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You can now 'window shop' on ahead of open enrollment

October 30, 2018

CMS on Friday said consumers can begin window shopping on, meaning they can use the website to view the plans that will be available once the open enrollment period launches on Nov. 1 and calculate how much the plans will cost.

Judge urges health care groups to drop request to block Trump's short-term health plan rule

October 30, 2018

U.S. District Judge Richard Leon during oral arguments last week said health care groups should drop their request for a preliminary injunction to block the Trump administration's short-term health plan rule because they do not have proof that they have been harmed by the rule.

Premiums could have been 16% lower without Trump's policy changes, analysis finds

October 29, 2018

Individual health plan premiums for the 2019 coverage year could have been up to 16% lower if the Trump administration had not made certain policy changes, such as expanding access to association and short-term health plans, a Kaiser Family Foundation analysis finds.

ACA's state innovation waivers are getting a makeover—and a new name

October 23, 2018

New guidance from CMS loosens the guard rails for so-called state innovation waivers, which were created under the Affordable Care Act to allow states to alter their health insurance markets, but some experts say the changes might not be legal. was hacked. Here's what you need to know.

October 22, 2018

CMS estimates a breach affected about 75,000 consumer files, and CMS Administrator Seema Verma says the agency is "working to identify the individuals potentially impacted as quickly as possible so that [it] can notify them and provide resources such as credit protection."

On Trump's fall 2018 health care agenda: Medicare Part D changes, Medicaid premiums, and more

October 19, 2018

The White House and federal agencies this week released their fall regulatory agendas, setting the stage for new health care regulations for the Affordable Care Act's exchanges, Medicaid, Medicare, and more.

Another insurer prevails in lawsuit seeking cost-sharing reduction payments

October 19, 2018

A federal claims court judge last week ordered CMS to pay Sanford Health Plans about $360,000 in cost-sharing adjustment payments called for under the Affordable Care Act, giving insurers another win in cases contesting the Trump administration's decision to cut off the payments.

Average exchange plan premiums are declining for the first time, CMS says

October 12, 2018

New CMS data show the average monthly premium rate for silver-level health plans sold through the federal exchange will drop by 1.5% for the 2019 coverage year when compared with 2018.

Insurers are more profitable than at any point since the ACA passed

October 9, 2018

Insurers selling individual health plans had stronger financial performance during the first six months of this year than they have in all other years since the Affordable Care Act's coverage expansions took effect, according to a new Kaiser Family Foundation brief.

Judge orders CMS to pay $1.2M in cost-sharing reduction payments to co-op

October 9, 2018

A federal claims court judge who last month ruled that the Trump administration erred in its decision not to pay insurers cost-sharing reduction (CSR) payments is now ordering CMS to pay Montana Health co-op more than $1.2 million in CSR payments.

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