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In the Health Reform Update for this week, three Republican-appointed judges reject the claim by a cash-only physician group that the delayed employer mandate under the Affordable Care Act (ACA) must be immediately implemented. A Health and Human Services (HHS) report finds that ACA Marketplaces will add 77 new insurers next year and argues that the increased competition will reduce premium costs. Colorado becomes the latest state to report only nominal average increases in Marketplace pre...
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Read about recent changes in Specialty Tiers.
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In the Health Reform Update for the week, Congress avoids a government shutdown with a temporary spending extension until December. New data show that the number of Americans with health insurance is at a historical high, as are the number of enrollees in Medicare Advantage plans. HHS reports find that 90 percent of Marketplace enrollees have paid their plan premiums, while the Affordable Care Act (ACA) saved consumers more than $1 billion in lower health insurance premiums last year. ...
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Read our latest update on specialty tiers!
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In the Health Reform Update for the week, House Republicans pass their first Affordable Care Act (ACA) bill since April, which would allow group plans that fail to comply with the ACA to be offered outside of ACA Marketplaces through 2018. The Federal Trade Commission (FTC) sues several drugmakers to block a “pay-to-delay” settlement, its first lawsuit since the U.S. Supreme Court put the burden on the FTC to prove that agreements to delay market entrance of lower cost generics will limit...
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In the Health Reform Update for the past two weeks, the full District of Columbia U.S. Court of Appeals agrees to reconsider a decision by a three-judge panel invalidating Affordable Care Act (ACA) subsidies offered to federally-facilitated Marketplace consumers. Oral arguments are set for December. Fears of “rate shock” in ACA Marketplaces continue to dissipate as premium data for 31 states still show only modest average increases for 2015, while rates for Arkansas are expected to decline ...
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Read our latest specialty tier update here!
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In the Health Reform Update for the past week, another legal challenge to Affordable Care Act (ACA) subsidies in federally-facilitated Marketplaces (FFM) is allowed to proceed, while the Centers for Medicare and Medicaid Services (CMS) is giving more than 300,000 FFM consumers until September 5th to document their citizenship or have their coverage cancelled. CMS has also restored the Open Payments website that will publicly disclose manufacturer payments to physicians starting September 30th,...
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Read our latest update on specialty tiers!
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In the Health Reform Update for the past week, the Congressional Budget Office predicts that the controversial individual mandate under the Affordable Care Act (ACA) will not apply to 90 percent of the uninsured population. The Centers for Medicare and Medicaid Services reports that more than 7.2 million Americans have gained Medicaid or SCHIP coverage since the ACA Marketplaces opened. The agency delays public release of data revealing drug manufacturer payments to physicians, while the Ins...
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