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In the Health Reform Update for the past week, the Congressional Budget Office (CBO) lowers its health care spending estimate due to Affordable Care Act (ACA) cost controls. The Centers for Medicare and Medicaid Services (CMS) reverses course and exempts U.S. territories from most ACA market reforms. New Medicaid enrollments approach seven million, while CMS increases the number of states that must promptly address Medicaid application backlogs. A consultant review of initial rate filings ...
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In the Health Reform Update for the past two weeks, the U.S. Supreme Court narrows the preventive services mandate under the Affordable Care Act (ACA) while Congress increases its scrutiny of the $84,000 per treatment cost for the latest Hepatitis C drug. An Inspector General Report confirms that the Centers for Medicare and Medicaid Services (CMS) is still unable to fully verify income and citizenship data for Marketplace applicants. However, the agency is directing six states to develop pl...
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Read our summary update on specialty tiers.
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In this week’s Health Reform Update, the Centers for Medicare and Medicaid Services (CMS) issues new rules allowing employers to delay new employee coverage for up to 120 days and automatically renewing coverage for enrollees in Affordable Care Act (ACA) Marketplaces. Proposed Marketplace premiums for 2015 continue to vary widely, with several insurers (particularly non-profit cooperatives) seeking substantial rate cuts. Premiums on average continue to show increases consistent with the in...
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In this week’s Health Reform Update, Senator David Vitter (R-LA) and Rep. Bill Cassidy (R-LA) continue to push the Centers for Medicare and Medicaid Services (CMS) to formally clarify that non-profit charities like PSI can assist with premiums and cost-sharing for Marketplace plans. CMS fends off Republican challenges against reinsurance payments for Marketplace carriers that incur substantial losses. Two leading House Democrats demand hearings on the impact of a costly new Hepatitis C drug u...
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In this week’s Health Reform Update, new data shows that more insurers are planning to participate in Affordable Care Act (ACA) Marketplaces and are offering broader provider networks (for a price). Drug manufacturers and the insurance industry argue over which is more to blame for high out-of-pocket costs for specialty tier drugs, while a separate study concludes that Marketplace plans turning out to be less costly than non-Marketplace plans. Despite wide variations, proposed Marketplace...
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Help remove roadblocks for patients who can benefit from new health insurance policies. Take Action Today!
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