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Health-Exchange-Alert

August 23, 2019 | Daily News

Air ambulance providers are taking issue with Wyoming’s proposal to eliminate air ambulance surprise medical bills, which would make all citizens Medicaid-eligible for ambulance services.

August 23, 2019 | Daily News

Colorado Sen. Michael Bennett (D-CO) Thursday took a jab at rival presidential candidate Bernie Sanders for what he called a “retreat” on his Medicare for All stance after the Vermont senator released a labor platform clarifying that unions can still negotiate wrap-around coverage and maintain their clinics, and also ensuring that any employer savings go back to the workers.

August 23, 2019 | Daily News

Colorado Sen. Michael Bennet (D-CO) Thursday took a jab at rival presidential candidate Bernie Sanders for what he called a “retreat” on his Medicare for All stance after the Vermont senator released a labor platform clarifying that unions can still negotiate wrap-around coverage and maintain their clinics, and also ensuring that any employer savings go back to the workers.

August 22, 2019 | Daily News

New Mexico’s insurance chief announced this week that Christus Health Plan will not be allowed to offer products on the state’s exchange for 2020 due to compliance issues including a failure to provide transgender services and discrepancies on policies related to prior authorization and evidence of coverage, among other problems.

August 22, 2019 | Daily News

The number of Medicaid-covered prescriptions for buprenorphine, a key drug used to treat opioid addiction, increased dramatically in states that expanded Medicaid under the Affordable Care Act while remaining relatively static in non-expansion states, according to a new study from researchers at the Urban Institute.

August 21, 2019 | Daily News

Overall enrollment in the individual market declined by 5% during the first quarter of 2019, the first quarter that the individual mandate penalty repeal was in effect, according to a new analysis from the Kaiser Family Foundation.

August 21, 2019 | Daily News

CMS on Wednesday (Aug. 21) approved Delaware’s request to tweak marketplace rules to set up a five-year reinsurance program through a state innovation waiver in 2020, marking the tenth state to establish such a program since the Affordable Care Act waiver provision went into effect.

August 19, 2019 | Daily News

The August recess has provided congressional staffers no reprieve from the onslaught of lobbying over surprise billing legislation as stakeholders continue to make their case for and against bills that set benchmark rates, which moved through House and Senate committees prior to the break.

August 16, 2019 | Daily News

CMS on Friday (Aug. 16) officially denied Utah’s request for enhanced federal funding for a partial Medicaid expansion -- as well as Utah’s proposed enrollment caps policy, which the agency said essentially amounted to a partial expansion with the higher match -- but the agency has yet to decide whether it will approve the state’s request for per-capita caps.

August 16, 2019 | Daily News

Seventeen states and the District of Columbia are involved in lawsuits challenging the controversial so-called public charge rule finalized Monday, arguing that the rule undermines the role of public programs such as Medicaid and does not improve self-sufficiency for immigrants.

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.

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