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Elevance expands ACA plans in Florida, Texas, Maryland

Healthcare Dive

The insurer’s Wellpoint subsidiary is expanding its ACA footprint for the 2025 coverage year, likely in a bid to capture enrollees who recently lost Medicaid coverage.

ACA 141
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Biden’s proposed budget for 2025 boosts cybersecurity funds, extends ACA subsidies

Healthcare Dive

The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.

ACA 242
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CMS finalizes network adequacy standards, expands dental benefits for ACA exchange

Fierce Healthcare

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 (..)

ACA 110
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CMS Promotes Health Equity through Marketplace Standards and More in New Proposed Rule

Healthcare Law Blog

Permitting states to expand Medicaid eligibility by disregarding more income and resource threshold standards for individuals that are excepted from the application of the Modified Adjusted Gross Income financial methodology. Reducing the risk adjustment user fee for 2025 from $0.21 for Medicare & Medicaid Servs.

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Healthcare Reforms Under the IRA: Expanding Access to Care

Healthcare Law Blog

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. Improvement of Access to Adult Vaccines under Medicaid and CHIP.

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The Impact of Section 1557 Final Rule on Healthcare

AIHC

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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Final Rule Implementing Section 1557 of the Affordable Care Act Is Effective

Hall Render

On May 6, 2024, the Centers for Medicare and Medicaid Services (“CMS”) and the Office for Civil Rights of Health and Human Services (“HHS”) issued a final rule implementing Section 1557 of the Affordable Care Act (“Section 1557”) (the “Final Rule”). The Final Rule went into effect on July 5, 2024.