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, CMS 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 qualified health plan issuers selling in the…
Nov 9, 2017
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
The Affordable Care Act mandated that health insurance plans sold on the individual and small group markets must cover 10 essential health benefits:
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.
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).