New requirements for payers under CMS' Transparency in Coverage rule take effect Jan. 1.
Policy Updates
Washington is the nation's first state to be approved by HHS to offer health and dental ACA coverage to any resident, regardless of immigration status, The Hill reported Dec. 12.
CMS issued a proposed rule Dec. 14 to continue its efforts to overhaul prior authorization and marketing practices around Medicare Advantage and Part D plans, along with adding health equity measures to star ratings and boosting behavioral health network adequacy…
CMS is proposing a new rule to streamline options on the ACA marketplace and add more provider network requirements.
The number of powerful voices calling for an end to the nation's COVID-19 public health emergency is growing larger.
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When Cleveland Clinic said it would begin billing for certain Epic MyChart messages this November, it set off a fiery debate across the healthcare industry around hospital finances, patient access and physician burnout.
Cigna will add Humira biosimilars to its pharmacy formulary, giving the new, cheaper alternative products hitting the market next year the same position as the drug.
New Jersey is likely to soon become the eighth state to require state-regulated health plans to cover abortion services, Bloomberg reported Dec. 1.
The Connected Health Initiative, a coalition of medical groups, payers, universities and technology companies, wrote to congressional leaders Nov. 28 urging them to extend telehealth coverage for people with high deductible health plans before they hit their deductible, a policy…
Nearly 3.4 million people have signed up for ACA coverage since the open enrollment period began Nov. 1, or a 17 percent increase in enrollment since last year.