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CMS Issues Final Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) April 2 released its standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025. Beginning in plan year 2025.
AHA Supports CMS' Health Insurance Marketplace Proposed Rules
The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid ServicesHubert H. Humphrey Building
CMS Issues Proposed Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) Nov. 16 released its proposed standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025.
CMS Issues Final Notice of Benefit and Payment Parameters for 2024
The Centers for Medicare & Medicaid Services (CMS) April 17 issued a
Providers with Health Plans
Some provider-owned health plans cover just one market segment (e.g., Medicaid managed care) and other plans offer a full portfolio of products for the public and commercial sectors.
AHA Comments on the CMS’ Proposed Notice of Benefit and Payment Parameters for 2024
AHA comments on the CMS' proposed Notice of Benefit and Payment Parameters for 2024.
CMS Issues Proposed Notice of Benefit and Payment Parameters for 2024
The Centers for Medicare & Medicaid Services (CMS) Dec. 12 issued a proposed rule that would implement for 2024 the standards governing health insurance issuers and the Health Insurance Marketplaces. In the rule, CMS proposes changes to the qualified health plan (QHP) network adequacy standards, including by proposing new categories of essential community providers (ECP), as well as changes to requirements related to standardized plans, the risk adjustment methodology, and rules related to outreach and enrollment, among other things.
CMS Proposes Rules to Standardize Prior Authorization Processes
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.
Treasury Department Finalizes Regulation to Fix the “Family Glitch”
The Department of Treasury this week finalized regulations that will enable more families to access health insurance subsidies on the Health Insurance Marketplace. The regulations eliminate the “family glitch” that inaccurately assessed the affordability of coverage — and therefore eligibility for Marketplace subsidies — for certain families, consistent with AHA advocacy.
Senate Passes Inflation Reduction Act of 2022 with Health Care Provisions
The Senate yesterday voted 51-50 to approve the Inflation Reduction Act of 2022 (H.R. 5376), a roughly $700 billion social spending package that includes health care, climate change and tax provisions.