Amy Goldstein, The Washington Post Published 3:09 pm PDT, Tuesday, July 10, 2018 WASHINGTON - The Trump administration is eliminating most of the funding for grass-roots groups that help Americans get Affordable Care Act insurance and will for the first time urge the groups to promote health plans that bypass the law's consumer protections and required benefits. The reduction, the second round of cuts that began a summer ago, will shrink the federal money devoted to groups known as navigators from $36.8 million to $10 million for the enrollment period that starts in November. Last August, federal health officials announced they were reducing the navigators' aid by 41 percent - from $62.5 million - and slashing a related budget for advertising and other outreach activities to foster ACA enrollment by 90 percent. The new reduction of help for navigators, announced late Tuesday afternoon by the Centers for Medicare and Medicaid Services, fits within a pattern of moves by … [Read more...] about Administration slashes grants to help Americans get Affordable Care Act coverage
Obamacareaffordable care act
Amy Goldstein, The Washington Post Published 5:20 pm PDT, Friday, October 19, 2018 WASHINGTON - The confidential records of about 75,000 consumers have been hacked from one of the data portals used to help people get health plans through the Affordable Care Act's federal insurance marketplace, the Trump administration announced on Friday. The breach, involving a system used by agents and brokers as part of the insurance program, exposed credit and other personal information. It throws into turmoil one aspect of the ACA's insurance-signup process less than two weeks before the start of the annual enrollment period for coverage created by the 2010 health-care law. According to a spokesman for the Department of Health and Human Services' Centers for Medicare and Medicaid Services, the online pathway for agents and brokers into the federal insurance exchange was shut down earlier this week, though officials hope to reopen it a few days before the Nov. 1 start of the … [Read more...] about Consumer data compromised in Affordable Care Act enrollment portal
Introduction.On June 17, 2010, the U.S. Departments of Treasury, Health & Human Services, and Labor issued an interim final regulation detailing changes that will -- or will not -- cause an employer’s group health benefit plan to lose its “grandfathered plan” status.The three Departments then issued three sets of interim final regulations that address changes made by the Affordable Care Act that apply to plan years beginning on or after September 23, 2010:On June 28, 2010, the Departments of Health and Human Services, Labor and Treasury issued interim final regulations implementing the Act’s requirements that prohibit preexisting condition exclusions, lifetime and annual limits, and recisssions, and the Act’s requirements designed to ensure choice of primary care physician and greater access to benefits for emergency services.On July 19, 2010, these Departments issued interim final regulations implementing the Act’s requirements for coverage of … [Read more...] about To Grandfather or Not: Affordable Care Act Requirements
Today, June 28, 2012, the U.S. Supreme Court issued its decision upholding the Patient Protection and Affordable Care Act of 2010 (the "ACA" or "Act"). The decision marks the culmination of a legal battle and public debate that began soon after the ACA was enacted. The Court upheld the individual mandate, perhaps the most controversial provision of the ACA, but limited the expansion of Medicaid under the ACA. All provisions of the ACA will continue to be in effect, with some limits on the Medicaid expansion. In order to prevent a constitutional violation due to the Medicaid expansion portion of the ACA, the Court held that the Secretary of the Department of Health and Human Services ("Secretary") is not permitted to apply §1396c of the Act to withdraw existing Medicaid funds to a state for failing to comply with the requirements set out in the expansion provisions. Though today's decision will have far-reaching effects in political discourse, the Court emphasizes its deference to … [Read more...] about Analysis: U.S. Supreme Court Upholds the Affordable Care Act: Roberts Rules?
On April 19, 2011, the Centers for Medicare & Medicaid Services (CMS) posted proposed updates to the Inpatient and Long-term Care Hospital Prospective Payment Systems for fiscal year 2012 (FY 2012). The proposed rule continues to implement various provisions of the Affordable Care Act (ACA), including Hospital Readmission Penalty programs and updates to the Value-based Purchasing program. CMS will consider comments received by June 20, 2011, and will respond to them in a final rule to be issued by August 1, 2011. This white paper summarizes key provisions of the proposed rule. Hospitals are encouraged to review the entire rule, and to evaluate the impact of all of the proposed changes. The proposed rule will appear in the May 5, 2011, Federal Register and on the CMS website, www.cms.gov. CMS proposes for FY 2012 a prospective reduction of 3.15 percent to the standardized amount to partially adjust for increases in the case mix index arising from the transition to Medicare Severity … [Read more...] about CMS Publishes Proposed Policy and 2012 Payment Changes for Stays in Hospitals and Affordable Care Act Quality of Care Provisions