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CMS notifies states it will not approve or match funds for designated state health, investment programs
The Centers for Medicare & Medicaid Services April 10 announced that it does not intend to approve new or extend existing requests for federal funds to match state expenditures on designated state health and designated state investment programs
AHA comments on CMS Marketplace Integrity and Affordability proposed rule
The AHA April 11 commented on the Centers for Medicare & Medicaid Services’ 2025 Marketplace Integrity and Affordability proposed rule.
Analysis finds Marketplace enrollment more than doubled since 2020
A KFF analysis published April 3 found that Health Insurance Marketplace enrollment reached a record-high for a fourth consecutive year and has more than doubled since 2020.
AHA releases first health care plan accountability update for 2025
The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicar
Health Plan Accountability
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers, member updates and earned media.
CMS issues proposed rule changing federal marketplace enrollment and eligibility requirements
The Centers for Medicare & Medicaid Services March 10 released new proposed policies for health insurance marketplaces, including the issuers, agents and brokers who assist marketplace enrollees.
AHA brief urges court to oppose motion by MultiPlan to end antitrust case
The AHA March 10 filed a friend-of-the-court brief in the U.S. District Court for the Northern District of Illinois, urging the court to oppose a motion by data analytics firm MultiPlan to dismiss claims that the company conspired with insurers to reduce out-of-network reimbursements for hospitals and health systems.
AHA Amicus Brief Challenges MultiPlan, Inc. Motion to Dismiss Antitrust Litigation
Commercial insurance reimbursements comprise the majority of many hospitals’ revenue. Moreover, because government programs like Medicare do not cover the costs of providing care, commercial reimbursements can be the difference between losing money, breaking even, or earning a sustainable margin.
Blog: 3 Ways Not Extending the Enhanced Premium Tax Credits Would Hurt Patients in Rural Communities
Congress passed into law legislation in 2021 that allowed additional eligibility for enhanced premium tax credits to help certain individuals and families purchase insurance on the health insurance marketplaces.