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In the Health Reform Update for the past two weeks, Republican lawmakers plot new strategies to derail the Affordable Care Act (ACA) as polls show them likely to gain control of the U.S. Senate. Meanwhile, Democrats focus on key governorships in ACA-resistant states. The Centers for Medicare and Medicaid Services (CMS) notifies federal Marketplace insurers that they can opt-out of their contracts should the U.S. Supreme Court invalidate ACA premium subsidies. The agency also delays another pr...
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In the Health Reform Update for the past two weeks, the Congressional Budget Office (CBO) downgrades the predicted cost of Affordable Care Act (ACA) subsidies, Medicaid and Medicare spending, and the federal budget deficit, while a second lawsuit seeks to prevent members of Congress and their staff from receiving ACA subsidized coverage in the District of Columbia Marketplace for small groups. The Centers for Medicare and Medicaid Services (CMS) has streamlined the online application proces...
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Our latest update on Specialty Tier is now available!
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In the Health Reform Update for this week, partisan divisions continue to hold in the legal battle over whether Affordable Care Act (ACA) subsidies can be offered to federal Marketplace consumers. Surveys of insurance departments show that at least 50,000 individual plans that fail to comply with the ACA may be canceled in the weeks leading up to the midterm elections. Meanwhile, the new federal website detailing manufacturer payments to physicians and providers suffers many of the same te...
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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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