President Donald Trump has signed an executive order aimed at cracking down on price transparency requirements for hospitals and insurers.
Payer Policy Updates
Aetna is walking back a proposed policy change involving reimbursement rates for services provided by nurse practitioners and nurse midwives.
A pair of federal lawmakers have introduced a bill to require some Medicaid recipients to work to receive benefits.
An organization representing Medicare Advantage insurers is asking CMS to pause any policy changes to the program not required by law in 2026.
A group representing large employers is suing to block the implementation of a rule that would more strictly enforce requirements for insurers to cover mental health care.
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HHS has rescinded a proposal to require ACA plans to cover over-the-counter contraceptives, Politico reported Jan. 14.
CMS will implement policies meant to crack down on fraud in the ACA marketplace.
Nevada has received federal approval to implement public health insurance plans on its ACA exchange, becoming the third state to do so after Colorado and Washington.
CMS is proposing a more generous increase in payments to Medicare Advantage plans in 2026 than in previous years.
A new California law went into effect Jan. 1 that prohibits payers from making coverage decisions based solely on artificial intelligence algorithms.