The Centers for Medicare and Medicaid Services (CMS) has received about 40,000 complaints of unauthorized Marketplace enrollments in the first three months of 2004.
Most complaints have been resolved but the agency said its taking stronger actions given very concerning activity by some agents and brokers related to unauthorized...National News
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...CMS Rules
After another record-breaking enrollment period, CMS is warning states using HealthCare.gov to be wary of unscrupulous agents switching consumers' ACA plans without consent to pocket commissions. Also this week the federal agency released a final rule setting network adequacy standards for Marketplace plans and giving states the option...
Nationally, 7.3 million Marketplace plans have been selected during the open enrollment period (OEP), a gain of nearly 33% year-over-year (YOY) as enrollment continues through Dec. 15, 2023, for 2024 coverage.
Last year the Centers for Medicare and Medicaid Services (CMS) reported about 5.5 million people nationally and about 77,000...
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...
The sales report for week three of the open enrollment period (OEP) for shoppers seeking 2024 health insurance on HealthCare.gov and state-based exchanges is brisk beating last year's performance; HealthCare.gov selections have jumped 51% compared to the 2023 OEP and are up 33% on state-based exchanges.
In the context of Medicaid...
State totals haven't been released yet for those who enrolled by the deadline of December 15 for coverage beginning January 2023, but nationally, plan selections continue to outpace previous years.
The HealthCare.gov Marketplace Open Enrollment remains open until January 15, 2023. People who do not currently have health insurance or...
Plan selections from the first five weeks of the Marketplace open enrollment period (OEP) November 1 through November 26, 2022, on HealthCare.gov, include 1.2 million people (22%) new to the 2023 Marketplace and 4.3 million people (78%) returning to renew coverage or select a new plan for 2023.
Choosing a plan is differentiated...National News
What major coverage transitions can we expect after the Public Health Emergency expires and state Medicaid agencies resume normal eligibility determinations and a predicted 18 million in the U.S. lose coverage?
The emergency declaration is expected to expire in April 2023 - people in Medicaid are expected to make the following...Arizona News
This year's surprising exit of Bright Health on the Marketplace leaves $4 billion in ACA revenue up for grabs for brand name giants including UnitedHealthcare, Centene, Cigna, and CVS, but it's some lesser known short-term plans and Healthcare Sharing Ministries that are also gaining consumer attention with deceptive marketing touting...
Most shoppers who qualify for a subsidy won't feel the cost of rising Marketplace premiums and with eligibility expanded to include the cost of family coverage, HealthCare.gov may see the busiest season ever as it celebrates its 10th open enrollment period (OEP) Nov. 1, 2022 through January 15, 2023.
Eight insurers, but not...
The price of beds in skilled nursing facilities has risen over $1,000 in the past year, according to a quarterly report by Irving Levin Associates.
In 2018, skilled nursing facilities’ (SNFs) bed prices fell an average of 3.9 percent for the final quarter of 2018 with a total decline of 7.9 percent for the year. Bed prices...
