Mobile Version
April 5, 2013



In This Issue
HHS Finally Releases Proposed Rule for Exchange Navigators
Not Much to SHOP For
Medicare Advantage
Medicaid Expansion - Potential for a Private Option?
Shadow Partnerships
This Week in Washington
What We’re Reading
Tools
E-mail the Editor
Visit the NAHU Website
Printer Friendly Version
Unsubscribe
spacer
HHS Finally Releases Proposed Rule for Exchange Navigators

On Wednesday, April 3 the Department of Health and Human Services (HHS) released a long-awaited proposed rule outlining standards for the navigator program in health insurance exchanges and was published in today's Federal Register. The draft rule clarifies who may be navigators, outlines navigator duties and proposes conflict of interest and privacy and training standards... Read More

Not Much to SHOP For

Last month, HHS issued a proposed rule that would effectively delay much of the Small Business Health Options (SHOP) exchange program in federally facilitated and partnership exchanges until January 1, 2015. Even though the department has yet to issue a final rule, HHS confirmed its plan to delay in a statement issued on Monday... Read More

Medicare Advantage

Back in February, Centers for Medicare and Medicaid Services (CMS) in its advance notice of estimates of the national per capita Medicare Advantage (MA) growth percentage, that essentially determines the Medicare Advantage growth rate, proposed a 2.3 percent payment cut to Medicare Advantage Plans, which provides services to approximately 13.1 million elderly and disabled Americas. Medicare Advantage is a type of plan that is offered by a private company and contracts with Medicare to provide services to Medicare Beneficiaries... Read More

Medicaid Expansion - Potential for a Private Option?

Many states are still in the process of deciding whether or not they will be expanding their Medicaid program. Originally, PPACA mandated that every state expand its Medicaid program to 138% of the poverty line. Last June however, the Supreme Court ruled that the federal government could not penalize states that opt not to expand their Medicaid programs, leaving flexibility on the decision to expand to the states. While the federal government will pay 100% of the expansion costs for the first year the program is expanded and ultimately pay 90% of direct expansion costs, many states are hesitant to jump on board... Read More

Shadow Partnerships

With the exchange decision deadline way behind us, we know that the majority of states have left exchange implementation up to the federal government. Since the federal government did not anticipate having such a large role in exchange implementation, it seems they are now realizing they bit off more than they could chew - and boy do they know it!... Read More

This Week in Washington

Congress gave itself a two-week Spring break this year, but they are coming back on Monday to a calendar with events of major interest to the healthcare community... Read More

What We’re Reading

We’re hanging out with insurance commissioners this weekend and here’s what’s on our iPad in-between meetings... Read More

NAHU
NAHU on Twitter NAHU on Facebook NAHU on LinkedIn