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In the Health Reform Update for the past two weeks, the U.S. Supreme Court blocks state laws requiring that health insurers report claims and pricing data. Insurer opposition causes the Centers for Medicare and Medicaid Services (CMS) to back-off from proposed network adequacy standards for Marketplace plans and delay its decision on whether to require them to accept third-party premium assistance from charitable organization like PSI. A bipartisan Congressional bill that would force CMS t...
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Our Specialty Tier update is now available!
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In the Health Reform Update for the past two weeks, the House fails to override a Presidential veto of legislation that would have repealed key provisions of the Affordable Care Act (ACA). However, the President agrees to scale back the “Cadillac” tax on high-cost health plans that is unpopular with lawmakers from both parties. ACA Marketplace enrollment increased by 15 percent over last year’s open enrollment period, with more than 12.7 million sign-ups. For federally-facilitated Market...
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Our latest update on Specialty Tiers is now available!
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In the Health Reform Update for the past week, the Senate votes to repeal key parts of the Affordable Care Act (ACA) through the budget reconciliation process, although only the elimination of the tax on high-cost health plans has enough bipartisan support to override a Presidential veto. In response to Congressional legislation pursued by PSI, the Centers for Medicare and Medicaid Services (CMS) says for the first time that it is “considering” requiring Marketplace insurers to accept pre...
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Our latest update is available on Specialty Tiers.
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In the Health Reform Update for the past two weeks, pharmaceutical and insurance industry groups are quick to renounce proposals by Democratic presidential candidate Hillary Clinton to cap out-of-pocket costs for specialty drugs and allow Medicare to negotiate lower drug prices. Bills to repeal the Affordable Care Act (ACA) excise tax on high-cost health plans gain a bipartisan majority in the U.S. House. New survey data from the Health and Human Services department and Census Bureau show re...
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Our latest update on Specialty Tier is now available!
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In the Health Reform Update for the past week, 37 House Democrats back a PSI initiative to persuade the Centers for Medicare and Medicaid Services (CMS) to require Marketplace insurers accept third-party premium assistance from charitable organizations. A Centers for Disease Control and Prevention survey finds that the nation’s uninsured rate has fallen below ten percent for the first time in history. CMS reports that nearly 944,000 consumers have used a special enrollment period to sign-up...
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Our recent update on Specialty Tiers is now available.
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