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HHS announces initiative with insurers to streamline prior authorizationsÂ
The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance companies to streamline prior authorization processes for patients covered by Medicare Advantage, Medicaid managed care plans, Health Insurance Marketplace plans and commercial plans.
CMS adds two new No Surprises Act IDR entities
The departments of Health and Human Services, Labor, and the Treasury have certified two more independent dispute resolution entities, bringing the total number to 15.
CMS notifies states it will not approve or match funds for designated state health, investment programsÂ
The Centers for Medicare & Medicaid Services April 10 announced that it does not intend to approve new or extend existing requests for federal funds to match state expenditures on designated state health and designated state investment programs
AHA comments on CMS Marketplace Integrity and Affordability proposed ruleÂ
The AHA April 11 commented on the Centers for Medicare & Medicaid Services’ 2025 Marketplace Integrity and Affordability proposed rule.
Analysis finds Marketplace enrollment more than doubled since 2020
A KFF analysis published April 3 found that Health Insurance Marketplace enrollment reached a record-high for a fourth consecutive year and has more than doubled since 2020.
AHA releases first health care plan accountability update for 2025
The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicar
CMS issues proposed rule changing federal marketplace enrollment and eligibility requirementsÂ
The Centers for Medicare & Medicaid Services March 10 released new proposed policies for health insurance marketplaces, including the issuers, agents and brokers who assist marketplace enrollees.
AHA brief urges court to oppose motion by MultiPlan to end antitrust case
The AHA March 10 filed a friend-of-the-court brief in the U.S. District Court for the Northern District of Illinois, urging the court to oppose a motion by data analytics firm MultiPlan to dismiss claims that the company conspired with insurers to reduce out-of-network reimbursements for hospitals and health systems.
KFF: Cutting Medicaid expansion match rate could result in 20 million losing coverageÂ
An analysis released Feb. 13 by KFF found that a proposal to cut the Affordable Care Act's Medicaid expansion match rate could reduce total Medicaid spending by up to $1.9 trillion over a 10-year period, causing potentially 20 million people to lose Medicaid coverage.
HHS: 45M enrolled in coverage through ACA Marketplace, Medicaid expansion
Over 21.4 million Americans selected or were automatically re-enrolled in 2024 Marketplace coverage, the Centers for Medicare & Medicaid Services reported March 22, up slightly from the 21.3 million reported in January.