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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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 Spending to Rise 5.5 Percent Annually, CMS Estimates

Health care spending in the United States is expected to rise 5.5 percent annually from 2018 to 2027, the Centers for Medicare and Medicaid Services (CMS) estimates in a new report. “Among the major payers, average annual spending growth in Medicare (7.4 percent) is expected to exceed that in Medicaid (5.5 percent) and private health insurance (4.8 percent) […]

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CMS Gives States Power to Refashion Obamacare

The Centers for Medicare & Medicaid Services (CMS) and the Department of the Treasury issued new guidance on Nov. 29, allowing states to move their insurance markets away from what they called the “one-size-fits-all” rules and regulations imposed by the Affordable Care Act (ACA, or Obamacare) and increase choice and competition within their insurance markets. […]

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States Seek Medicaid Work Requirement Authority

The Centers for Medicare and Medicaid Services (CMS) is granting waivers for states to establish work requirements for the able-bodied who receive Medicaid health care services. The requirements usually consist of community service, job training or schooling, if not outright employment. The waivers are designed to control the costs of Medicaid expansion under the Affordable […]

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Obamacare Enrollment Reaches Nearly 2 Million

In week three of the 2019 Open Enrollment, 748,244 people selected plans using the HealthCare.gov platform, bringing the total to 1,924,476. As in past years, enrollment weeks are measured Sunday through Saturday.  Consequently, the cumulative totals reported in this snapshot reflect one fewer day than last year. Every week during Open Enrollment, the Centers for […]

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CMS Cracks Down on Obamacare Subsidy Verifications

The Centers for Medicare & Medicaid Services (CMS) today issued a proposed rule, “Patient Protection and Affordable Care Act (PPACA): Exchange Program Integrity.” This proposal, CMS says, would safeguard taxpayer dollars by ensuring that people are accurately determined eligible for premium subsidies they receive through the Exchange.  In addition, to better align federal regulations with […]

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CMS Expands Flexibility in ACA Waivers

The Centers for Medicare & Medicaid Services (CMS) and the Department of the Treasury today issued new guidance so states can move their insurance markets away from the one-size-fits-all rules and regulations imposed by the Affordable Care Act (ACA) and increase choice and competition within their insurance markets. The new guidance grants states more flexibility […]

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Premiums to Drop on ACA Exchanges, CMS Says

The Centers for Medicare & Medicaid Services (CMS) announced today that the average premium for second lowest cost silver plans (SLCSP) for the 2019 coverage year will drop by 1.5 percent, the first time average premiums have dropped since the implementation of the Affordable Care Act (ACA) in 2014. Tennessee’s decrease is the largest with a 26.2 […]

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Nevada to Exit Healthcare.gov

Nevada, citing lack of consumer choice and availability of data to the state, is exiting the Affordable Care Act (ACA) online exchange — Healthcare.gov — in favor of setting up its own online exchange by 2020. Other states like Oregon, facing the technical challenge of setting up their own exchange, have gone the opposite route […]

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