Senate considers path forward on CHIP

AHA News Now

The Senate Finance Committee today held a hearing on the Children’s Health Insurance Program, which covers 8.9 million children with family incomes above Medicaid eligibility limits who lack access to affordable private coverage. While the program is authorized through Oct. 1, 2019, legislative action is... read more

Topic: Advocacy and Public Policy
Tags: child health, Coverage

Governors testify at Senate hearing on stabilizing insurance market

AHA News Now

The Senate Health, Education, Labor and Pensions Committee today held the second in a series of bipartisan hearings aimed at producing legislation to stabilize the individual health insurance market. Today’s witnesses included Govs. Charlie Baker (R-MA), Steve Bullock (D-MT), Bill Haslam (R-TN), Gary... read more

Topic: Advocacy and Public Policy
Tag: Coverage

Congress urged to fund cost-sharing reductions through 2019

AHA News Now

As the Senate Health, Education, Labor and Pensions Committee holds a series of bipartisan hearings on stabilizing the individual health insurance market, AHA and seven other organizations urged the committee to fund cost-sharing reduction benefits for at least two years. “Persistent uncertainty about CSR... read more

Topic: Advocacy and Public Policy
Tag: Coverage

Iowa requests waiver to stabilize individual insurance market

AHA News Now

The Iowa Department of Insurance this week asked the U.S. Departments of Treasury and Health and Human Services to approve a Section 1332 waiver for a stopgap measure to help stabilize the state’s individual health insurance market in 2018. The state proposes to redistribute the estimated advanced premium... read more

Topic: Advocacy and Public Policy
Tag: Coverage

Administration to make August CSR payments to insurers

AHA News Now

The Trump administration has indicated it will make this month's cost-sharing reduction payments to health insurers, according to news reports yesterday. Insurers use the federal payments to reduce out-of-pocket costs for low-income individuals purchasing coverage through the Health Insurance... read more

Topic: Advocacy and Public Policy
Tag: Coverage

CMS raises concerns with hospital donations to help fund Medicaid expansion

AHA News Now

The Centers for Medicare & Medicaid Services recently agreed to allow the New Hampshire Health Protection Program to continue unchanged through 2018, but said the state will need to change how it finances the non-federal share of the program in the future. One of 31 expansion states, New Hampshire created... read more

Topic: Advocacy and Public Policy
Tags: Coverage, Medicaid

CBO report estimates impact of ending cost-sharing reductions

AHA News Now

If federal payments to reduce out-of-pocket costs for low-income individuals purchasing coverage through the Health Insurance Marketplaces were to end, premiums for silver-level plans would be 20% higher in 2018 and 25% higher in 2026, the Congressional Budget Office estimated today. Individuals receiving... read more

Topic: Advocacy and Public Policy
Tag: Coverage

CMS issues guidance on virtual credit cards, transaction fees

AHA News Now

The Centers for Medicare & Medicaid Services recently issued several Health Insurance Portability and Accountability Act FAQs on virtual credit cards and electronic fund transfer fees. According to the FAQs, a health plan cannot require a provider to accept virtual credit card payments. A provider has the... read more

Topic: Advocacy and Public Policy
Tags: Coverage, HIPAA

Court allows states to intervene in House lawsuit challenging CSRs

AHA News Now

States may become a party to the House Republicans’ lawsuit challenging cost-sharing reduction payments because they would suffer concrete injury if the payments ended, the U.S. Court of Appeals for the District of Columbia Circuit ordered yesterday. Fifteen states and the District of Columbia asked in... read more

Topic: Advocacy and Public Policy
Tag: Coverage

CMS announces MLR credibility adjustments for Medicaid/CHIP plans

AHA News Now

The Centers for Medicare & Medicaid Services today published the medical loss ratio credibility adjustments for Medicaid and Children’s Health Insurance Program managed care plans for rating periods beginning July 1, 2017 or later. CMS’s 2016 final rule for Medicaid and CHIP managed care plans included... read more

Topic: Advocacy and Public Policy
Tags: child health, Coverage, Medicaid

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