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- October 6, 2016
NHeLP Comments on ACA Proposed Rule on Benefit and Payment Parameters
Read moreNHeLP provides comments on a proposed rule from the U.S. Department of Health and Human Services (HHS) setting forth payment parameters and provisions related to the risk adjustment program; cost sharing parameters and reductions; user fees for the federally operated and state-based marketplaces; and guidance related to an array…
- October 4, 2016
Issue Brief: A Primer on Reference Pricing & VBID
Read moreCost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely health care services. Health care experts, however, are exploring other mechanisms, such as Value-Based Insurance Design (VBID) and its Reference Pricing ways to address shortcomings of cost sharing. VBID, at…
- September 30, 2016
Comments on the Draft 2017 Letter
Read moreNHeLP provides comments on the Centers for Medicare and Medicaid Services (CMS) draft letter to issuers in the Federally Facilitated Marketplaces (FFMs). NHeLP provides comment on a number of matters including guidance and suggestions on standardized plan options, on network adequacy of Qualified Health Plans, Essential Community Providers, Discriminatory Benefit…
- September 23, 2016
Health Advocate: States Expand Coverage of Contraception
Read moreStates are taking the initiative to bolster federal health care policy intended to provide comprehensive contraceptive coverage, Staff Attorney Agata Pelka writes in the September Health Advocate. Pelka states, "Access to quality, comprehensive health care is critical for women to be equal, participating, and productive members of society." While…
- September 1, 2016
NHeLP Comments to PERM Regulations
Leo Cuello CommentsRead moreIn comments to the U.S. Department of Health and Human Services, NHeLP Director of Health Policy Leonardo Cuello recommends that HHS should make the Payment Error Rate Measurement regulations consistent with the recently released Medicaid managed care regulations and use the Payment Error Rate Measurement process as a tool to promote…
- August 31, 2016
Lessons from CA: Special Enrollment Period Verifications
Read moreThis issue of Lessons from California highlights the audit process that California's marketplace just implemented to ensure individuals who claim to have a basis for a special enrollment period in fact have a qualifying event to enroll outside of annual open enrollment.
