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Key Justice casts doubt on Supreme Court challenge to ACA subsidies
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In the Health Reform Update for the past week, Republican governors press Congress to protect Affordable Care Act (ACA) subsidies if the U.S. Supreme Court strips them from roughly 87 percent of this year’s 8.8. million federally-facilitated Marketplace (FFM) consumers. The Department of Health and Human Services (HHS) denies having any back-up plan even though Avalere Health now predicts that an adverse Supreme Court decision could spike FFM premiums by an average of 255 percent. Errors on...
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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 two weeks, Marketplace sign-ups for the second open enrollment period far exceed federal targets with more than 11 million consumers selecting private plans. However, a surge of late applications forces all federal and state-based Marketplaces (SBMs) to extend the deadline past February 15th for those unable to complete the process. The Centers for Medicare and Medicaid Services (CMS) and several SBMs also create a special enrollment period through Apri...
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Review our latest update on specialty tiers.
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In the Health Reform Update for the past two weeks, House members vote for the fourth time to repeal the entire Affordable Care Act (ACA) but direct committees to develop a replacement plan. The Congressional Budget Office downgrades its cost estimate for the ACA, but hikes the projected cost to permanently fix the flawed Medicare physician payment formula, decreasing the likelihood of Congressional action. Enrollment in ACA Marketplaces surpasses initial targets with two weeks remaining i...
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Review our latest update on specialty tiers.
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2015 Winter Newsletter

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The 2015 Winter Newsletter shares about the state of patient assistance for this year, exciting changes that will improve the patient experience with PSI, the need for States to implement limits on the rising cost of vital medications, and how our Government Relations team is working to help our patients.
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In the Health Reform Update for the past week, the U.S. Supreme Court appears divided on whether providers have the legal right to force Medicaid reimbursement to keep pace with medical costs, while an Urban Institute study finds that a temporary increase in Medicaid reimbursement under the Affordable Care Act (ACA) did increase patient access to primary care. Marketplace enrollment surges again before a key coverage deadline. Legislation proposed in several state legislatures seeks to limit...
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Our latest update is now available!
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