Last Friday, the Centers for Medicare and Medicaid Services (CMS) approved a final rule requiring payers to build application program interfaces to support data exchange and streamline prior authorization. Medicaid and the Children’s Health Insurance Program (CHIP); healthcare exchange plans are also required to comply with the...Arizona News
Last Friday, the Centers for Medicare and Medicaid Services (VMS) released Part II of the 2022 Advance Notice of Methodological Changes for Medicare Advantage (MA) Capitation Rates and Part C and D Payment Policies. The first part was released in September and both will be finalized by April 5.
CMS expects Part D payments to rise...National News
A new bill from Congressional Democrats seeks to increase subsidies for the Consolidated Omnibus Budget Reconciliation Act (COBRA) and ostensibly provide relief to workers who have lost their jobs and potentially their health insurance during the COVID-19 pandemic.
The bill, called the Worker Health Coverage Protection Act, is...Arizona News
Last week the Centers for Medicare and Medicaid Services with the Department of Labor and the Treasury Department released guidelines for health insurers to cover diagnostic testing for COVID-19.
This news comes on the heels of a request from America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield for relief for...National News
Last week, the health insurance marketplace for the state of California released an actuarial brief projecting that testing and treatment COVID-19 costs for the national commercial medical market could range from $34 billion to $251 billion; projections also include premium increases to individuals and employers ranging from 4% to...National News
Officials in the Trump administration are weighing the possibility of opening a special enrollment period to expand coverage to uninsured persons during the COVID-19 pandemic.
The unemployment rate has spiked due to the coronavirus, leaving anywhere between 500,000 and 5 million people suddenly without insurance. Arizona currently has...National News
In a Dec. 20 letter to CMS Administrator Seema Verma, the national insurance advocacy group, American Health Insurance Plans (AHIP), said pass through funding should not be available to subsidize the purchase of alternatives to individual market health insurance, including short-term limited duration insurance.
AHIP was providing...White Papers, E books, Reports and more
Based on an analysis by our friends at Milliman, this resource comes from America's Health Insurance Plans - spoiler alert, highest spend category: prescription drugs.
Take a look at the full premium breakdown by AHIP ...