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Health-Exchange-Alert

March 08, 2021 | Daily News

Colorado lawmakers who have been pushing for a public option to compete in the exchange will reintroduce a bill that gives the health care industry two years to lower premium costs by a total of 20%, and if that fails the state would create a state-run insurance option.

March 08, 2021 | Daily News

For the first time in history, a majority of New York state legislators are backing the New York Health Act, which would transition the state to a single payer system funded by a Medicare-like tax, bill supporters said Monday (March 8).

March 08, 2021 | Daily News

House lawmakers are trying to balance their interest in continuing telehealth expansion beyond the pandemic with concerns such services could be overused or used improperly, coming as Department of Justice officials say stopping telehealth false claims is a priority.

March 05, 2021 | Daily News

A federal court in Maryland on Thursday (March 4) agreed with several cities that a number of policies finalized in the Trump administration’s 2019 exchange rule violate federal law, and vacated provisions related to network adequacy, standardized options, income verification and medical loss ratio.

March 05, 2021 | Daily News

State and local governments were set to receive $350 billion under the House-passed American Rescue Plan, but the updated version of the pandemic relief bill moving through the Senate would reduce the funding for local governments by $10 billion to pay for increased broadband access and split that relief into two funding pots released a year apart.

March 05, 2021 | Daily News

The Medicare Payment Advisory Commission generally supported a draft recommendation to reform Medicare Advantage benchmarks, as staff stood by their conviction that the current system pushed up MA costs compared to fee-for-service Medicare.

March 05, 2021 | Daily News

CMS is crafting an action plan aimed at better aligning quality measures across the agency, federal programs and private payers, Michelle Block Schreiber, director of the Quality Measurement & Value Based Incentives Group at CMS, said at the agency’s Quality Conference Wednesday (March 3).

March 05, 2021 | Daily News

The National Kidney Foundation this week cheered introduction of bipartisan legislation that aims to protect living organ donors by banning life and long-term insurers from denying them coverage.

March 04, 2021 | Daily News

Private online broker eHealth has formed a new bipartisan advisory committee of public policy experts that will inform the company, the public and policymakers on best practices for improving health care.

March 03, 2021 | Daily News

The Senate COVID-19 relief package heading to the floor will cover 100% of COBRA premiums, up from the 85% level in the House bill, numerous Democratic senators announced Wednesday (March 3).

March 03, 2021 | Daily News

Insurers are working to get 2 million vulnerable seniors COVID-19 vaccines as part of a new Vaccine Community Connectors pilot that was praised by White House COVID-19 Response Senior Advisor Andy Slavitt Wednesday (March 3).

March 03, 2021 | Daily News

More than 206,000 Americans were newly enrolled in an ACA plan through healthcare.gov in the first two weeks of the COVID-19 special enrollment period, CMS announced Wednesday, or more than triple the number of sign-ups in the same period last year when the window was only open for qualifying events.

March 03, 2021 | Daily News

The Senate Finance Committee voted 14-14 along party lines to advance HHS Secretary-nominee Xavier Becerra’s nomination, previewing a likely close vote on the floor as Republicans coalesce in their opposition to the California attorney general and former high-ranking Democratic House lawmaker.

March 02, 2021 | Daily News

There is an increasing possibility that congressional Democrats’ COVID-19 relief package will cover 100% of the cost of COBRA benefits, a policy strongly supported by unions and employers.

March 02, 2021 | Daily News

CMS will hold its annual qualified health plan (QHP) conference both onsite and virtually this year, with the in-person portion set for April 21, just one day before the QHP application window opens for the 2022 plan year, and the remote portion set for April 27, 29 and May 1.

March 01, 2021 | Daily News

Senate Finance Committee Chair Ron Wyden (D-OR) revealed late Monday that the Senate parliamentarian has ruled COBRA subsidies can stay in the COVID-19 relief bill without violating the so-called Byrd rule.

March 01, 2021 | Daily News

The Federation of American Hospitals wants CMS to rescind controversial 2022 exchange rule the Trump administration finalized one day before leaving office -- including a proposal letting states eliminate a central exchange and the revised guidance on state innovation waivers -- and to roll back various other Trump-era regulatory changes seen as undermining the Affordable Care Act, counterproductive or overly burdensome.

March 01, 2021 | Daily News

In a quick turn-around, the Senate Finance Committee will vote Wednesday (March 3) on Xavier Becerra’s nomination for HHS secretary.

March 01, 2021 | Daily News

The Biden administration said Monday (March 1) it is distributing nearly $2.3 million to the 30 navigator entities working to provide in-person enrollment assistance to consumers in states using healthcare.gov.

February 27, 2021 | Daily News

The Biden administration on Friday (Feb. 26) updated and partially reversed Trump administration guidance on insurers’ responsibilities for covering COVID-19 testing, clarifying that non-grandfathered group health plans must fully cover diagnostic testing even if the patient is asymptomatic, except when done for public health surveillance or return-to-work mandates.

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