The U.S. District Court for the Northern District of Texas issued a stay earlier this month preventing the Centers for Medicare and Medicaid Services from implementing a new rule changing compensation rules for professionals providing products and services related to Medicare Advantage and Medicare Part D programs.
NABIP upholds role of agents in the ACA marketplace
The National Association of Benefits and Insurance Professionals expressed its concern over the recent narrative presented in the Paragon Health Institute’s report, which portrays a broad and detrimental view of the role of agents within the Affordable Care Act marketplace.
ACA preventive care mandate to stay in place after appeals court ruling
The U.S. 5th Circuit Court of Appeals ruled that a Christian-owned business can’t be compelled to cover preventive medications as is required under the Affordable Care Act.
Some states could see home insurance increases as high as 23%, study finds
More home insurance increases are expected this year, with a potential 6% nationwide increase expected, according to a recent study.
Biden administration rolls back extension of short-term plans
The Biden administration is cracking down on short-term health insurance plans that aren’t required to meet the Affordable Care Act’s consumer protection mandates.
Record catastrophic weather hits insurance claims, customer satisfaction
Catastrophic weather events have an adverse impact of the insurance claims process – and on customer satisfaction.
The Centers for Medicare & Medicaid Services released the Calendar Year 2025 Advance Notice for the Medicare Advantage and Medicare Part D Prescription Drug Programs that would update payment policies for these programs.
Tax bill advanced in rare bipartisan House vote
Both Democrats and Republicans in Congress showed strong support for the Child Tax Credit and some business tax breaks as the House voted to send a bipartisan tax package to the Senate on Wednesday.
CMS proposal would make several changes to ACA health plans
Including adult dental care as an essential health benefit and improving access to prescription drugs are among the proposed changes.
Cigna, Humana put the brakes on possible merger
Cigna and Humana are holding off on a possible merger while Cigna focuses on $10 billion buyback.
Employers face complications after ruling on copay accumulator programs
A recent federal court decision means that employers taking advantage of copay accumulator programs now face unexpected administrative complications.
President Biden to announce new actions to protect retirement security by cracking Down on junk fees in retirement investment advice.
Kaiser Permanente and unions near agreement after historic strike
Kaiser Permanente’s frontline health care workers unions reached a tentative deal with the company today after the nation’s largest recorded medical sector strike.
Biden administration looking to expand coverage of OTC birth control, other products
Insurers usually don’t cover over-the-counter products but that could change as the Biden administration seeks to expand insurance coverage of products such as an OTC birth control pill and other items.
About a half-million people who had their Medicaid and Children’s Health Insurance Program coverage terminated were reinstated into coverage after computer errors in many states were corrected, the Centers for Medicare and Medicaid Services announced.
Some Medicare recipients could save money on 34 prescription drugs
The Centers for Medicare & Medicaid Services announced the list of 34 prescription drugs that may have a lower cost for Part B beneficiaries between Oct. 1 and Dec. 31.
Medicare announces first 10 drugs subject to price negotiations
Blood thinners and diabetes drugs head up the list of prescription medications up for negotiations.
Customers of Friday Health Plans of North Carolina have until the end of the day on Thursday, Aug. 31 to choose a new health insurance plan.
Fewer Wisconsin residents are enrolled in short-term health plans since 2019, and those plans have a rate of claim denials that far exceeds that of health plans offered on the Affordable Care Act marketplace in that state.
The New York State Department of Financial Service has proposed the nation’s most comprehensive set of market rules for pharmacy benefit managers in that state.