Commenting Jan. 8 on the Centers for Medicare & Medicaid Services’ proposed standards for qualified health plans offered through the health insurance marketplaces for 2025, AHA said it supports the agency’s efforts to strengthen network adequacy standards, standardize and streamline marketplace operations, ease the enrollment process and improve access to certain health care services. 

“Most importantly, the proposed policies would require state-based marketplaces to establish time and distance network adequacy standards for qualified health plans that are at least as stringent as those for the federally facilitated marketplace,” AHA wrote. “While we are aware that there may be better approaches to measuring access to care, and we support the development of alternative metrics, we believe that as of today time and distance standards remain an important incentive for plans to contract with an adequate and comprehensive network of providers.”

Headline
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…
Headline
A KFF analysis published May 19 examined early indicators of how the expiration of the enhanced premium tax credits has impacted effectuated enrollment levels…
Headline
The Centers for Medicare & Medicaid Services May 15 released its 2027 final standards for the health insurance marketplaces, including the issuers and…
Headline
A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …
Blog
Public
Patients are best served when insurers act as transparent and reasonable partners, not when they invoke patient protection laws to justify payment strategies…
Headline
The AHA shared the following statement with the media in response to a report released May 7 by Families USA.   “This report is long on rhetoric and…