Center for Health Insurance Reform

FEBRUARY 12, 2024

The Affordable Care Act (ACA) requires coverage of pediatric dental services in many commercial plans, but the law has had less of an impact on adult dental coverage. Dental care is an important element of comprehensive health care.

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Fierce Healthcare

SEPTEMBER 5, 2024

Elevance Health subsidiary Wellpoint is debuting plans in three states for the 2025 coverage year. Elevance Health subsidiary WellPoint announced the company is debuting individual marketplace plans in Florida, Maryland and Texas.

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Fierce Healthcare

APRIL 2, 2024

States now can add routine adult dental services as an essential health benefit, the Centers for Medicare & Medicaid Services announced in its 2025 Notice of Benefit and Payment Parameters fina | In its annual Notice of Benefit and Payment Parameters final rule, CMS prioritized dental and prescription drug benefits, network adequacy standardization (..)

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HIT Consultant

NOVEMBER 3, 2024

This increase could bump employer-sponsored plan costs past $16,000 per employee in 2025. ICHRA Gaining Traction as Employer-Sponsored Alternative Under the ACA, applicable large employers (ALEs) are mandated to provide health insurance that meets specific coverage and affordability standards, or face penalties.

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Healthcare IT Today

DECEMBER 4, 2024

With subsidies under the Affordable Care Act set to expire in 2025, he highlighted potential shifts in the insurance market based on the direction from the new incoming administration. If we can get them standardized that should help make the experience for all stakeholders more efficient and more valuable.”

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Health Populi

OCTOBER 14, 2024

the costs of health care and perceived ROI to employers (and employees bearing out-of-pocket financial skin in the game), the state of labor markets and availability of needed workers, and regulatory pressures that might shift prospects for industry in general or particular sectors in and beyond 2025.

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Center for Health Insurance Reform

MARCH 1, 2024

In November, the Biden administration released the proposed Notice of Benefits and Payment Parameters for plan year 2025, an annual rule setting standards for the Affordable Care Act (ACA) Marketplaces and health insurers.

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Center for Health Insurance Reform

DECEMBER 18, 2023

Last month, the Biden administration proposed changes to Affordable Care Act (ACA) Marketplace policies and procedures. In a post for Health Affairs Forefront, Sabrina Corlette and Jason Levitis take a look at the proposals related to market reforms, Marketplace standards, and premium tax credits.

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Healthcare Law Blog

AUGUST 25, 2022

Additional updates of note include: ACA Premium Tax Credit Eligibility. Essentially, the moratorium on the requirement that, to be eligible for a premium tax credit, household income must be at or below 400% of the federal poverty level, is extended through 2025. Other Updates. Catastrophic Phase Cost-Sharing. Out-of-Pocket Costs.

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Healthcare Law Blog

DECEMBER 11, 2023

Reducing the risk adjustment user fee for 2025 from $0.21 1] These modifications are intended to further the Biden Administration’s goals of advancing health equity by addressing disparities in access to quality care while minimizing administrative burdens and ensuring program integrity. per member per month to reduce insurer costs.

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AIHC

AUGUST 13, 2024

Written by Corliss Collins , BSHIM, RHIT, CRCR, CSM, CCA, CBCS, CPDC and Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS The 2024 Final Rule for Section 1557 of the Affordable Care Act (ACA) was issued by the Department of Health and Human Services (HHS) on April 26, 2024.

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Hall Render

JULY 8, 2024

Although Section 1557 took effect immediately upon the signing of the Affordable Care Act (“ACA”), a final rule was not promulgated until 2016 (the “2016 Rule”). Nondiscrimination in health insurance coverage and other health-related coverage (§ 92.207(b)(6)) By the first day of the first plan year beginning on or after January 1, 2025.

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Kaiser Health News

NOVEMBER 27, 2023

Esa política de gran alcance entra en vigencia en enero y va mucho más allá de la expansión opcional de Medicaid que la Ley de Cuidado de Salud a Bajo Precio (ACA) ofreció a los estados. Florida no cuenta con un mercado estatal, ni ofrece subsidios patrocinados por el estado.

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Compliance Now

OCTOBER 13, 2022

The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on January 1, 2023. The preamble to the final rule also explicitly states that the policy change will not impact ACA reporting for either ALEs or health insurance issuers.

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Compliance Now

OCTOBER 13, 2022

The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on January 1, 2023. The preamble to the final rule also explicitly states that the policy change will not impact ACA reporting for either ALEs or health insurance issuers.

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Kaiser Health News

OCTOBER 8, 2024

En la mayoría de los estados, la temporada de inscripción abierta de la Ley de Cuidado de Salud a Bajo Precio (ACA) para los planes de salud comienza el 1 de noviembre y dura hasta el 15 de enero. Estamos en esa época del año otra vez. Aunque intenten parecer oficiales, no lo son.

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Hall Render

MAY 24, 2024

Chicago children’s hospital completes cyberattack recovery CommonSpirit posts $365M quarterly loss, -3.9%

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Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B Arthur M.

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Kaiser Health News

OCTOBER 31, 2023

1 for the ACA’s federal and state exchanges. Health policy experts and brokers recommend all ACA policyholders at least look at next year’s options, because prices — and the doctors and hospitals in plans’ networks — may have changed. It Could Be Another Record Year ACA plans are now well entrenched — an estimated 16.3

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Kaiser Health News

OCTOBER 31, 2023

Para millones de personas que compran su propio seguro de salud a través del mercado establecido por la Ley de Cuidado de Salud a Bajo Precio (ACA, popularmente conocida como Obamacare), el final del año trae un ajuste de cuentas: es el momento de comparar beneficios y precios, cambiar a un nuevo plan o inscribirse por primera vez.

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Hall Render

JUNE 28, 2024

NATIONAL 50% of physicians are thinking of leaving the field due to shortage AHA backs bid to repeal nursing home staffing rule AHA wins lawsuit against HHS over third-party web tracking AHA responds to study blaming hospital prices for societal issues AHA slams study tying unemployment to hospital price increases Behind the battle against corporate (..)

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Hall Render

OCTOBER 27, 2023

Louis-based health system to form Michigan joint venture Mercy opens ‘high-tech’ multispecialty center, ASC in St. finds new C-suite exec at a subsidiary MONTANA COVID Map Shows Five States With ‘Substantial Increase’ in Hospital Admissions St.

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Bill of Health

DECEMBER 7, 2024

For many Americans, the Affordable Care Act (ACA) has been a crucial piece of that safety net, providing access to affordable health care, expanded coverage options, and support for innovative medical care delivery methods that lower health care costs.

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Kaiser Health News

DECEMBER 6, 2023

It’s likely one of the last major ACA policy efforts of President Joe Biden’s first term — and, if he loses reelection, could represent his final touches on the landmark health program created when he was vice president. In part because of those subsidies, enrollment has increased steadily and hit records under his watch.

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Kaiser Health News

JULY 24, 2024

Often, consumers who are targeted don’t know they’ve been enrolled or that their coverage has been switched to a new plan until they lose access to preferred doctors, learn they have different deductibles, or find they owe taxes for ACA insurance premium subsidies.

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Hall Render

JUNE 16, 2023

Artificial Intelligence Poses Threat to Patient Privacy Bill for Rural Hospital Cyber Skills Passes Senate Committee Chemotherapy shortages push cancer centers toward crisis CMS estimates national spending on hospital care grew just 0.8% before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M

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Jane Sarashon

NOVEMBER 14, 2024

elections, on probably policy and market impacts that we can expect in 2025 and beyond. For health care, there are many uncertainties as we reflect, one week after the 2024 U.S. In today’s Health Populi post, I’ll reflect on the first of several certainties we-know-we-know about U.S.

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Jane Sarashon

DECEMBER 9, 2024

Similar divergence by party is shown here in partisans’ approval or disapproval of the Affordable Care Act (the ACA, or “Obamacare”). This teases the question for 2025 and beyond: what “concepts” might President Trump #47 have in store to potentially repeal and replace the ACA?

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Jane Sarashon

DECEMBER 12, 2024

There are uncertainties with which we, who work in the health/care ecosystem, wrestle as we enter 2025 and the inauguration of President Trump, #47, slated for January 20, 2025. As we continue to plan for designing, delivering, and assuring health care for all in 2025, we would do well by our fellow health citizens to keep MLK Jr.’s

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Kaiser Health News

JULY 24, 2023

The latest round of rules and legislation comes as the ACA — passed in 2010 — is now cemented in the system. Concerned that people would choose this option instead of more comprehensive and more expensive insurance offered through the ACA, President Barack Obama’s administration set rules limiting the policy terms to three months.

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Kaiser Health News

NOVEMBER 1, 2024

ACA Premiums The election is likely to affect the cost of health insurance for millions who buy coverage on the Affordable Care Act marketplaces. That’s because extra, pandemic-era subsidies that lower the cost of premiums will expire at the end of 2025 — unless Congress and the next president act. Many pay no premiums at all.

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Kaiser Health News

OCTOBER 25, 2024

JD Vance, about possible changes to the ACA have opened Republicans up to heavier scrutiny. More than 1,500 doctors across the country recently released a letter calling on Trump to reveal details about how he would alter the ACA, saying the information is needed so voters can make an informed decision. Tom Cotton (R-Ark.)

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