The Department of Health and Human Services today issued proposed rules for the health insurance marketplaces for plan year 2019. HHS proposes a number of policy changes for both the individual market and the Small Business Health Options Program. The proposed changes include providing states with additional flexibility to define the essential health benefits to, among other things, increase the affordability of health plans; modifying the availability of special enrollment periods; refining further the risk adjustment model; and expanding the types of entities that may be navigators, among other changes to the program. Comments on the proposed rule are due Nov. 27.

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In a commentary published March 26 by Healthcare Dive, AHA President and CEO Rick Pollack details why a new facility administrative policy from Anthem will…
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An American Heart Association study published March 25 found that children born to mothers with premature placental separation could be at higher risk of heart…
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The Centers for Medicare & Medicaid Services Innovation Center yesterday announced the launch of a new model under Medicaid and the Children’s Health…
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As seen in the Wall Street Journal.Hospitals are the heart of communities across America for one fundamental reason: They support patients whenever, wherever…
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The AHA commented March 13 on the Centers for Medicare & Medicaid Services’ proposed Notice of Benefit and Payment Parameters for 2027. The…