Tagged with ACA Affordable Care Act
The long-anticipated legislation to repeal and replace the ACA’s core features was unveiled on March 6.
An ACA provision mandating providers to revalidate or recertify their Medicaid reimbursement eligibility has resulted in an estimated 65,000 providers dropped from the program.
Vermont has entered into a one year agreement with OneCare to launch an ACO pilot program serving 30,000 Medicaid beneficiaries.
Humana has announced its plans to cease sales of individual health insurance plans through the ACA’s exchanges by 2018, potentially leaving more than 150,000 customers without a carrier.
New research published in the Journal of the American College of Radiology shows patients face misinformation from insurers when seeking ACA-mandated coverage.
A new study reveals insurers with the largest share of local markets can negotiate lower prices for physician office visits.
According to a new CDC report, the nation’s uninsured rate plunged last year, marking the lowest rate on record to date.
For the first time since its induction, enrollment numbers in the ACA have gone down.
CMS issued an insurance standards bulletin granting another extension to non-ACA-compliant health plans to allow insurers and consumers to extend for an additional year.
CMS recently announced its new proposed rule aimed at stabilizing ACA markets and encourage more insurers to stay on the exchanges through promoting more coverage options, and improving the risk pool for insurers.
According to the recently released annual report from CMS, in fiscal year 2016 states and federal government grew 4.3% to $575.9 billion and federal Medicaid spending grew 4.5% to $363.4 billion for the program to cover low income and disabled people. The report states Medicaid spending has increased in recent years and is expected to continue to rise, potentially reaching levels that could “displace spending on other important programs.”
Early last month, the Health Resources and Services Administration (HRSA) published a final rule(pdf) to implement civil money penalty (CMP) provisions added to section 340B of the Public Health Service Act under the Affordable Care Act (ACA).
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has issued a final rule expanding the authority to exclude individuals and entities from federal health care programs.
Following a 51 to 48 vote in the Senate, House members on January 13 voted 227 to 198 to advance repeal of the Affordable Care Act in a budget resolution bill.
CMS has announced a new global capitation model for rural hospitals in Pennsylvania. Under the new model participating critical access hospitals and acute care hospitals will receive all-payer global budgets for a fixed amount of money that is set in advance and funded by all participating insurers, to cover inpatient and outpatient services.
UnitedHealth Group has announced plans for its health services unit, Optum, to acquire Surgical Care Affiliates (SCA). Under the acquisition, Optum would add to its footprint SCA 205 surgical facilities, which SCA operates in partnership with thousands of surgeons in 33 states.
As senate and legislative efforts to repeal the Affordable Care Act (ACA) pick-up, the American Medical Association sent a letter to congressional leaders called on lawmakers to outline plans to replace the ACA before they repeal the law. Despite these efforts, it was recently announced that 8.8 million U.S. residents have signed up for health plans through the federal exchange.
The only northeastern state not to choose Medicaid expansion under the Affordable Care Act (ACA), Maine will be one of five of the original 23 ACA-created co-ops that will continue into 2017. In response and in hopes of in hopes of extending coverage to 70,000 residents, residents are petitioning to put a proposal to expand the ME Medicaid program before the Legislature.
FL – Senate President Supports Review of Managed Care Waiver, Reconsideration of Mandatory Enrollment
Florida’s statewide Medicaid managed care program operates under an 1115 Medicaid waiver, with the state planning to submit a waiver extension request before the end of the year. Senate President Joe Negron has stated the legislature should fully review the program’s design and outcomes before submitting a renewal request and wants to begin working on a “framework” for how the state can move forward in the face of major changes in the Medicaid program.
CMS has released final regulations, to become effective January 17, for Affordable Care Act marketplaces in 2018, the final letter to insurers regarding the federally facilitated marketplace and a number of other documents.