The Centers for Medicare & Medicaid Services has released its compliance review priorities for 2018 qualified health plans in the federally-facilitated exchanges. While some of the regulatory standards that the Center for Consumer Information & Insurance Oversight will use to perform 2018 QHP compliance reviews are similar to those for the 2017 compliance reviews, they exclude many of the network adequacy standards and QHP quality standards included last year. For more on FFE compliance reviews, visit www.cms.gov

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The White House May 18 announced an expansion of TrumpRx.gov, which now features more than 600 generic drugs. The direct-to-consumer platform serves as a hub…
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A KFF analysis published May 19 examined early indicators of how the expiration of the enhanced premium tax credits has impacted effectuated enrollment levels…
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The Centers for Medicare & Medicaid Services May 15 released its 2027 final standards for the health insurance marketplaces, including the issuers and…
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The Centers for Medicare & Medicaid Services May 13 announced 29 health care organizations have pledged early participation in its electronic prior…
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A majority of physicians say the prior authorization process continues to negatively impact patient outcomes and employee productivity, according to a survey…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …