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DHS Responds to PA Hospitals Questions as Community HealthChoices Rollout Nears

December 15, 2017

The Pennsylvania Department of Human Services (DHS) is on track to implement Phase One of Community HealthChoices (CHC), Pennsylvania’s new Managed Long-Term Services and Supports (MLTSS) program in 14 southwestern counties on January 1, 2018.

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CMS Updates Medicare Advantage Value-Based Insurance Design Model

November 27, 2017

The Centers for Medicare & Medicaid Services (CMS) has announced updates for its Medicare Advantage Value-Based Insurance Design Model. The agency plans to expand the model from the seven states, including Pennsylvania, that are currently participating to 25 states by 2019.

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State Delays Phases 2 and 3 of Community HealthChoices Program, Allowing More Time to Learn from Initial Rollout in West

November 06, 2017

Today, the Pennsylvania Department of Human Services (DHS) announced that it is delaying the start dates for Phases 2 and 3 of Community HealthChoices (CHC), Pennsylvania’s new Managed Long-Term Services and Supports (MLTSS) program. DHS says it wants to learn from the Phase 1 rollout and allow time to make any necessary adjustments before implementing further phases.   

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Survey Shows Communication Gaps Between Health Plans and Members

October 18, 2017

A recent survey from HealthMine Health Intelligence Solution identifies important communication gaps between health plans and plan members.

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State Releases Individual and Small Group Insurance Rates; Individual Rate Increases Reflect Federal Elimination of CSR Payments

October 16, 2017

The Pennsylvania Insurance Department has released the final 2018 rates for individual and small group health insurance products that comply with the reforms of the Affordable Care Act (ACA).

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DHS Begins Sending Community HealthChoices Consumer Packets in Southwest Zone

October 03, 2017

The Department of Human Services (DHS) will implement Community HealthChoices (CHC) in the Southwest Zone effective January 1, and has started mailing pre-enrollment packages to eligible participants. Consumers are being asked to select their health plan, and individuals who do not select a plan by November 13 will be assigned to a plan.

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Pennsylvania Delegation Pushes CHIP Funding Extension

September 29, 2017

Seventeen members of the Pennsylvania Congressional delegation penned a letter to Congressional leaders urging swift action to extend federal funding for the Children’s Health Insurance Program (CHIP).

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U.S. Senate Abandons Graham-Cassidy-Heller-Johnson ACA Repeal and Replace Proposal

September 26, 2017

Faced with a tide of opposition from health care stakeholders, advocates, patients and consumers, the U.S. Senate abandoned an effort to vote on the Graham-Cassidy-Heller-Johnson (GCHJ) plan to repeal and replace the Affordable Care Act (ACA).

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U.S. Senate Pushes for Consideration of Graham-Cassidy-Heller-Johnson Proposal; PA Impact in Spotlight

September 25, 2017

In testimony before a U.S. Senate commitee, Pennsylvania's Acting Secretary of Human Services said the newest ACA repeal and replace plan would reverse the state's low uninsured rate and result in skyrocketing numbers of uninsured individuals.


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Senate HELP Committee Holds Hearing about Health Insurance Market Stabilization

September 12, 2017

In the third of a series of hearings before the U.S. Senate Health, Education, Labor and Pension (HELP) Committee, five industry experts with different backgrounds offered recommendations about how to bring stability to individual insurance markets both short-term and for the future. 

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Governor Announces New Leaders for Department of Human Services, Insurance

August 18, 2017

Governor Wolf has announced that he has nominated Teresa Miller, current Commissioner for the Pennsylvania Insurance Department to serve as Secretary for the Pennsylvania Department of Human Services (DHS), effective August 21.

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CMS Extends Deadline for Insurers to File 2018 Rates

August 15, 2017

The Centers for Medicare & Medicaid Services (CMS) announced that insurers participating in the Health Insurance Marketplaces (HealthCare.gov) have until September 5 to file their final rates for 2018. The action provides additional time for insurers to adjust their premiums due to continued uncertainty surrounding the Affordable Care Act, including the possibility that cost-sharing reduction (CSR) subsidies will go unfunded next year.

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Employers Plan to Adopt Consumer-Focused Strategies to Reduce Health Care Costs

August 10, 2017

Two health care employer surveys released recently reveal that, faced with a five to 5.5 percent increase in health care benefit costs in 2018, United States employers plan to adopt new strategies to manage costs.

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Pennsylvania Insurance Commissioner Pens Letter to HHS Secretary Price, Urges Market Stabilization

August 01, 2017

Pennsylvania Insurance Commissioner Teresa Miller yesterday sent a letter to U.S. Department of Health and Human Services (HHS) Secretary Tom Price urging the federal government to commit to continued cost-sharing reduction (CSR) payments to help shore up Pennsylvania’s insurance marketplace.

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CMS Projects Insurance Exchange Carriers in Every PA County, PA Insurance Market Shows Signs of Stability

July 14, 2017

The Centers for Medicare & Medicaid Services (CMS) recently released an updated map of projected health insurance exchange issuers by county. CMS projects that Pennsylvania will have at least one health insurance exchange carrier in every county with most counties having two or more.

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