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health insurance marketplaces

America’s Essential Hospitals expressed concerns about proposed changes that could harm the integrity of qualified health plan networks.

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health insurance marketplaces

The proposed rule aims to provide flexibility by targeting network adequacy reviews & inclusion of essential community providers in qualified health plans.

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health insurance marketplaces

CMS finalized a proposal to continue the current methodology, which qualified health plans use to satisfy the minimum essential community provider standard.

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health insurance marketplaces

America's Essential Hospitals is taking part in the Provider and Hospital Week of Action to promote open enrollment for insurance marketplaces under the ACA.

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health insurance marketplaces

America's Essential Hospitals expressed continued concerns about qualified health plan network adequacy in federally facilitated marketplaces.

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health insurance marketplaces

The letter provides operational and technical guidance to issuers of qualified health plans through the federal health insurance marketplace for 2018.

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health insurance marketplaces

The open enrollment period runs from Nov. 1 through Jan. 31, 2017. Consumers must enroll by Dec. 15 for coverage that begins Jan. 1, 2017.

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health insurance marketplaces

CMS will use social video platform Twitch, improve the HealthCare.gov mobile interface, and use #HealthyAdulting to encourage young adults to sign up.

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health insurance marketplaces

Hospitals eligible for the essential community providers list are participants in the 340B and DSH programs, critical access hospitals, and others.

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health insurance marketplaces

Comments on the proposed Notice of Benefit and Payment Parameters for 2018 are due by Oct. 6.

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health insurance marketplaces

The grants to support marketplace navigators come as exchanges gear up for the Nov. 1 start of open enrollment for coverage beginning in 2017.

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health insurance marketplaces

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

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health insurance marketplaces

Individuals must prove they are eligible to sign up for coverage outside of open enrollment. HHS also proposes amending risk adjustment for insurers.

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health insurance marketplaces

HHS finalizes 2017 Notice of Payment and Benefit Parameters rule and letter to issuers offering qualified health plans on the federally facilitated marketplace.

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health insurance marketplaces

America's Essential Hospitals and two members systems host congressional staff for round-table discussions about how proposed 340B Drug Pricing Program guidance threatens vulnerable patients and essential hospitals.

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health insurance marketplaces

Comments urge CCIIO to require that ACA marketplace plans include willing essential community provider (ECP) hospitals and ensure payment rates support access to care.

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health insurance marketplaces

Congress debates omnibus appropriations measure, considers another stop-gap funding bill, as deadline for government shutdown looms.

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health insurance marketplaces

Out-of-pocket expenses higher in ACA marketplaces and coverage worse for children, especially those with special needs, HHS reports.

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health insurance marketplaces

Proposals would make required and recommended changes to how qualified health plans operate in Affordable Care Act marketplaces.

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health insurance marketplaces

Model law would update requirements for insurance carriers in the health insurance marketplaces, particularly regarding provider directories, mental health services, telehealth, and nondiscrimination.

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health insurance marketplaces

Report on National Strategy for Quality Improvement in Health Care details progress made toward better care, lower costs, and improved health.

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health insurance marketplaces

Open enrollment for ACA marketplaces will last from Nov. 1, 2015, to Jan. 31, 2016, with coverage taking effect as soon as Jan. 1. Previously announced HHS enrollment goals include improving consumer experience, retaining and adding customers.

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health insurance marketplaces

The Basic Health Plan methodology would begin Jan. 1, 2017, and is largely unchanged from current methodology. CMS plans to finalize the rule in Feb. 2016. The BHP is an affordable alternative to marketplace coverage.

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health insurance marketplaces

The proposed rule extends nondiscrimination provisions to individuals based on sex, sexual orientation, and gender identity. The proposed rule also includes requirements for access for people with disabilities and limited English proficiency.

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health insurance marketplaces

According to a study, 10 states had a high prevalence of networks that were considered narrow in their health insurance marketplaces, while 12 states did not offer any plans with narrow networks.

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health insurance marketplaces

Plans must be budget-neutral and cover as many people as traditional ACA reforms. With these waivers, states may forgo certain ACA provisions including the marketplaces and individual mandate.

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health insurance marketplaces

The Supreme Court ruled in King v. Burwell that the Affordable Care Act makes federal subsidies available to individuals in states that use the federally facilitated marketplace, not just those with a state-based marketplace.

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health insurance marketplaces

The U.S. Supreme Court ruled to keep subsidies for health insurance sold via federally run exchanges

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health insurance marketplaces

Six justices ruled in favor of the Obama administration, arguing that the overall structure and purpose of the ACA supports the interpretation that Congress intended subsidies to be available in both federally facilitated and state-based marketplaces.

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health insurance marketplaces

Decision maintains access to vital health care services for millions of Americans and supports the hospitals that care for our most vulnerable patients

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health insurance marketplaces

CBO also found that if a full ACA repeal took effect on Jan. 1, 2016, the federal deficit would increase by $137 billion between 2016 and 2025.

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About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.