The Centers for Medicare & Medicaid Services May 15 released its 2027 final standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees. Notably, the final rule will allow for the certification of non-network health plans as qualified health plans, beginning in plan year 2027 in state-based marketplaces and plan year 2028 in the federally facilitated marketplace. The final rule also expands access to catastrophic health plans and repeals the standardized plan options. AHA members will receive a Regulatory Advisory with additional details. 

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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…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …
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Patients are best served when insurers act as transparent and reasonable partners, not when they invoke patient protection laws to justify payment strategies…