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Read our summary update on specialty tiers.
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In this week’s Health Reform Update, the Centers for Medicare and Medicaid Services (CMS) issues new rules allowing employers to delay new employee coverage for up to 120 days and automatically renewing coverage for enrollees in Affordable Care Act (ACA) Marketplaces. Proposed Marketplace premiums for 2015 continue to vary widely, with several insurers (particularly non-profit cooperatives) seeking substantial rate cuts. Premiums on average continue to show increases consistent with the in...
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In this week’s Health Reform Update, Senator David Vitter (R-LA) and Rep. Bill Cassidy (R-LA) continue to push the Centers for Medicare and Medicaid Services (CMS) to formally clarify that non-profit charities like PSI can assist with premiums and cost-sharing for Marketplace plans. CMS fends off Republican challenges against reinsurance payments for Marketplace carriers that incur substantial losses. Two leading House Democrats demand hearings on the impact of a costly new Hepatitis C drug u...
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In this week’s Health Reform Update, new data shows that more insurers are planning to participate in Affordable Care Act (ACA) Marketplaces and are offering broader provider networks (for a price). Drug manufacturers and the insurance industry argue over which is more to blame for high out-of-pocket costs for specialty tier drugs, while a separate study concludes that Marketplace plans turning out to be less costly than non-Marketplace plans. Despite wide variations, proposed Marketplace...
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Help remove roadblocks for patients who can benefit from new health insurance policies. Take Action Today!
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In the Health Reform Update for the past week, President Obama announces that more than eight million consumers selected private coverage during the inaugural open enrollment period in the health insurance Marketplaces created by the Affordable Care Act (ACA). Nearly half signed-up during the final six weeks. The Congressional Budget Office (CBO) downgrades it cost estimate for the ACA by more than $100 billion after Marketplace premiums and subsidies were less than anticipated. The n...
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