Access & Health Coverage

Apr 17, 2018
Current state proposals to require certain Medicaid beneficiaries to participate in work, training or other “community engagement” activity to remain eligible for coverage could affect more than 1.7 million enrollees and nearly $8 billion in program expenditures, according to an analysis released…
Apr 12, 2018
On April 9, the Centers for Medicare & Medicaid Services issued a final rule and related guidance that will implement the standards governing health insurance issuers and the Health Insurance Marketplaces for 2019. In the rule, CMS provides details on the benefit and payment parameters for…
Apr 9, 2018
The Department of Health and Human Services today issued final rules for the health insurance marketplaces for plan year 2019, as well as the 2019 Letter for issuers selling on the federally-facilitated exchanges. The rule includes a number of policy changes for both the individual market and the…
Apr 4, 2018
The Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology today released an online guide to help patients and caregivers access and use their health information electronically. “It’s important that patients and their caregivers have access to…
Apr 4, 2018
Nearly 11.8 million people actively or automatically enrolled in a health plan through HealthCare.gov or a state-based exchange during open enrollment for 2018, according to a final report released yesterday by the Centers for Medicare & Medicaid Services. That’s about 400,000 fewer than in…
Apr 2, 2018
The Centers for Medicare & Medicaid Services today announced final changes to Medicare Advantage and Part D payment policies for calendar year 2019. CMS anticipates the MA plans and Part D sponsors will see an average revenue increase of 3.4%, excluding an expected 3.1% increase in risk…
Mar 20, 2018
The House Committee on Education and the Workforce today held a subcommittee hearing on a Department of Labor proposed rule that would allow small employers and sole proprietors to form association health plans based on geography or industry. Witness John Arensmeyer, founder and CEO of Small…
Mar 19, 2018
The AHA and seven other national organizations today urged Congress to include in the omnibus appropriations bill it must act on by March 23 provisions they say would reduce premiums, improve affordability and improve the individual health insurance market. Specifically, the groups urged Congress…
Mar 19, 2018
More than nine in 10 physicians say health plan prior authorization requirements have a negative impact on patient clinical outcomes, according to a survey released today by the American Medical Association. Almost two-thirds of the 1,000 physicians surveyed reported waiting at least one…
Mar 19, 2018
AHA and other healthcare related organizations stress the importance of congressional action to lower healthcare premiums.