Affordable Care Act

IHA’s Symphony Chosen As Provider Directory Data Source for Covered California

Retrieved on: 
Thursday, March 14, 2024
Organization, IHA, FACP, PDM, Hospital, Policy, Affordable Care Act, California State Assembly, Senate, Directory, Health insurance

“Provider directory accuracy is critically important as new members come to Covered California and move between plans,” says Jeff Rideout, MD, MA, FACP, President and CEO of IHA.

Key Points: 
  • “Provider directory accuracy is critically important as new members come to Covered California and move between plans,” says Jeff Rideout, MD, MA, FACP, President and CEO of IHA.
  • All of the 12 Covered California Qualified Health Plans and provider networks are already actively engaged with Symphony.
  • Symphony currently identifies more than 80,000 corrections to provider directories every 30 days, ensuring health plans can maintain accurate provider directories.
  • Availity Provider Data Management (PDM), a web-based multi-player platform designed for provider information, supports Symphony’s data sharing, reconciliation, and validation for participating health plans, provider organizations, and small provider entities.

Segal Unveils 2024 State Employee Health Benefit Study and Interactive Plan Comparison Map Tool

Retrieved on: 
Friday, March 29, 2024
General Health, Professional Services, Technology, State, Local, Public Relations, Investor Relations, Insurance, Communications, Human Resources, Finance, Other Technology, Health, Public Policy, Government, Consulting, PPO, Care Act 2014, HDHP, Preferred provider organization, Organization, Growth, Map, OOP, ACA, Affordable Care Act, Health insurance

Leading benefits and HR consulting firm Segal released its 2024 State Employee Health Benefit Study today, alongside an interactive map revealing state-by-state comparisons of health benefit plans.

Key Points: 
  • Leading benefits and HR consulting firm Segal released its 2024 State Employee Health Benefit Study today, alongside an interactive map revealing state-by-state comparisons of health benefit plans.
  • High-deductible health plans (HDHPs) are more prevalent in America today, in fact more than half of state plans offer an HDHP plan option.
  • Complementing the study, Segal's innovative, interactive map tool enables users to perform detailed state-by-state comparisons, shedding light on the intricate details of each state's employee health benefit plan.
  • This groundbreaking study and accompanying digital map are built on Segal’s extensive expertise gained from decades of advising health plans.

Leading Public Health Advocacy Organization Marks the Anniversary of the Affordable Care Act

Retrieved on: 
Thursday, March 28, 2024
ACA, United States Census Bureau, Health, Organization, Congress, Letter, Trust for America's Health, Health equity, Risk, COVID-19, Conditional sentence, Public, Care Act 2014, Smoker, Patient, Affordable Care Act, Death, Insurance, Health policy, Mortality, Medicare, Multimedia, Legislation, Health insurance

WASHINGTON, March 28, 2024 /PRNewswire/ -- This year marks the 14th anniversary of the enactment of the Affordable Care Act (ACA). Its passage was the most significant advancement of health policy since the establishment of Medicare and Medicaid in the 1960s and made healthcare accessible and affordable for millions more Americans. Despite efforts to repeal and restrict the ACA, the progress the legislation has made toward health equity and improving public health prevention is significant and lifesaving. It must be preserved.

Key Points: 
  • WASHINGTON, March 28, 2024 /PRNewswire/ -- This year marks the 14th anniversary of the enactment of the Affordable Care Act (ACA).
  • Despite efforts to repeal and restrict the ACA, the progress the legislation has made toward health equity and improving public health prevention is significant and lifesaving.
  • Health insurance enrollment has soared in the years since the Affordable Care Act became law.
  • The creation of the Prevention and Public Health Fund (PPHF) has been an important tool for improving health outcomes and reducing health expenditures.

2023 ez1095 Software Offers Customer Support And Unique Features For Deadline Peace of Mind

Retrieved on: 
Friday, March 22, 2024
Social Security, IRS, Printing, Name, Software, Affordable Care Act, Social, 1095-C, Government, ACA

ATLANTA, March 22, 2024 /PRNewswire-PRWeb/ -- Latest 2023 ez1095 Affordable Care Act (ACA) software from Halfpricseoft.com is up and ready for the upcoming efile deadline. Many unique features are available as well as a fast and efficient staff to answer questions and assist with any filing issues. As always, the developers offer customer support at no cost for the software in an effort to speed up the filing process.

Key Points: 
  • Ez1095 2023 software released with fast and efficient customer support for new and seasoned e-filers.
  • ATLANTA, March 22, 2024 /PRNewswire-PRWeb/ -- Latest 2023 ez1095 Affordable Care Act (ACA) software from Halfpricseoft.com is up and ready for the upcoming efile deadline.
  • As always, the developers offer customer support at no cost for the software in an effort to speed up the filing process.
  • The latest version of ez1095 ACA software is chock- full of features to assist new and seasoned customer process forms for the upcoming deadline.

SureCo Helps Large Employers Adopt New Benefits Model With First-Ever ICHRA Compliance eBook

Retrieved on: 
Wednesday, March 20, 2024
Consultant, COBRA, IRS, Documentation, ERISA, Health, CO, Knowledge, Ebook, Human services, Affordable Care Act, Medicare, Ministry of Labour, ACA, Health insurance

With the release of its ebook, "ICHRA Compliance: The Definitive Guide for Large Employers," SureCo aims to empower businesses with over 150 employees with the knowledge and tools they need to understand the ACA's Employer Mandate and avoid common compliance pitfalls that can trigger millions of dollars worth of penalty fines from the IRS.

Key Points: 
  • With the release of its ebook, "ICHRA Compliance: The Definitive Guide for Large Employers," SureCo aims to empower businesses with over 150 employees with the knowledge and tools they need to understand the ACA's Employer Mandate and avoid common compliance pitfalls that can trigger millions of dollars worth of penalty fines from the IRS.
  • This free resource is the first of its kind, offering comprehensive guidance on Individual Coverage Health Reimbursement Arrangement (ICHRA) compliance.
  • "The health insurance market is shifting, and we're at an inflection point for ICHRA adoption," says SureCo CEO and Co-Founder Matthew Kim.
  • The eBook concludes with a 2024 ICHRA Compliance Checklist, providing employers with a practical tool for ongoing compliance.

FTC Sends Nearly $100 Million in Refunds to Consumers Harmed by Benefytt Technologies’ Sham Health Plans

Retrieved on: 
Tuesday, April 2, 2024
Federal Trade Commission, Commission, Care Act 2014, Marketing, Social media, Blog, News, ACA, Affordable Care Act, FTC

The Federal Trade Commission is sending nearly $100 million in refunds to consumers who were charged for sham health plans marketed by Benefytt Technologies.

Key Points: 
  • The Federal Trade Commission is sending nearly $100 million in refunds to consumers who were charged for sham health plans marketed by Benefytt Technologies.
  • Sales agents pitched Benefytt’s sham plans even though they were not ACA-qualified health plans and lacked key elements.
  • In 2023, FTC actions led to $324 million in refunds to consumers across the country.
  • Follow the FTC on social media, read consumer alerts and the business blog, and sign up to get the latest FTC news and alerts.

Pluri Inc. Announces Appointment of Jim Roosevelt, Jr. to its Advisory Board

Retrieved on: 
Wednesday, March 6, 2024
Therapy, Politics, Public policy, Regenerative medicine, Massachusetts Democratic Party, PLUR, Social, Public health, Government, Affordable Care Act, Plural, Cell, Rule, Health, Social Security, Private sector, Medicare, Harvard Kennedy School, Cambridge Public Library, Patient, Knowledge, Democratic National Committee, Medicaid, National Committee, Quality assurance, Tufts Health Plan

HAIFA, Israel, March 06, 2024 (GLOBE NEWSWIRE) -- Pluri Inc. (Nasdaq: PLUR) (TASE: PLUR) (“Pluri” or the “Company”), a leading biotech company that transforms cells into solutions that promote global wellbeing and sustainability, today announced the appointment of attorney James Roosevelt, Jr. to the Company’s Advisory Board.

Key Points: 
  • HAIFA, Israel, March 06, 2024 (GLOBE NEWSWIRE) -- Pluri Inc. (Nasdaq: PLUR) (TASE: PLUR) (“Pluri” or the “Company”), a leading biotech company that transforms cells into solutions that promote global wellbeing and sustainability, today announced the appointment of attorney James Roosevelt, Jr. to the Company’s Advisory Board.
  • The intersection of public policy and health is a passion for him.
  • As CEO of Tufts Health Plan, his leadership achieved consistent profitability while attaining the #1 ranking from the National Committee for Quality Assurance.
  • Mr. Roosevelt is also a trustee of the Cambridge Public Library, the Cambridge Community Foundation, and the Atrius Health Equity Foundation.

Manatt Expands Affordable Coverage Capabilities With Former NYS Department of Health Director

Retrieved on: 
Thursday, March 7, 2024
Legal, Professional Services, Business, Finance, Division, New Yorker, Health care, DOH, Care Act 2014, Pacific Ocean, ACA, Customer service, Manatt, Phelps & Phillips, Digital, Senior advisor, Affordable Care Act, University, Partner, Tom, Policy, Health policy, DEMI, Law, LLP, Privacy, NY State of Health, Legal aid, CHIP, City University, Nursing

Sbrana also has considerable experience advising various stakeholders—such as federal, state and local government partners, advocates and health plans—on Medicaid and CHIP coverage policies, the Basic Health Program, both Section 1115 and Section 1332 waivers, and developing creative solutions to expand affordable health coverage.

Key Points: 
  • Sbrana also has considerable experience advising various stakeholders—such as federal, state and local government partners, advocates and health plans—on Medicaid and CHIP coverage policies, the Basic Health Program, both Section 1115 and Section 1332 waivers, and developing creative solutions to expand affordable health coverage.
  • “Lisa has been a trusted leader supporting health care organizations and federal and state policymakers on efforts that drive innovation, address barriers to health care coverage and advance health outcomes,” said Manatt Health Leader Bill Bernstein .
  • “Manatt has always impressed me with its unique approach to client service and its desire to advance health care coverage, access and quality across the nation,” said Sbrana.
  • Her practice included impact litigation, development of health care policy and representation of individual clients denied access to health care benefits and/or services.

National Organization for Rare Disorders (NORD) Releases Annual State Report Card, Revealing Trends in Rare Disease Health Care Coverage

Retrieved on: 
Wednesday, March 6, 2024
Caregiver, Care Act 2014, Affordable Care Act, Organization, Patient, Policy, Legislation, Disease, RDAC, Failure, Insurance, Partnership, Health insurance

QUINCY, Mass., March 6, 2024 /PRNewswire/ -- The National Organization for Rare Disorders (NORD) released its annual State Report Card, which grades each U.S. state on critical issues impacting access to care for the 1 in 10 Americans living with a rare disease. This year's State Report Card highlights state policies that can jeopardize health care coverage, access, and affordability for rare disease patients, including limitations on Medicaid enrollment, inadequate state-regulated insurance, and failure to protect against high out-of-pocket prescription drug costs.

Key Points: 
  • NORD's State Report Card reveals grades on state policies that could jeopardize health care coverage, access and affordability for rare disease patients
    QUINCY, Mass., March 6, 2024 /PRNewswire/ -- The National Organization for Rare Disorders (NORD) released its annual State Report Card , which grades each U.S. state on critical issues impacting access to care for the 1 in 10 Americans living with a rare disease.
  • This year's State Report Card highlights state policies that can jeopardize health care coverage, access, and affordability for rare disease patients, including limitations on Medicaid enrollment, inadequate state-regulated insurance, and failure to protect against high out-of-pocket prescription drug costs.
  • These types of plans offer inadequate insurance coverage, typically failing to provide essential health benefits required by the Affordable Care Act and are allowed to deny coverage based on pre-existing conditions.
  • One means of advancing favorable rare disease policies at the state level is through each state establishing their own Rare Disease Advisory Council (RDAC) .

One Health Direct Introduces Maternity Products To Better Serve DME Partner's Patients

Retrieved on: 
Monday, March 4, 2024
Woman, Care Act 2014, Education, Suction, Himawari (satellites), OHD, Affordable Care Act, Communication, Diabetes, Mother, Patient, Child, Massage, DME, Insurance

DUNEDIN, Fla., March 4, 2024 /PRNewswire/ -- One Health Direct (OHD) announced the expansion of its patient engagement, operational support, and product facilitation services to include a range of maternity products.

Key Points: 
  • DUNEDIN, Fla., March 4, 2024 /PRNewswire/ -- One Health Direct (OHD) announced the expansion of its patient engagement, operational support, and product facilitation services to include a range of maternity products.
  • OHD has recognized the importance of patient education and eligibility with other DME products and will now provide maternity products for their DME partner's patients.
  • Expecting mothers are often unaware of the medical benefits, ease of availability and eligibility of maternity products.
  • New and expecting mothers are often unaware of the medical benefits, ease of availability, and requirements for coverage eligibility of certain maternity products and supplies.