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News by Topic: Health insurance

CMS, HHS: Patient Protection and Affordable Care Act; Adoption of the Methodology for the HHS-Operated Permanent Risk Adjustment Program for the 2018 Benefit Year Proposed Rule Federal Register
Aug 10, 2018 - Notice of proposed rule from the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) to adopt the risk adjustment methodology that HHS previously established for the 2018 benefit year. This action is a result of the February 2018 district court ruling that vacated the use of statewide average premium as a basis for the HHS-operated risk adjustment methodology for the 2014-2018 benefit years. Comments are due by September 7, 2018.
Source: Federal Register
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CMS: Agency Information Collection Activities: Submission for OMB Review; Comment Request Federal Register
Aug 10, 2018 - The Centers for Medicare and Medicaid Services is seeking comment on the following information collections: 1) Program Integrity: Exchange, Premium Stabilization Programs, and Market Standards; Amendments to the HHS Notice of Benefit and Payment Parameters for 2014; Final Rule II; and 2) Essential Community Provider Data Collection to Support QHP Certification for PYs 2021-2023. Comments are due by September 10, 2018.
Source: Federal Register
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CMS Issues Proposed Additional Rule to Address Risk Adjustment Program for the 2018 Benefit Year
Aug 8, 2018 - The Centers for Medicare and Medicaid Services (CMS) issued a proposed rule for the Patient Protection and Affordable Care Act that would adopt the risk adjustment methodology that the U.S. Department of Health and Human Services (HHS) previously established for the 2018 benefit year which uses the statewide average premium in the payment transfer formula. Comments are being accepted until September 7, 2018.
Source: Centers for Medicare and Medicaid Services
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HHS, CMS: Privacy Act of 1974; Matching Program Federal Register
Aug 7, 2018 - Notice from the Department of Health and Human Services and the Centers for Medicare and Medicaid Services seeking comment on their intent to re-establish a matching program between CMS and the Social Security Administration (SSA) entitled “Determining Enrollment or Eligibility for Insurance Affordability Programs Under the Patient Protection and Affordable Care Act (ACA).” The program allows CMS and SSA to use data to determine an individual’s health plan eligibility through an ACA exchange and for insurance affordability programs and certificates of exemption, and to make eligibility redeterminations and renewals, including appeal determinations. Comments are due by September 6, 2018.
Source: Federal Register
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IRS, HHS, EBSA: Short-Term, Limited-Duration Insurance Federal Register
Aug 3, 2018 - Notice of final rule from the Internal Revenue Service, U.S. Department of Health and Human Services, and Employee Benefits Security Administration to amend the definition of short-term, limited-duration insurance. Under the new definition, contracts issued must have an expiration date that is less than 12 months after the original effective date of the contract and, taking into account renewals or extensions, has a duration of no longer than 36 months in total. Short-term limited-duration insurance is not required to comply with federal requirements for individual health insurance coverage and is designed to fill temporary gaps in coverage that occur when individuals are transitioning from one insurance plan to another. This rule is effective on October 2, 2018.
Source: Federal Register
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Trump Administration Delivers on Promise of More Affordable Health Insurance Options
Aug 1, 2018 - Discusses a final rule released by the U.S. Departments of Labor, the Treasury, and Health and Human Services that aims to help Americans struggling to afford health coverage find new, more affordable options. The rule allows for the sale and renewal of short-term, limited-duration plans that cover longer periods than the previous maximum period of less than three months.
Source: U.S. Department of Health and Human Services
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CMS, HHS: Adoption of the Methodology for the HHS-Operated Permanent Risk Adjustment Program Under the Patient Protection and Affordable Care Act for the 2017 Benefit Year Federal Register
Jul 30, 2018 - Notice from the Department of Health and Human Services (HHS) and Centers for Medicare and Medicaid Services (CMS) of a final rule adopting the risk adjustment methodology that HHS previously established for the 2017 benefit year. This action is a result of the February 2018 district court ruling that vacated the use of statewide average premium as a basis for the HHS-operated risk adjustment methodology for the 2014, 2015, 2016, 2017, and 2018 benefit years. This rule is effective July, 30, 2018.
Source: Federal Register
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Speech: Medicare Remarks by CMS Administrator Seema Verma at the Commonwealth Club of California
Jul 25, 2018 - Speech given by the Seema Verma, Administrator for the Centers for Medicare and Medicaid Services (CMS), discussing the future of healthcare and Medicare. Touches on the cost of healthcare and efforts to make Medicare more efficient, moving from volume to value, transparent pricing, and the use of technology to improve healthcare quality, among other things.
Source: Centers for Medicare and Medicaid Services
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CMS Adopts the Methodology for the Permanent Risk Adjustment Program under the Patient Protection and Affordable Care Act for the 2017 Benefit Year
Jul 24, 2018 - The Centers for Medicare and Medicaid Services (CMS) issued a final rule that reissues the risk adjustment methodology the CMS previously established for transfers related to the 2017 benefit year with additional explanation. This rule will allow for the continued operation of the risk adjustment program.
Source: Centers for Medicare and Medicaid Services
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CMS Announces New Funding Opportunity Announcement for the Federally-Facilitated Exchange Navigator Program
Jul 10, 2018 - The Centers for Medicare and Medicaid Services (CMS) announced a funding opportunity for the Federally-facilitated Exchange (FFE) Navigator Program for plan year 2019. CMS expects to award a minimum of $100,000 in each of the 34 FFE states, and may award up to $10 million total for a one year period of performance.
Source: Centers for Medicare and Medicaid Services
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