Tag: ACA

Payment Notice and Letter to Issuers in the Federally-facilitated Marketplaces Finalized for the 2021 Plan Year  

With filing deadlines quickly approaching, the Centers for Medicare and Medicaid Services (CMS) released final versions of the Notice of Benefit and Payment Parameters (NBPP) for 2021 and the 2021 Letter to Issuers in the Federally-facilitated Exchanges (Letter) on May 7, 2020. At the same time, CMS released accompanying guidance: Key Dates for Calendar Year ...

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 Federally-facilitated Exchanges (hereafter “the Letter”)[1] as well as accompanying guidance and timelines.[2] CMS is accepting comments on these items through 5pm on March 2, 2020. ...

Chronic Care Alternative for Marketplace Enrollees: State Complex Care Plan

Over the past four years, thirteen states have received approval to implement State Innovation Waivers (renamed “State Relief and Empowerment Waivers” by CMS in October 2018) under the authority of Section 1332 of the Affordable Care Act. Twelve of those states (all except Hawaii) leveraged Section 1332 to implement reinsurance programs aimed at reducing premiums. ...

Health Policy News – December 2019

Health Policy News is once again dedicating our December edition to reflecting on the past year’s high-profile healthcare topics—providing context, summarizing recent developments, and predicting what activity is in store for these issues in the coming year. HPN editors Lisa Kaplan Howe and Margot Thistle have dedicated this edition to reflect on 2019 and forecast ...

2020 Prediction: Continued Focus on Ensuring Access to Healthcare, Prescription Drugs, and Healthy Food to Combat Diet-Related Illness

Over the past year, Health Policy News readers were drawn to topics that were top of mind for many policymakers, as well as articles that detailed innovative solutions to complex problems like controlling health costs and expanding access to healthcare. As 2019 comes to a close, this piece revisits these popular topics, providing updates on ...

2020 Prediction: More State Waivers and Activity Related to Major Health Policy Litigation and Federal Regulations

Many major health policy developments in 2019 were related to state waivers, major health policy litigation, and federal health insurance regulations, with activity on these issues expected to continue into 2020. One of these developments—this week’s new ruling in the Texas vs United States case challenging the validity of the Affordable Care Act (ACA)—is certain ...

Health Policy News – Summer 2019

Introduction As in past years, Health Policy News is marking the summer season with the publication of one special edition. For summer 2019, we have prepared a roundup of pending federal legislation—in particular, efforts to protect consumers from rising health care costs (including surprise medical bills), to promote Medicare for All, and to preserve Affordable ...

The House Passes Legislation Aimed at Preserving the Affordable Care Act

Notable among the bills passed by the U.S. House of Representatives in recent months are two bills aimed at shoring up the Affordable Care Act (ACA). Below, we explore the content of both bills—though it is worth noting that neither bill has been, nor is expected to be, taken up by the Senate. H.R. 987 ...

Health Policy News – April 2019

Introduction In this month’s edition of Health Policy News, we delve into two of last month’s breaking Federal litigation updates: the decisions issued in cases regarding the Association Health Plan Final Rule and the use and operationalization of Medicaid work requirements. As both decisions reverse course on recent health policy developments, we analyze their likely ...