AHIP Warns Proposed ACA Exchange Rule Could Threaten Market’s Growing Stability

AHIP, the top lobbying organization for commercial insurers, is warning the feds that provisions in its proposed rule governing the Affordable Care Act’s exchanges for 2023 could “undermine” the growing stability there. For instance, the group says in comments (PDF) submitted late Thursday that potential changes to requirements for essential health benefits would limit the ability for ...

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COVID-19 Sick Pay In California Would Return Under Deal Between Newsom, Lawmakers

Gov. Gavin Newsom and state lawmakers reached an agreement Tuesday to again require employers to provide workers with up to two weeks of supplemental paid sick leave to recover from COVID-19 or care for a family member with the virus. The legislation, which lawmakers would likely fast-track to the governor in the coming weeks, would ...

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Payers, Researchers Warn CMS Proposal Could Cut Funds To Insurers Enrolling High-Risk Consumers

Proposed changes to a CMS program that shifts funds to insurers that attract higher-risk consumers, intended to boost plan enrollment by lowering some premiums, could have the opposite effect and should be abandoned, researchers from the Brookings Institution and the University of Southern California argue in a new analysis. The CMS risk adjustment program established under ...

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Biden Administration Withdraws Vaccine-Or-Test Mandate For Large Employers

The Biden administration is withdrawing its Covid vaccination-or-test requirement for large employers, citing the Supreme Court’s recent decision to block the rule. The Labor Department’s Occupational Safety and Health Administration, or OSHA, said Tuesday that the withdrawal of the emergency mandate would be effective Wednesday. The Supreme Court this month blocked the mandate, which required larger businesses to ensure that ...

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White House Mulling Scaled-Down, COVID-Related Paid Leave Plan

The White House is exploring a push for a coronavirus-related paid leave program akin to that enacted in an earlier round of pandemic relief, three people familiar with the conversations said Thursday. It would be much more narrowly tailored than the 12 weeks of paid family and medical leave for all workers Biden proposed in ...

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Biden Pressured To Cover COVID-19 Tests Through Medicare

The Biden administration is exploring ways for Medicare beneficiaries to get over-the-counter, at-home COVID-19 tests for free. The White House is requiring private insurance companies to cover the cost of eight at-home COVID-19 tests per person each month, if the customer files for reimbursement. The requirement was put in place as a result of the ...

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