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.

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A new AHA blog examines a Department of Health and Human Services issue brief that claims Medicaid hospital provider taxes increase employer-sponsored…
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A recent issue brief from the Department of Health and Human Services asserts that Medicaid hospital provider taxes raise employer-sponsored insurance premiums…
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Individuals and families can enroll in or change their health coverage options through the Health Insurance Marketplace from Nov. 1 through Jan. 15. The AHA…
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In this conversation, Brent Davis, CEO of the primary health division at AdventHealth, shares how improved patient access, coordinated care teams, virtual care…
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The Centers for Medicare & Medicaid Services Oct. 23 released a proposed rule implementing new Health Insurance Marketplace eligibility verification…
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The uninsured rate among working-age Americans rose to 11.2% in 2026, up from 8.9% in 2024, according to the latest biennial Commonwealth Fund survey on health…