Archive for: Regulation

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Insurance Coverage: Regulation

Final Rule Issued on Health Reimbursement Arrangements

The Departments of the Treasury, Health and Human Services (HHS), and Labor published the final rule Health Reimbursement Arrangements and Other Account-Based Group Health Plans. This rule expands health reimbursement arrangements (HRAs). Under the rule, employers can provide employees with tax-preferred funds to purchase coverage on the individual market through individual coverage HRAs. Additionally, the…

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Insurance Coverage: Regulation

South Carolina 1115 Waiver Application Summary

On May 8, 2019, South Carolina submitted a new 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS). The waiver includes work requirements, expands coverage for children, pregnant women and parents, and expands coverage for certain individuals with substance use disorders, who are chronically homeless or who are involved in the justice…

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Insurance Coverage: Regulation

Utah Per Capita Cap 1115 Waiver Summary

On May 31, 2019, Utah released its 1115 waiver proposal, “Per Capita Cap.” This waiver requests authority to implement the provisions of Senate Bill 96 “Medicaid Expansion Adjustments”, which passed during the 2019 Utah legislative session.  Provisions of the waiver include implementing a per capita cap, seeking enhanced Federal Medical Assistance Percentages (FMAP) for the…

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Insurance Coverage: Regulation

Utah Medicaid 1115 Waiver Summary

On June 22, 2018, Utah submitted an 1115 waiver amendment to CMS seeking to implement a partial and capped Medicaid expansion, as well as Medicaid work requirements for certain populations. Following that waiver amendment, on February 6, 2019, Utah submitted an additional 1115 waiver amendment lifting the Medicaid Institution for Mental Disease (IMD) exclusion for…

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Insurance Coverage: Regulation

Administration Releases Marketplace Proposed Rule

On January 24, 2019, the Centers for Medicare and Medicaid Services issued a proposed rule on payment parameters for the Health Insurance Marketplaces.

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Insurance Coverage: Regulation

Exchange Program Integrity Proposed Rule

The Centers for Medicare and Medicaid Services issued a proposed rule on the Health Insurance Exchanges.

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Insurance Coverage: Regulation

Short-term Plans Final Rule

The Centers for Medicare and Medicaid Services issued a final rule on short-term limited duration plans.

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Insurance Coverage: Regulation

Association Health Plans Proposed Rule

The Centers for Medicare and Medicaid Services issued a proposed rule on Association Health Plans.

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Insurance Coverage: Regulation

CMS Actuary Report Differs from CBO; 13M Still Uninsured Under AHCA

Today the Centers for Medicare and Medicaid Services’ Office of the Actuary released its report estimating the “financial effect of the ‘American Health Care Act of 2017”, legislation that would repeal and replace portions of the Affordable Care Act.

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