CMS Seeks More Control Over Medicare Advantage Plans

The Centers for Medicare and Medicaid Services (CMS) is seeking public comment before it submits a proposal for more review power over Medicare Advantage plans in order “to provide adequate access to covered services to meet the needs of the population served.” The CMS says it will submit the broader review plan to the Office […]

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Obamacare Policy Issuers Decrease by 38 Percent from 2016-17

The Centers for Medicare & Medicaid Services (CMS) today announced that 141 individual market qualified health plan (QHP) issuers had submitted initial applications to offer coverage using the federally-facilitated exchange eligibility and enrollment platform (healthcare.gov) in 2018. At the initial filing deadline last year, 227 issuers submitted an application compared to 141 this year, a […]

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CMS Releases County-by-County Map of Obamacare Insurance Options

The Centers for Medicare & Medicaid Services (CMS) has released a county-level map of 2018 projected Health Insurance Exchanges participation based on the known issuer participation public announcements through June 9, 2017. This map shows that insurance options on the Exchanges continue to disappear. Plan options are down from last year and, in some areas, Americans […]

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CMS Issues States ACA Waiver Checklist

The Centers for Medicare and Medicaid Services (CMS) has released new information to help states seek waivers from requirements in the Affordable Care Act (ACA). The new tool is intended to help states complete waiver applications that allow them to establish high-risk pools/ state-operated reinsurance programs. Section 1332 waivers generally can be used by states […]

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Trump Issues Gag Order on Federal Agencies — Or Not?

Various media reports maintain that both the Environmental Protection Agency (EPA) and the Department of Agriculture have received memos from the White House forbidding them to send out press releases, make new blog posts or engage in social media. Furthermore, the EPA has been told to cease issuing grants and contracts. It’s unclear if any other government […]

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CMS Aims to Beat Trump by Three Days on ACA for 2018

The Centers for Medicare and Medicaid Services (CMS), which administers the health insurance marketplaces and regulates the provisions of the Affordable Care Act (ACA), on Friday threw down the gauntlet to President-elect Donald Trump and his incoming administration by issuing a final rule for the ACA for 2018 — setting its effective date three days prior to Trump’s swearing in. […]

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Obamacare Enrollees Not Deterred by Trump Victory and His Vow to End Program

About 53,000 more individuals than last year signed up for health insurance policies during the first 12 days of open enrollment this year, which commenced Nov. 1 and runs through Jan. 31, despite the election of Donald Trump as president and his vow to “repeal and replace” the Affordable Care Act (ACA). The Centers of […]

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CMS Proposes Changes to Obamacare Marketplace Beginning in 2017

The Centers for Medicare & Medicaid Services (CMS) has issued its proposed annual Notice of Benefit and Payment Parameters for 2018, which proposes additional steps to strengthen the Health Insurance Marketplace. CMS said it is issuing this rule earlier in the calendar year in order to provide more certainty to the Marketplace as it continues to mature. […]

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Arizona Relaunches CHIP Health Services for Children

Today, the Centers for Medicare & Medicaid Services (CMS) announced that it has approved Arizona’s plan to allow new enrollment in the Children’s Health Insurance Program (CHIP) after enrollment was frozen for several years. Now all states provide CHIP coverage to eligible children. “Today’s approval is a step forward for the health of Arizona children […]

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Annual Health Care Spending Reaches $10,000+ Per Person in the U.S.

Health care spending will hit $3.35 trillion this year, or $10,345 per man, woman and child in the United States, a record high, the Centers for Medicare and Medicaid Services (CMS) announced July 13. The agency  also predicted that growth in health care spending will average 5.8 percent from 2015 through 2025, outpacing growth in the […]

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