The Department of Health and Human Services today issued proposed rules for the health insurance marketplaces for plan year 2019. HHS proposes a number of policy changes for both the individual market and the Small Business Health Options Program. The proposed changes include providing states with additional flexibility to define the essential health benefits to, among other things, increase the affordability of health plans; modifying the availability of special enrollment periods; refining further the risk adjustment model; and expanding the types of entities that may be navigators, among other changes to the program. Comments on the proposed rule are due Nov. 27.

Headline
The Centers for Medicare & Medicaid Services and the Department of Health and Human Services issued a request for information June 12 seeking input on CMS…
Headline
The AHA provided comments June 15 to the Centers for Medicare & Medicaid Services on its proposed rule establishing electronic standards for drug prior…
Headline
The Medicaid and CHIP Payment and Access Commission June 15 released its June 2026 report to Congress. Among the topics discussed, chapter two focuses on…
Headline
Sarah Stella, M.D., director of Denver Health’s Housing Outreach, Partnerships and Engagement program, or HOPE, reveals how Denver Health is helping some of…
Headline
A survey conducted by Morning Consult on behalf of the Coalition to Strengthen America's Healthcare found that 47% of voters believe corporate health insurers…
Headline
The AHA filed an amicus brief June 5 in the U.S. District Court for the Eastern District of Pennsylvania in support of a provider seeking to obtain…