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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CMS Issues Guidance on Avoiding Obamacare Tax Penalty

The Centers for Medicare and Medicaid Services (CMS) today announced a new, more streamlined way for consumers to claim a hardship exemption from the tax penalty imposed for not maintaining health coverage for 2018 on their federal income tax returns, making it easier for taxpayers across the nation to claim their exemption. Of the $3 […]

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CMS to Reimburse New York, Minnesota for Health Care Expenses

New York and Minnesota, the only two states to establish Basic Health Programs (BHPs) under the Affordable Care Act (ACA), will now receive promised federal funding after suing the Trump administration. Basic Health Programs are state-operated insurance providers for residents earning between 138 percent and 200 percent of the federal poverty level — the population earning […]

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Kentucky Fails to Get Medicaid Work Requirement Restored

A federal judge in the state capital of Frankfort has dismissed a lawsuit by the governor of Kentucky seeking to restore the Medicaid work requirement that a Washington, D.C. judge threw out earlier this summer. Gov. Matt Bevin had sued the same 16 individuals whose lawsuit against the newly instituted work requirement for Medicaid eligibility […]

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