Essential Health Benefit Issues

Nov 23, 2021
The recent release of the Kaiser Family Foundation’s annual employer health benefits survey put data behind a number of trends that surfaced during the pandemic. But a deeper look at the trends behind the numbers illustrates why many employees are feeling the pinch of rising health care costs and…
Jun 29, 2021
This Special Bulletin summarizes a proposed rule with additional policies for health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for plan years 2022 and beyond.
Dec 30, 2020
AHA comments on the Centers for Medicare & Medicaid Services’ (CMS) proposed Notice of Benefit and Payment Parameters for 2022.
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: