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How states are defining essential health benefits

How states are defining essential health benefits

By Shelby Livingston  |  July 24, 2018

Alabama and Illinois are the first states to take advantage of new flexibility to define the essential health benefits that certain insurers must provide. Their approaches show how some seek to bolster their ACA markets while others weaken them.

CMS may propose restarting $10B risk-adjustment payments

CMS may propose restarting $10B risk-adjustment payments

By Virgil Dickson  |  July 19, 2018

The CMS sent a rule to the White House for review that may resume risk-adjustment payments to insurers. Patient advocates have claimed the agency was trying to sabotage the insurance exchanges by eliminating billions in payments.

California ACA rates to rise almost 9% next year

California ACA rates to rise almost 9% next year

By Shelby Livingston  |  July 19, 2018

The 1.4 million Californians who buy coverage on the state's individual insurance exchange will pay more in 2019 in part because the federal government zeroed out the federal penalty for not enrolling in coverage.

CMS slashes navigator funding to just $10 million

CMS slashes navigator funding to just $10 million

By Virgil Dickson  |  July 10, 2018

The CMS is chopping funding available for federal exchange navigators to $10 million, down from $36 million last year. Groups winning contracts will be expected to promote not just qualified health plans but also association and short-term plans as well.

Insurers likely to expand ACA exchange participation

Insurers likely to expand ACA exchange participation

By Harris Meyer  |  July 09, 2018

More insurers are expected to offer individual health plans on more Affordable Care Act exchanges for 2019. The big question is whether they will expand into rural counties.

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