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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Healthcare affordability remains one of the top concerns for Americans. A Morning Consult poll of 2,000 voters released this week by the Coalition to…
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The AHA filed an amicus brief June 5 in the U.S. District Court for the Eastern District of Pennsylvania in support of a provider seeking to obtain…
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The Centers for Medicare & Medicaid Services has released an updated report on complaint data and enforcement of health insurance market reforms. CMS said…
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A survey released June 4 by the Commonwealth Fund on insurance coverage denials found that 1 in 5 privately insured U.S. adults reported that they or a family…
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The House Education and Workforce Committee May 21 unanimously passed the Transparency in Billing Act (H.R. 8684). The bill would require off-campus hospital…
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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…