cost sharing Archives - America's Essential Hospitals

cost sharing

On the Hill: Omnibus Spending Bill Expected This Week

Mar 20, 2018 || Erin Delaney

Negotiations on the bill have stalled amid disagreements on certain provisions, such as including language barring abortion access as part of a package to stabilize the Affordable Care Act's insurance marketplace.

aca, congress, cost sharing, federal budget, health insurance marketplace, opioids

cost sharing

On the Hill: Congress Tackles Must-Pass Legislation

Nov 28, 2017 || Erin Delaney

The legislative priorities include a health care extenders package, tax reform, and a long-term funding bill. Also, bipartisan House legislation to halt 340B payment cuts now has more than 50 cosponsors.

340b drug pricing program, congress, cost sharing, health insurance marketplace, medicaid dsh

cost sharing

On the Hill: Bipartisan Bill Would Fund Cost-Sharing Reduction Payments

Oct 23, 2017 || Erin Delaney

A bipartisan Senate bill would fund cost-sharing reduction payments; Congress has yet to renew funding for the Children's Health Insurance Program.

chip, congress, cost sharing, opioids

cost sharing

Statement on Alexander-Murray Bipartisan Health Care Bill

Oct 23, 2017 || Staff

The end of cost-sharing reduction subsidies poses an imminent threat to those who depend on marketplace plans. America’s Essential Hospitals thanks Sens. Alexander and Murray for their bipartisan leadership to create more certainty in the individual market.

aca, congress, cost sharing, health care exchanges

cost sharing

Understanding the Trump Administration Decision to End CSRs

Oct 16, 2017 || Staff

The move jeopardizes coverage for millions of working Americans, could substantially raise premiums for those who remain in marketplace plans, and could increase uncompensated care costs at essential hospitals.

aca, cost sharing

cost sharing

On the Hill: Trump Administration Ends ACA Subsidies

Oct 16, 2017 || Erin Delaney

The Congressional Budget Office estimates premiums will increase 20 percent by 2018 and the uninsured population will increase by 1 million; 19 states and the District of Columbia filed a lawsuit arguing that withholding the payments violates current law.

aca, cost sharing, health care exchanges, health outcomes improvement

cost sharing

On the Hill: ACA Marketplace Stabilization, 340B Inquiry

Sep 12, 2017 || Erin Delaney

Congress aims to pass legislation by Sept. 30 to stabilize the Affordable Care Act (ACA) insurance markets and reauthorize several health care programs; three senators plan to unveil new ACA repeal legislation.

340b drug pricing program, aca, chip, cost sharing, dsh, health insurance marketplace

cost sharing

On the Hill: Congress Considers Health Program Reauthorizations

Sep 5, 2017 || Erin Delaney

Lawmakers return from the August recess to consider legislation and policy related to the Children’s Health Insurance Program, market stabilization, and cost-sharing reductions.

childrens health insurance program, chip, congress, cost sharing, health insurance marketplace

cost sharing

Market-Based Approaches to Medicaid Expansion

May 15, 2017 || Staff

In this new policy brief, America's Essential Hospitals examines Section 1115 waivers that use a market-based approach to expanding Medicaid.

advancing medicaid, cost sharing, medicaid, medicaid section 1115, medicaid waivers

cost sharing

On the Hill: Shutdown Looms, ACA Repeal Efforts Continue

Apr 25, 2017 || Erin Delaney

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.

aca, congress, cost sharing

cost sharing

CMS Seeks Information on Medicare, Medicaid Patient Diversion

Aug 23, 2016 || Matthew Buechner

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

cms, cost sharing, health care exchanges, payment

cost sharing

New Law Requires Notification of Observation Status

Aug 11, 2015 || Matthew Buechner

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

cost sharing, medicare, outpatient care, patient centered care models

cost sharing

Health Insurance Marketplaces a Primary Focus for HHS

Mar 3, 2015 || Matthew Buechner

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

aco, cost sharing, health care exchanges, medicaid expansion, payment

cost sharing

CMS Sets 2016 ACA Marketplace Requirements

Feb 24, 2015 || Staff

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

aca, cost sharing, essential health benefits, health care exchanges, health plan enrollment, network exclusion, payment, qualified health plans

cost sharing

Comment on Proposed Network Adequacy, Insurance Requirements

Dec 12, 2014 || Staff

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.

cost sharing, essential community providers, essential health benefits, health care exchanges, qualified health plans

cost sharing

Cost-Sharing Assistance Supports Patients, Strengthens Marketplaces, and Promotes the ACA

Nov 25, 2014 || Staff

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

aca, cost sharing, health care exchanges

cost sharing

Patient-Centered Care, Cost-Sharing, Cost-Efficiency and More in these Recent Articles

Jun 3, 2014 || Sandy Laycox, MFA

Journal articles from the March and April editions of the New England Journal of Medicine explore issues including the usefulness of surgical safety checklists, the importance of promoting financial stewardship, and the impact of Medicaid cost sharing.

care coordination, cost sharing, health care access, patient safety, patient centered care models

cost sharing