program from two states to five for the 2019 plan year.

October 16, 2018 | Daily News

More than a dozen health care stakeholders recently filed briefs in support of groups that are asking a federal district court to immediately end implementation of the Trump administration’s rule expanding access to short-term health plans.

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