The AHA and seven other national organizations today urged Congress to include in the omnibus appropriations bill it must act on by March 23 provisions they say would reduce premiums, improve affordability and improve the individual health insurance market. Specifically, the groups urged Congress to establish a premium reduction/reinsurance program to help cover the costs of people with significant health care needs, and provide multi-year funding for cost-sharing reduction benefits. “According to independent analyses by Avalere Health and Oliver Wyman, enacting both legislative provisions could lower premiums by up to 21% in 2019 and increase enrollment and expand coverage to more than 1.5 million Americans,” the groups wrote. “By 2020, premiums could be 40% lower with an additional 2.1 million Americans enrolled and covered. Moreover, this legislation will help physicians and hospitals better serve the health care needs of patients in their community and lower costs for businesses that provide coverage to their employees.” In addition to AHA, the letter’s signers include America’s Health Insurance Plans, American Academy of Family Physicians, American Benefits Council, American Medical Association, Blue Cross Blue Shield Association, Federation of American Hospitals and U.S. Chamber of Commerce.

Headline
The 5th U.S. Circuit Court of Appeals Aug. 11 ruled to vacate certain regulations implementing how the No Surprises Act qualifying payment amount is calculated…
Headline
In this conversation, Michele Frankel, deputy market president for Northwell Health’s Eastern Market, and Susan Kwiatek, DNP, vice president of aging and…
Headline
Guidance on the implementation timeline for the No Surprises Act independent dispute resolution operations final rule was released Aug. 7 by the Departments of…
Headline
Current or prospective essential community providers, which are facilities serving predominantly low-income and medically underserved individuals, must update…
Headline
An AHA blog published July 28 highlights new electronic prior authorization requirements that begin Jan. 1, 2027, as a result of the Centers for Medicare…
Blog
As major provisions of the 2024 Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization final rule take effect next year,…