Category: Private Insurance
Health Policy Responses to COVID-19
In this unprecedented time, much attention has been paid to Congressional response to the clinical and economic needs resulting from the COVID-19 pandemic. At the same time, Congress, the Centers ...
Comments on 2021 Proposed Payment Notice and Draft Letter to Issuers in the FFM Due March 2nd
On January 31, 2020, the Centers for Medicare and Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters (NBPP) and the draft Letter to Issuers in the ...
Public Comment Period on Draft Transparency in Coverage Rule Extended Until January 29th
The draft Transparency in Coverage rule was developed by the Departments of Treasury, Labor and Health and Human Services (hereinafter “the Departments’) and published on November 27, 2019. This rule ...
Bipartisan Federal Surprise Billing Legislation Likely to Pass
Although it has been discussed and debated at the federal level for years, viable bi-partisan surprise billing legislation had not been proposed until recently, in the form of the No ...
Department of Transportation to Establish Committee to Study Air Ambulance Billing Practices
Concern about out-of-pocket costs associated with air ambulance transport has been growing for some time. Groups such as the National Association of Insurance Commissioners (NAIC) have advocated for state flexibility ...
Federal Departments Finalize Rule to Expand Access to Short Term Health Plans that are not ACA-Compliant
On August 1, 2018, the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services (together, “the Departments”) jointly promulgated a final rule on ...
CBO estimates that AHCA would severely increase the number of uninsured persons
On May 24, 2017, the Congressional Budget Office (CBO) and the Joint Committee on Taxation (JCT) released estimates on the impact of the proposed H.R. 1628, the American Health Care ...
PCG creates summary of the House-passed health care bill
The American Health Care Act (“the bill”) passed the House of Representatives on May 4, 2017. As outlined in greater detail in the PCG summary, the bill does not repeal ...
Transitional health plans to continue through 2018
In November of 2013, the Centers for Medicare & Medicaid Services (CMS) introduced the concept of “grandmothered plans,” coverage in place prior to 2014 that would have been prohibited as ...
Proposed ACA repeal legislation would increase persons without health coverage
On March 13, 2017, the Congressional Budget Office (CBO) released estimates on the impact of the proposed American Health Care Act (AHCA). The CBO indicates that AHCA would increase the ...