As CMS takes swift actions to protect consumers from unauthorized agents and brokers switching their ACA Marketplace plans, a lawsuit was filed against insurance agency call centers, former President Trump did an about-face on the ACA, and a recent report from the Center on Budget and Policy Priorities provides policy solutions to...National News
As plans on HealthCare.gov and state-based exchanges are selling fast and 2024 enrollment is on another record-breaking year, the Trump reiterated his opposition to the Affordable Care Act (ACA).
The former president and current Republican frontrunner relaunched his attack on the ACA on Saturday morning with a post on his social media...Arizona News
The Centers for Medicare and Medicaid Services (CMS) released the HHS Notice of Benefit and Payment Parameters for 2025 Proposed Rule Nov. 15 which includes changes in network adequacy standards, the addition of routine adult benefits, revision of certain drug benefit requirements as well as minor changes to the new standardized plan...Arizona News
In an effort to protect abused, neglected, and vulnerable ALTCS members, AHCCCS and DES have published two surveys available for ALTCS members and ALTCS members' families through November 17, 2023.
The surveys and evaluations are conducted by the University of Arizona’s Sonoran Center for Excellence in Developmental Disability. All...National News
Humana has filed suit against the Centers for Medicare and Medicaid Services (CMS) for a rule announced earlier this year that would allow the government to recoup overpayments from insurers based on extrapolated audits. Also, Novartis has challenged the Biden administration over the Medicare Drug Price Negotiation rule.
Studies have...National News
The Affordable Care Act of 2010 requires private insurers to cover a range of preventive services outlined by the U.S. Department of Health and Human Services with no out of pocket cost, but many insurers are failing to let consumers know of these prepaid benefits. This revelation comes as the "free" preventive services are caught in...National News
President Joe Biden has issued a proposal to restrict the sale of short-term health plans that don't meet requirements stipulated by the Affordable Care Act. The proposal would reverse a Trump-era rule that expanded the sale of short-term, limited duration health insurance (STLDI) plans and critics of the president are accusing the...Top of The Day
Two studies published this week highlight the differences between Medicare Advantage and traditional Medicare in terms of enrollment growth and use of certain medications.
The first study, published in JAMA Health Forum, found that MA plan payment cuts under the Affordable Care Act (ACA) did not lead to any enrollment reductions....
On Monday, the U.S. Court of Appeals for the Fifth Circuit in New Orleans decided that it would hold a decision from March that overturned the Affordable Care Act's provision for preventative health services coverage.
Earlier in the year, Judge Reed O'Connor for the Federal District Court for the Northern District of Texas ruled that...
In honor of the tenth anniversary of the Affordable Care Act's (ACA) health insurance insurance exchange, consultancy McKinsey and Co. released a report evaluating the performance of the health insurance market in 2023.
The report relies on information collected from every health insurance exchange in the country and the 33...National News
Medical gender transition for America's youth has been a hot-button topic for the better part of the year with a number of limitations and bans placed on gender-affirming care for adolescents and court challenges to insurers who refuse to cover transition procedures.
State-level policymakers across the country, including in Arizona...National News
Coverage for preventative health services protected by the Affordable Care Act (ACA) have been thrown into question following a District Court ruling delivered last Wednesday. Judge Reed O'Connor of the U.S. District Court of the Northern District of Texas ruled that the way that preventative services are selected for no-cost coverage is...
The Commonwealth Fund, a private research foundation that promotes health care reform and overall health care system improvement, published a report Tuesday that targets key steps for policymakers in expanding health coverage and affordability.
The report, Next Steps in Expanding Health Coverage and Affordability, looks at the...
On Monday, Planned Parenthood resumed providing abortions at a clinic in Pima County.
According to KNAU, a Planned Parenthood representative said that the clinic would be allowed to provide abortions under a court injunction that stops the Arizona near-total abortion ban from going into effect. A judge is expected to rule on the...
The proposal: Don't force a worker's spouse and children on expensive employer-based insurance if it costs more than 9.8% of the family's income and more affordable health insurance can be found on the Marketplace.
In a White House release, millions are now ineligible for Marketplace coverage and premium tax credits,
For family...Arizona News
The Affordable Care Act Marketplace enrollment gained 5.8 million new enrollees in 2022, driving a greater focus on ACA marketplace improvements in quality, cost, and coverage. In Arizona 199,706 selected 2022 health coverage on the Marketplace.
HealthPayerIntelligence reports the addition of 5.8 million new members has pushed...National News
The Department of Health and Human Services (HHS) recently announced that the Health Resources and Services Administration (HRSA) has updated preventative care and screening guidelines for women, infants, children, and adolescents, expanding and updating coverage for a variety of preventative care services.
The new services...National News
The No Surprises Act, which intends to end the practice of surprise billing by banning most surprise bills from out-of-network providers went into effect on January 1. The rule will effect not only all emergency care billing and "most" nonemergency billing but will also require uninsured patients receive overviews of anticipated costs...National News
Following months of tense negotiations between moderate Congressional Democrats and the White House, Senator Joe Manchin (D-WV) ended any hopes for passing President Joe Biden's Build Back Better Bill on Sunday. This leaves many of the sorely needed healthcare spending and reform initiatives in limbo, although some Democrats hope to pass...National News
Prescription drug price negotiations have been a major policy proposal for Congressional Democrats looking to improve the outcome of negotiations surrounding President Joe Biden's Build Back Better agenda in the form of the Reconciliation Bill. Initially, the president and Democratic leadership aimed to expand the ability for the...