CMS Releases Final Rules for 2020 Health Plans under Obamacare

After a lengthy commentary period that saw few changes from the proposed rule, the Centers for Medicare and Medicaid Serves (CMS) has released its “Notice of Benefit and Payment Parameters” for health insurance plans being sold on the Affordable Care Act (ACA or Obamacare) exchanges for 2020. The notice actually lowers user fees on the […]

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DOJ Seeks Speedy Resolution to Obamacare Ruling

On Wednesday, April 10, the 5th Circuit Court granted the Trump administration’s request for an expedited hearing, meaning all arguments will be heard in the first week of July. The Trump Department of Justice (DOJ) on Monday urged the 5th U.S. Circuit Court of Appeals to hear all arguments in the appeal of a judge’s […]

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Judge Strikes Down Expansion of Association Health Plans (AHPs)

In the same week that the Trump administration doubled down on its legal opposition to Obamacare, a federal judge Thursday blocked as an “end-run” around the requirements of the Affordable Care Act (ACA, or Obamacare) the expansion of Association Health Plans (AHPs) sought by the administration. U.S. District Judge John Bates sided with the arguments […]

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Centene, WellCare Merger to Create Obamacare Behemoth

Centene, a major health insurer based in St. Louis, is paying $17.3 billion in cash and stock to purchase WellCare Health Plans, a provider of government-sponsored health care programs, including Medicaid. The merger has been approved by both companies’ boards of directors and is expected to be completed in the first half of 2020. Together, […]

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DOJ Now Argues for Legal Dissolution of the ACA

The Department of Justice (DOJ) under new Attorney General William Barr has changed course and is now calling on the 5th U.S. Circuit Court of Appeals to strike down in its entirety the Affordable Care Act (ACA, or Obamacare). This is in opposition to its previous position, which argued only for the unconstitutionality of the […]

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CMS Gives Grandmothered Health Plans Another Year of Life

In announcing the final tally for enrollment in Obamacare plans for 2019 through the exchanges, the Centers for Medicare and Medicaid Services (CMS) today also announced that health insurance plans that are not compliant with all new mandates but were “grandmothered” in 2014 are being given another year of non-compliant, grandfather status. CMS today released […]

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New Jersey to Set Up Own ACA Online Marketplace

New Jersey has opted to leave the Affordable Care Act (ACA, or Obamacare) federal exchange at HealthCare.gov and create its own online portal for the start of the 2021 health insurance open enrollment period. “A New Jersey exchange will be a strong measure of independence at a time when the federal administration continues to undermine […]

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CMS Eyes Selling Health Insurance Across State Lines

The Centers for Medicare & Medicaid Services (CMS) has issued a request for information (RFI) that solicits recommendations on how to eliminate regulatory, operational and financial barriers to enhance issuers’ ability to sell health insurance coverage across state lines. This announcement builds on President Trump’s October 12, 2017 Executive Order, “Promoting Healthcare Choice and Competition […]

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Health Care Insurers Show Winning Hand in Court over CSR Payments

The nation’s health insurance companies have been winning lawsuit after lawsuit over the Trump administration’s decision to end cost-sharing reduction (CSR) payments in 2017. CSR payments are a feature of the Affordable Care Act (ACA, or Obamacare) that sent billions to insurers to help them restrain premiums for low- and middle-income customers on the Obamacare […]

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Utah Legislature Overrules Voter-Approved Medicaid Expansion

The legislature has approved — and Utah Gov. Gary R. Herbert (R.) has signed — legislation that curtails the wish of state voters who, in November, approved a referendum expanding access to Medicaid to residents with incomes up to 138 percent of the federal poverty line, in keeping with the provisions of the Affordable Care […]

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