Healthcare Dive

OCTOBER 11, 2022

Bright is doubling down on its decision earlier this year to contract its business, halting the sale of ACA plans to focus on care delivery business NeueHealth as well as MA in higher-performing markets.

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HIT Consultant

NOVEMBER 22, 2024

What You Should Know: – A new report from the Commonwealth Fund reveals that despite significant progress in expanding health insurance coverage under the Affordable Care Act (ACA), millions of Americans still lack adequate and affordable healthcare.

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Fierce Healthcare

NOVEMBER 20, 2024

Should policymakers choose not to extend enhanced subsidies for Affordable Care Act (ACA) plans, about 4 million people would likely become uninsured, according to a new analysis.

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ACA 86

Fierce Healthcare

MARCH 26, 2024

The Affordable Care Act (ACA) is still a very big deal. Love it or hate it, the Affordable Care Act's enrollment numbers have exceeded 21 million as some companies double down on ICHRA.

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Compliance Now

NOVEMBER 24, 2021

On November 22, 2021, the Internal Revenue Service (IRS) published proposed regulations that introduce significant changes to the Affordable Care Act (ACA) reporting process for both large and small employers. Since 2015, the IRS has also provided good faith transition relief to ACA reporting. Good Faith Transition Relief Eliminated.

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HealthIT Answers

SEPTEMBER 22, 2024

The post ACA Enrollment Platforms Suspended Over Alleged Foreign Access to Consumer Data appeared first on Health IT Answers. By Julie Appleby - Suspicions that U.S.

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ACA 59

Healthcare Dive

JULY 22, 2024

Agents and brokers connecting consumers with Affordable Care Act plans now have to jump new hurdles to change their coverage, following mounting complaints about unauthorized plan switching.

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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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ACA 105

Healthcare Dive

JANUARY 11, 2024

More than 20 million Americans have signed up for Affordable Care Act plans since open enrollment began in November. Sign-ups are expected to continue to grow.

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American Medical Compliance

APRIL 17, 2024

The following Comprehensive Affordable Care Act (ACA) and Americans with Disabilities Act (ADA) Compliance Training educates healthcare providers on the historical context of both Acts. In addition, implementation of the ACA has transformed healthcare and has made a lot of progress for those in need.

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ADA ACA Compliance Health Care Reform 52

Compliance Now

AUGUST 28, 2023

By: David Mordo, Senior Compliance Consultant, MZQ Consulting The IRS recently released Revenue Procedure 2023-29 , which declared that the Affordable Care Act (ACA) benchmark for determining the affordability of employer-sponsored health coverage will significantly decrease to 8.39% of an employee’s household income for the 2024 plan year.

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ACA Compliance 100

Compliance Now

AUGUST 28, 2023

By: David Mordo, Senior Compliance Consultant, MZQ Consulting The IRS recently released Revenue Procedure 2023-29 , which declared that the Affordable Care Act (ACA) benchmark for determining the affordability of employer-sponsored health coverage will significantly decrease to 8.39% of an employee’s household income for the 2024 plan year.

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ACA Compliance 100

Healthcare Dive

MARCH 30, 2023

The Thursday ruling means that, effective immediately, health plans nationwide are no longer required to fully cover certain preventative medical services like cancer, HIV and diabetes screenings.

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Compliance Now

AUGUST 8, 2022

One of the most well-known components of the Affordable Care Act (ACA) is that it requires applicable large employers (ALEs) to either offer affordable, minimum value medical benefits to their full-time employees or pay tax penalties. The ACA defined a plan as being affordable if the lowest-cost, employee-only option costs less than 9.5%

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ACA 100

Healthcare Dive

AUGUST 7, 2024

Insurers cited workforce shortages, hospital consolidation and growing demand for pricey GLP-1 drugs as reasons driving the premium increases for 2025.

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Fierce Healthcare

SEPTEMBER 6, 2023

When the Affordable Care Act (ACA) was passed in 2010, the legislation set forth requirements for insurers to cover lactation services for mothers, a stark contrast from expecting families to pay o | The Affordable Care Act says insurance companies must front the cost for lactation care.

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ACA 108

Healthcare Dive

APRIL 3, 2024

Starting in 2026, plans sold in state-based exchanges will be required to meet time and distance standards for provider access that are already applied to plans sold federally.

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ACA 200

Fierce Healthcare

OCTOBER 24, 2023

UnitedHealthcare is expanding its footprint on the Affordable Care Act (ACA) exchanges to four new states in 2024, the insurance giant

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ACA 108

Modern Healthcare

APRIL 17, 2023

CMS' final rule for ACA exchanges sets plan limits, requires plans to include substance abuse and mental health providers and makes Medicaid's special enrollment period a permanent option.

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Fierce Healthcare

NOVEMBER 9, 2023

Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's (ACA's) risk adjustment program is working, especially whether it's | Financial struggles at Bright Health Group and Friday Health Plans have raised concerns about how well the Affordable Care Act's risk (..)

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Fierce Healthcare

JUNE 13, 2023

The Affordable Care Act's (ACA's) preventive care mandate remains in effect as a federal appeals court mulls a legal challenge to the requirements. | The Affordable Care Act's preventive care mandate remains in effect as a federal appeals court mulls a legal challenge to the requirements.

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ACA 107

Healthcare IT News - Telehealth

JULY 1, 2020

Primary topic: Government & Policy Disable Auto Tagging: Short Headline: White House challenging ACA; Congress mulling permanent telehealth reform Featured Decision Content: Region Tag: Global Edition Right Now:

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Healthcare Dive

OCTOBER 7, 2024

The proposed rule comes after the CMS reported a growing number of complaints about ACA health plan applications submitted by brokers.

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Fierce Healthcare

SEPTEMBER 11, 2023

At a time when inflation seems to be on the nation’s radar, it’s no surprise that Blue Cross and Blue Shield of North Carolina would tout that members in the healthcare plans it offers in the Affor | The rate decrease, approved by the North Carolina Department of Insurance, will lower total premiums by an estimated $130 million for enrollees in the (..)

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Healthcare Dive

JUNE 24, 2024

However, it paves the way for future lawsuits from opponents of the ACA. The Fifth Circuit Court of Appeals’ decision Friday is a win for the upwards of 150 million people that receive health insurance through their employers.

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Center for Health Insurance Reform

FEBRUARY 25, 2022

The ACA requires coverage of recommended preventive services without cost-sharing for consumers enrolled in most private health plans. Continue reading → The post PrEP Coverage Obstacles Highlight Challenges Implementing the ACA Preventive Services Requirement appeared first on Center on Health Insurance Reforms.

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ACA Health Insurance 116

Fierce Healthcare

JUNE 29, 2023

Medicare Advantage (MA) beneficiaries have less choice when it comes to finding a psychiatrist than Medicaid enrollees or those who buy coverage on the Affordable Care Act (ACA) marketplace do, acc | Medicare Advantage continues to grow, and so does the need for beneficiaries to have access to psychiatrists, says a study in Health Affairs.

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Fierce Healthcare

OCTOBER 31, 2023

Open enrollment on the Affordable Care Act's (ACA's) exchanges is set to begin, but signing up for coverage remains confusing for many, a

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ACA 104

Healthcare Dive

SEPTEMBER 4, 2024

Chief financial officer Mark Keim is taking the reins of the health insurer’s bread-and-butter business — Medicaid — along with a growing marketplace division.

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Fierce Healthcare

MARCH 30, 2023

Judge blocks feds from enforcing ACA's preventive care coverage mandates pminemyer Thu, 03/30/2023 - 13:49

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ACA 108

Fierce Healthcare

APRIL 13, 2023

Justice Department seeks stay on parts of ACA preventive services ruling rking Thu, 04/13/2023 - 16:29

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ACA 112

Healthcare Dive

MARCH 13, 2024

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

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Fierce Healthcare

MARCH 17, 2023

The ACA slimmed coverage gaps between racial and ethnic groups: study pminemyer Fri, 03/17/2023 - 16:21

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ACA 112

Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception. ACA plans).

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Healthcare Dive

JULY 19, 2022

Health insurers' preliminary filings with state regulators point to a 10% median bump in rates for enrollees in 2023, according to the Kaiser Family Foundation.

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ACA Health Insurance 261

Fierce Healthcare

MAY 16, 2023

Federal appeals court grants stay in ACA preventive care ruling pminemyer Tue, 05/16/2023 - 11:58

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ACA 98

Fierce Healthcare

DECEMBER 28, 2022

ACA exchange enrollment continues at record pace, nears 11.5M through mid-December. Wed, 12/28/2022 - 11:48.

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ACA 116