Essential Health Benefit Issues

Apr 23, 2018
AHA comments to CMS on the proposed rule amending the definition of short-term, limited-duration health insurance.
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…
Mar 7, 2018
AHA's comments to Department of Labor on the proposed rule modifying the definition of “employer” under ERISA in order to expand access to association health plans (AHPs).
Nov 27, 2017
AHA expresses concerns that several of the proposals would reduce patient access to care, including some that could result in health plans that cover fewer benefits and expose patients to greater cost sharing.
Nov 9, 2017
Today's dynamic health care marketplace has created an environment in which some hospitals and health care systems are operating a health plan - either on their own or in partnership - as part of their strategy to advance health in their communities.
Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors. There are increasing examples of health care systems and hospitals partnering with provider and commercial health…
Nov 9, 2017
Patients need to be assured that their health coverage will cover most of their health needs.
The Affordable Care Act mandated that health insurance plans sold on the individual and small group markets must cover 10 essential health benefits: Ambulatory patient services (outpatient care) Emergency services. Hospitalization (inpatient care) Maternity and newborn care Mental health and…
Oct 27, 2017
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…
Sep 25, 2017
The American Hospital Association (AHA) is writing to express our opposition to the Graham-Cassidy proposal being considered in the Senate. This proposal would make significant changes to health care coverage and financing.
Apr 26, 2017
Rep. Tom MacArthur (R-NJ) late yesterday unveiled a proposed amendment to the American Health Care Act (AHCA), legislation that would repeal and replace parts of the Affordable Care Act (ACA).
Mar 21, 2017
House Republican leaders late March 20 unveiled changes to the American Health Care Act (AHCA), legislation that would repeal and replace parts of the Affordable Care Act (ACA).