The Centers for Medicare & Medicaid Services today issued a final rule that will implement for 2023 the standards governing health insurance issuers and the Health Insurance Marketplaces. In the rule, CMS updated the qualified health plan network adequacy standards and review process and increased the essential community provider threshold. CMS also finalized new standardized plan options, changes to the risk adjustment models and risk adjustment data verification methodology, and a number of policies intended to advance health equity. 

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The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and…
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Rep. Greg Landsman, D-Ohio, a member of the House Energy and Commerce Committee and its Subcommittee on Health, spoke with Mike Abrams, president and CEO of…
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Americans across 43 states enrolled in health plans from the nation’s four largest commercial health insurers face potential disparities in finding in-network…
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Average out-of-pocket premiums for Health Insurance Marketplace enrollees increased $65 per month in 2026 compared to 2025, going from $113 to $178, according…
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The Coalition to Strengthen America’s Healthcare March 18 launched a new ad highlighting harmful practices by large corporate health insurers that drive up…
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America’s hospitals and health systems are deeply committed to providing high-quality, accessible and affordable care, AHA President and CEO Rick Pollack March…