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

Senate rejects 'skinny' ACA repeal bill

AHA News Now

Senators early this morning voted 49-51 against a “skinny” bill to repeal parts of the Affordable Care Act. Three Republicans – Sens. Susan Collins (R-ME), Lisa Murkowski (R-AK) and John McCain (R-AZ) – opposed the bill. Senators earlier this week rejected two amendments – the Better Care Reconciliation... read more

Topic: Advocacy and Public Policy
Tags: Coverage, advocacy

Senate debates bill to repeal and replace parts of ACA

AHA News

The Senate yesterday voted 45-55 to reject the Obamacare Repeal Reconciliation Ac. The legislation was similar to a 2015 bill passed by the Congress, but vetoed by President Obama to repeal parts of the Affordable Care Act (ACA) without replacement.

Senate debate is expected to continue today. Once the... read more

Topics: Access and Coverage, Advocacy and Public Policy
Tags: Coverage, advocacy, access, members

MA to seek waiver for premium stabilization fund, other ACA flexibilities

AHA News Now

Massachusetts yesterday proposed creating a premium stabilization fund in lieu of cost-sharing reductions to help stabilize the state’s health insurance marketplace. The state also plans to request transition relief from the federal employer mandate and other flexibilities under the Affordable Care Act to... read more

Topic: Advocacy and Public Policy
Tag: Coverage

It's Not Over

Blog

This was a dramatic week for the Senate’s efforts to repeal and replace the Affordable Care Act. 

Revised bills were introduced, each with an updated CBO score. There were last-minute meetings to wrangle votes, and surprise announcements from senators bucking their party’s leaders. There might even be... read more

Topic: Advocacy and Public Policy
Tags: Coverage, advocacy, access, leadership, members

Revised BCRA released; straight repeal scored

AHA News Now

Senate leaders today released a revised draft of the Better Care Reconciliation Act, legislation to repeal and replace the Affordable Care Act. The updated bill omits an amendment by Sen. Ted Cruz (R-TX) that would have allowed insurers who sell a minimum number of compliant health plans on the... read more

Topic: Advocacy and Public Policy
Tags: Coverage, Medicaid

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