Essential Health Benefit Issues

The AHA July 15 responded to a request for information from the Centers for Medicare & Medicaid Services on the Affordable Care Act’s Essential Health Benefits framework, which creates the guardrails for defining comprehensive insurance coverage.
AHA comments on the CMS’ request for information on the Essential Health Benefits (EBH) framework and the Affordable Care Act’s requirement that the scope of EHB be equal to the scope of benefits provided under a typical employer plan.
The AHA today released the Health Plan Accountability Update for the third quarter of 2025. The update covers the latest developments in Medicare Advantage, legislation and regulation of private health insurers, as well as other resources from the last quarter. 
The AHA July 14 responded to a Department of Health and Human Services request for information regarding lawful regulation and innovation to promote better health. The AHA said it agreed with HHS’ stance that reducing unnecessary administrative burden could foster improved health, and highlighted…
AHA submitted comments in response to CMS request for information on potential changes to Essential Health Benefits requirements under the Affordable Care Act.
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…
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.
AHA comments on the Centers for Medicare & Medicaid Services’ (CMS) proposed Notice of Benefit and Payment Parameters for 2022.