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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Health Insurance Marketplace insurers will propose a median premium increase of 14% for 2027, according to an analysis of preliminary rate filings published…
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Making healthcare more affordable for families, businesses, and the federal and state governments is an important goal. High-quality healthcare should support…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why a recent analysis by the Medicare Payment Advisory Commission…
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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…