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As CMS Sets Rules for 2020 Health Insurance Marketplaces, PA Proposes State-based Exchange

April 22, 2019

The Centers for Medicare & Medicaid Services, has finalized the Notice of Benefit and Payment Parameters for 2020. These parameters would set the 2020 standards for health insurance companies, services, and organizations and the health insurance marketplaces.

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Medicare Advantage Enrollees May Have More Access to Telehealth Services

April 17, 2019

The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule updating the Medicare Advantage program to allow for innovative plan design and more choices for patients. The popularity of Medicare Advantage plans has been on the rise and new flexibilities, including additional telehealth and nontraditional benefits will likely continue this trend. 

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HAP Supports a State-based Health Insurance Exchange in Pennsylvania

March 29, 2019

The Pennsylvania Insurance Department is proposing to create a state-based health insurance exchange to better serve Pennsylvanians with a target implementation date of 2021. 

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Future of ACA in Focus as Administration Challenges Law and U.S. House Democrats Reaffirm Support

March 26, 2019

As the U.S. Department of Justice called for the 5th Circuit Court of Appeals to uphold a Texas District Court decision invalidating the Affordable Care Act (ACA), U.S. House Democrats are pursuing a legislative strategy to reinforce patient protections under the ACA and protect the ACA insurance markets from actions by the Trump Administration to undermine the law.

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U.S. House Committee Exercises Oversight of “Skinny” Health Plans

March 15, 2019

The U.S. House Energy & Commerce Committee initiated an oversight investigation into the practices of short-term, limited duration insurance health care plans and insurance brokers. 

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U.S. House Committee Considers Market Approaches to Lower Consumer Costs and Expand Access

March 06, 2019

The U.S. House Energy & Commerce Health Subcommittee reviewed a series of legislative proposals aimed at building on the successes of the current market-based approach to providing health care and improving efforts to expand access to coverage and lower consumer costs.

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AHA Releases Report, Resources on Telehealth

March 01, 2019

The American Hospital Association (AHA) Center for Health Innovation released the second in a series of new market intelligence tools for hospital and health system leaders. Telehealth: A Path to Virtual Integrated Care is based on information and insights from interviews with hospital and health system leaders and other health care experts, surveys of hospital and health systems, and a number of health care reports and research articles.

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House Democrats Initiate Policy Conversation about ‘Medicare for All’; Funding for Plan is Not Defined

February 27, 2019

The concept of a single-payer health care system, in which government operates a tax-funded health insurance plan for all residents, has been a mainstay of political health care reform discussions for years. As Democrat Presidential hopefuls define their position relative to single-payer, progressive leaders of the Congressional Caucus advocating for “Medicare for All” introduced a sweeping overhaul of the our existing health care system. The plan would transition all Americans into a government-run, single-payer, universal Medicare program over two years, eliminating private insurance. This legislative proposal also calls for providing global budgets to all health care providers in order to contain costs. Global budgets prospectively set the amount of money that can be spent.

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For 2017, Uncompensated Care in Pennsylvania Goes Down as National Trend Remains Steady

January 09, 2019

The American Hospital Association recently issued a report stating that United States hospitals provided $38.4 billion worth of uncompensated medical care during 2017.

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Open Enrollment Continues to Lag with One Day Left; Pennsylvanians Encouraged to Get Covered, Stay Covered

December 14, 2018

With just one day remaining during the open enrollment period for the Affordable Care Act (ACA) insurance marketplace, Pennsylvanians who get their insurance through the marketplace, or who are uninsured, should take advantage of this opportunity to get covered and stay covered.

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HAP and Pennsylvania Providers Voice Health Care Consequences of Proposed “Public Charge” Immigration Policy

December 11, 2018

Pennsylvania hospitals and statewide organizations representing health care providers that serve Pennsylvania patients urged federal policymakers to reconsider a proposed immigration policy that will have direct consequences for the health of millions of lawfully present families and, in turn, impact the health of all citizens and communities.

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The Number of Uninsured Children in the U.S. Increased for First Time in Almost a Decade

November 30, 2018

Following a historic low during 2016, the uninsured rate among children in the United States has increased. From 2016 to 2017, newly released data from the Georgetown University Health Policy Institute Center for Children and Families shows that an estimated 276,000 more children were uninsured. Nationwide, the percentage of children without health insurance increased from 4.7 percent during 2016, to 5 percent during 2017.

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Marketplace Open Enrollment in Pennsylvania: Signups Down from Last Year

November 29, 2018

Newly released Open Enrollment numbers from the federal Centers for Medicare & Medicaid Services for health insurance signups via HealthCare.gov show that enrollment for 2019 coverage is down compared to last year. Pennsylvania is among the states with the largest enrollment decrease; Pennsylvania hospitals are encouraged to continue their enrollment and outreach efforts.

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Medicare Open Enrollment Ends December 7—Beneficiaries Should Review Options and Sign Up

November 27, 2018

Medicare Open Enrollment provides an opportunity for all Medicare beneficiaries to consider their health care coverage. The Medicare Open Enrollment period closes December 7, 2018. Eligible individuals are encouraged to review the available options and select the plan that best meets their needs prior to the deadline.

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Pennsylvanians Encouraged to Research Options, Shop for Health Care Coverage

November 09, 2018

During the first week of open enrollment for the Affordable Care Act’s (ACA) insurance marketplace, Centers for Medicare & Medicaid Services estimates that more than 371,000 individuals selected insurance plans via HealthCare.gov. Pennsylvanians have through December 15 to get covered and stay covered.

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