On Tuesday, the National Health Law Program (NHeLP) filed a lawsuit challenging HHS’s approval of an amendment to “Arkansas Works” which happened in March. The amendment would add work requirements to the Arkansas Medicaid program and could result in retroactive loss of coverage for those who don’t meet the requirements. NHeLP, with the help of […] Read More »
Kaiser Analysis Examines Out-of-Network Claims in Large Employer Health Plans
A new analysis from the Kaiser Family Foundation looks at inpatient admission and outpatient services to examine how patients are subject to higher cost-sharing and possible additional bills from out-of-network providers. The analysis states, “nearly one in five inpatient admissions includes a claim from an out-of-network provider” which typically include visits to emergency rooms, mental […] Read More »
Kaiser Looks at Correlation between Health and Work
A new issue brief from the Kaiser Family Foundation looks at several recent studies done on the connection between work and health. The brief entitled “The Relationship Between Work and Health: Findings from a Literature Review” asks questions such as what effect do health and health coverage have on work, what effect does work have […] Read More »
Administration Releases Final Rule on Short-Term Limited Duration Plans
This week, the Trump administration released its final rule on redefining what qualifies as a short-term, limited duration health plan. In summary, the new rule extends the length for which these plans can be purchased and allows them to last under 12 months and it allows them to be renewed for up to three years. […] Read More »
CMS Releases Medicaid Enrollment Data for May 2018
Today, the Centers for Medicare & Medicaid Services (CMS) released the Eligibility Determinations and Enrollment Report from May 2018. This report can also be found on our Resources & Links page under “Enrollment Statistics.” Prior Medicaid enrollment reports from CMS, are archived on our website. Read More »
Kaiser Analysis Shows Magnitude of Navigator Cuts
Last week, we highlighted the CMS Funding Opportunity Announcement (FOA) for the navigator program and the significant cut the FOA represents from funding levels in prior years. The Kaiser Family Foundation has released a new analysis which breaks down just how far these cuts have been experienced in each state both from 2017 to 2018 […] Read More »
CMS Navigator Funding Announced for OE6
Yesterday, CMS released its Funding Opportunity Announcement (FOA) for the sixth open enrollment period (OE6). Funding available this year represents a significant cut from funding levels in prior years. To read the CMS announcement, check out their press release. Applications are due August 9th. Read More »
CMS Releases Reports on 2018 Enrollment
Earlier this week, CMS issued three reports which summarize the final enrollment numbers for the 2018 plan year. These reports were on the Early 2018 Effectuated Enrollment Snapshot, the Exchanges Trends Report and the Trends in Subsidized and Unsubsidized Individual Health Insurance Market Enrollment. Read More »
Court Halts Kentucky’s Medicaid Work Requirement
In January, we reported on a lawsuit filed by the National Health Law Program (NHeLP) and others challenging the work requirements in Kentucky which were approved by CMS. On Friday, the United States District Court for the District of Columbia ruled that CMS had not fulfilled its burden under the Medicaid statute to determine how the […] Read More »
Brief Examines What Nationwide Medicaid Work Requirement Would Look Like
A new issue brief from the Kaiser Family Foundation examines the potential effects of a nationwide work requirement for Medicaid. Kaiser estimates in their brief “Implications of a Medicaid Work Requirement: National Estimates of Potential Coverage Losses” that between 1.4 to 4 million people could lose coverage due to a nationwide work requirement. However, the […] Read More »
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