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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.

What Kavanaugh's confirmation means for SCOTUS' health care rulings

October 8, 2018

Supreme Court Justice Brett Kavanaugh has ruled on several high-profile health care cases that some observers say could shed light on how he would rule if cases on those issues were to reach the Supreme Court.

Federal exchange premiums are dropping for 2019, Azar says

September 28, 2018

HHS Secretary Alex Azar says premium rates for silver-level health plans sold through the Affordable Care Act's federal exchange are expected to decline for the first time since the law's enactment.

In the states: California bans sale of short-term health plans, New Mexico abandons federal exchange, and more

September 28, 2018

American Health Line rounds up the latest health care news in the states.

Congress just passed bills to help you pay the lowest price for Rx drugs

September 26, 2018

The bills, which now head to President Trump, would prohibit the use of so-called pharmacy "gag clauses"—which prevent pharmacists from telling customers when a drug could be purchased at a lower cost without insurance—in commercial health plans, as well as Medicare Part D and Medicare Advantage plans.

1 in 4 people with diabetes have rationed insulin. Here's why that's dangerous.

September 14, 2018

About one in four diabetics has resorted to rationing their insulin doses to combat rising prices—but the practice can have lethal consequences.

CMS doles out ACA navigator funding for upcoming open enrollment period

September 13, 2018

CMS says it has awarded $10 million in grants to 39 so-called "navigator" organizations that help enroll U.S. residents in Affordable Care Act exchange plans—down from 90 that received such grants last year.

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