Tag: CMS

health insurance

CMS Releases 2016 National Health Expenditure Figures

In 2016, overall national health spending increased 4.3% following 5.8% growth in 2015, according to a study by the Office of the Actuary at the Centers for Medicare & Medicaid Services (CMS). Following Affordable Care Act (ACA) coverage expansion and significant retail prescription drug spending growth in 2014 and 2015, says CMS, healthcare spending growth […]

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ACA

CMS Seeks Input on Easing ACA Burdens

The Centers for Medicare and Medicaid Services (CMS) is seeking input on how it can reduce the economic and regulatory burdens of the Affordable Care Act (ACA). The request for information (RFI), published June 12 in the Federal Register (82 Fed. Reg. 26885), calls for recommendations on streamlining the ACA’s regulation of the individual and small-group […]

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ACA

CMS Issues Proposed Rule Designed to Stabilize Heath Insurance Marketplace

As a firm plan for the future of the Affordable Care Act (ACA) remains in limbo, the Centers for Medicare & Medicaid Services (CMS) have responded by issuing a proposed rule for 2018 that outlines reforms “critical to stabilizing the individual and small group health insurance markets to help protect patients,” says CMS.

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CMS Finalizes Health Insurance Marketplace Rules

On December 16, the Centers for Medicare & Medicaid Services (CMS) issued the Notice of Benefit and Payment Parameters final rule and the final Annual Letter to Issuers for 2018. The primary focus of the notice—risk stabilization—complements recent announcements that are meant to improve the risk pool, including actions to address third-party payments of premiums and improve program integrity for […]

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CMS Clarifies Timing of SBC Template Transition

The dates when group health plans should begin using the most recently revised summary of benefits and coverage (SBC) template were clarified by the Centers for Medicare and Medicaid Services (CMS) in a July 8 Q&A document.

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More Fun with the ACA and Form 1095-C

What is the Federally Facilitated Marketplace’s (FFM) 2016 Employer Notice Program that is run by the Centers for Medicare and Medicaid Services (CMS)? It’s important that you know, and we are happy to help you out.

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Release of Medicare Claims Data Expected to Help Plan Sponsors

The feds’ decision to release Medicare claims data for quality measurement should help employers and individuals alike make more informed decisions down the road, advancing the goals of health care quality and value, a plan sponsor representative noted. Importantly, the Centers for Medicare and Medicaid Services’ (CMS) final rules apparently will allow the selected data […]

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