Trump Admin To Disenroll 760K From Exchange
The Centers for Medicare and Medicaid Services (CMS) canceled 315,000 health insurance Exchange enrollments covering more than 760,000 people. CMS says these enrollments were unlawful and that the rescissions are part of its anti-fraud campaign. The agency said the government will save $2.2 billion in premium subsidies.
In addition, CMS said it will terminate more than 200 agents and brokers that have failed to comply with enrollment standards.
Additional articles: https://www.fiercehealthcare.com/regulatory/cms-cancel-aca-coverage-760k-crack-down-brokers-latest-anti-fraud-push and https://www.modernhealthcare.com/politics-regulation/mh-cms-aca-enrollment-fraud/ and https://www.modernhealthcare.com/politics-regulation/mh-aca-broker-enrollment-freeze/ and https://thehill.com/policy/healthcare/6104381-vance-oz-aca-obamacare-crackdown/
#exchanges #healthcare #coverage #enrollment
Appeals Court Sides With Plans In NSA Suit
A federal appeals court ruled that a plastic surgery practice cannot sue Cigna to collect more than $3 million it won through the No Surprises Act’s (NSA) arbitration process. The court says the No Surprises Act gives providers a right to be paid but leaves enforcement to the Labor Department, the Treasury Department, HHS and the states. Thus far, no enforcement has occurred. Congress could weigh in but should not do so without real reforms to the provider-favored process.
#nsa #nosurprisesact #healthplans #providers
— Marc S. Ryan
