The Centers for Medicare & Medicaid Services Friday released a final rule with additional policies for health insurance issuers and the Health Insurance Marketplaces for plan years 2022 and beyond. This rule is the third installment of the payment notice for 2022, following part one and part two of the final notice of benefit and payment parameters released earlier this year. In this final rule, CMS adopts a series of additional policies to protect and expand access to health insurance coverage through the exchanges, including extending the annual open enrollment period, expanding the role of navigators, and reversing policies related to section 1332 waivers and direct enrollment pathways. AHA has advocated for many of these changes, which will help to expand access to high-quality, affordable coverage. 

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Multiple changes to transparency in coverage requirements for insurers were finalized Oct. 5 by the Departments of the Treasury, Labor, and Health and Human…
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The Centers for Medicare & Medicaid Services will cancel approximately 315,000 enrollments impacting more than 760,000 individuals as part of its anti-…
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The departments of Health and Human Services, Labor, and the Treasury have added Physio Solutions, LLC as a new independent dispute resolution entity…
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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…
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Guidance on the implementation timeline for the No Surprises Act independent dispute resolution operations final rule was released Aug. 7 by the Departments of…
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The U.S. District Court for the Eastern District of Pennsylvania Aug. 5 granted a motion for the AHA and the Hospital and Healthsystem Association of…