New policy brief highlights recent waivers in states that take market-based approaches, such as incentives to promote healthful behaviors, job-training programs, and cost-sharing premiums paid into accounts that resemble health savings accounts.

Lawmakers face an extensive agenda of legislative priorities, including health care and tax reform, and most urgent, a continuing resolution to prevent a government shutdown.

CMS is concerned that some providers might steer Medicare- and Medicaid-eligible patients into individual market plans to get higher payments.

NOTICE Act seeks to educate patients about impact of observation status, including on cost-sharing and skilled nursing facility eligibility.

Specifically, HHS will evaluate financial assistance programs, Medicaid expansion, pioneer ACOs, and marketplace payment systems.

Feb. 20 final rule and letter to issuers outline benefit and payment parameters for 2016 health insurance marketplace plans

CMS, NAIC documents contain important health insurance marketplace provisions, including cost-sharing requirements. Comments due to CMS Dec. 22, to NAIC by Jan. 12, 2015.

New association policy brief describes how cost-sharing assistance by hospitals helps vulnerable patients afford health insurance marketplace coverage and access vital health care services

Eligibility notices, benefits in alternative benefit plans, appeals process among rule's provisions

The rule finalizes a number of provisions regarding health insurance marketplaces

Rule states mandate for Medicaid coverage in 10 categories of essential health benefits

Includes important changes to Medicaid and Medicare of interest to association members