Payer Policy Updates

Two Iowa lawmakers are calling on CMS to extend the eligibility for transitional health plans through 2023. 

Maine is the first state to combine its individual and small group insurance markets under the ACA, according to the Press Herald. 

CMS is looking to receive feedback from stakeholders on how Medicaid and the Children's Health Insurance Program can increase healthcare access. 

Forty senators penned a letter calling on HHS Secretary Xavier Becerra to implement more consumer protections against "junk insurance."

Michigan lawmakers passed a bipartisan bill Feb. 16 that seeks to increase the transparency of its pharmacy benefit managers in an effort to bring down prescription drug prices. 

Thirty-four U.S. senators issued a joint statement to the Biden administration Feb. 16  urging it to increase enforcement against payers who illegally deny birth control coverage.

CMS updated Medicaid's coverage of an early-detection lung cancer screening Feb. 10, a move that would expand coverage nationwide. 

The Federal Trade Commission will vote Feb. 17 whether to investigate the anticompetitive impacts of pharmacy benefit managers on independent pharmacies.  

America's Health Insurance Plans supported CMS' preliminary guidance on covering Aduhelm, Biogen's Alzheimer's disease treatment, calling its decision "the right approach."

Mississippi's House of Representatives passed an amendment to a bill that would bar the state from contracting Medicaid services to entities that have settled with the state for over $50 million — a move specifically targeting Centene — according to…