Health Insurance Exchange Standards

Listing Websites about Health Insurance Exchange Standards

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Initial Guidance to States on Exchanges CMS

(7 days ago) People also askWhat is a health insurance exchange?What is an Exchange? An Exchange is a mechanism for organizing the health insurance marketplace to help consumers and small businesses shop for coverage in a way that permits easy comparison of available plan options based on price, benefits and services, and quality.Initial Guidance to States on Exchanges CMScms.govAre health insurance exchanges required in every state?The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) required health insurance exchanges to be established in every state.Overview of Health Insurance Exchanges - CRS Reportscrsreports.congress.govWhat is the quality rating system for exchange health plans?Under the Quality Rating System, Exchange health plans are given an overall rating on a 5-star scale, with 5 stars representing highest quality. This rating is based on 3 categories: Member Experience, Medical Care, and Plan Administration. Each of these categories also has its own rating that is based on a 5-star rating scale.Health Insurance Exchange Quality Ratings System 101 CMScms.govWhat are the requirements for participating in a health insurance exchange?Plans participating in the Exchanges must also comply with State insurance laws and federal requirements in the Public Health Service Act.Initial Guidance to States on Exchanges CMScms.govFeedbackCenters for Medicare & Medicaid Serviceshttps://www.cms.gov/newsroom/fact-sheets/healthHealth Insurance Exchange Quality Ratings System 101WEBThe purpose of the Quality Rating System (or star ratings) is to: (1) help consumers make informed healthcare decisions, (2) facilitate oversight of health plans, and (3) provide actionable information to health plans to improve the quality of services they …

https://www.cms.gov/CCIIO/Resources/Files/guidance_to_states_on_exchanges#:~:text=Section%201311%20%28c%29%20requires%20the%20Secretary%20to%20develop,measures%20Quality%20improvement%20and%20reporting%20Uniform%20enrollment%20procedures

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Network Adequacy Standards and Enforcement KFF

(5 days ago) WEBHealth plan networks affect patient access to care. This brief reviews options for setting and enforcing network adequacy standards and tools for making differences …

https://www.kff.org/affordable-care-act/issue-brief/network-adequacy-standards-and-enforcement/

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Overview of Health Insurance Exchanges - CRS Reports

(2 days ago) WEBOverview of Health Insurance Exchanges. The Patient Protection and Affordable Care Act (ACA; P.L. 111-148, as amended) required health insurance …

https://crsreports.congress.gov/product/pdf/R/R44065

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Provdie S Health Insurance Exchange Basics - Agency …

(4 days ago) WEBHealth Insurance Exchange Basics AlAn Weil, Adi ShAfri, And SArAbeth Zemel Qualified Health Plans are required to meet standards for marketing, including not …

https://digital.ahrq.gov/sites/default/files/docs/library/health.insurance.exchange.basics.pdf

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Rules of the Road: How an Insurance Exchange Can Pool …

(9 days ago) WEBKey FindingsMany health reform proposals would establish an insurance “exchange” to provide coverage options that are affordable, comprehensive, and easy …

https://www.cbpp.org/research/rules-of-the-road-how-an-insurance-exchange-can-pool-risk-and-protect-enrollees

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Explaining Health Care Reform: Questions About Health …

(Just Now) WEBKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 …

https://www.kff.org/health-costs/issue-brief/explaining-health-care-reform-questions-about-health-2/

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CMS finalizes network rules for exchange plans Modern …

(5 days ago) WEBThe Centers for Medicare and Medicaid Services made some tweaks to the health insurance exchanges in a final rule published Tuesday. The regulation …

https://www.modernhealthcare.com/policy/cms-aca-marketplace-rules-exchanges

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Health insurance marketplace - Wikipedia

(8 days ago) WEBHIX (Health Insurance eXchange) Like proposed exchanges today, it focused on standards of care, utilization review by a third party, private insurer participation, and …

https://en.wikipedia.org/wiki/Health_insurance_marketplace

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Designing Benefit Standards for a Health Insurance Exchange

(9 days ago) WEBExchange plans should provide a comprehensive package of essential health benefits. The legislation should require insurance plans offered through the …

https://www.cbpp.org/research/designing-benefit-standards-for-a-health-insurance-exchange

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Proposed 2025 Payment Rule: Marketplace Standards And …

(8 days ago) WEBHHS proposes to hold the 2025 Exchange user fees rates steady at 2024 levels: 2.2 percent for FFMs and 1.8 percent for SBM-FPs. User fees are paid by …

https://www.healthaffairs.org/content/forefront/proposed-2025-payment-rule-marketplace-standards-and-insurance-reforms

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FAQ: All About Health Insurance Exchanges And How To Shop For …

(Just Now) WEBIt's an online marketplace where individuals and small employers can shop for insurance coverage. Enrollment began Oct. 1 for policies that will go into effect on …

https://www.npr.org/2013/10/11/230916150/faq-all-about-health-insurance-exchanges-and-how-to-shop-for-coverage

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Patient Protection and Affordable Care Act; Establishment of …

(Just Now) WEBPart 156 outlines the proposed standards for health insurance issuers with respect to participation in an Exchange, including the minimum certification …

https://www.federalregister.gov/documents/2011/07/15/2011-17610/patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plans

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Standards and Interoperability Enterprise Services

(9 days ago) WEBThe PHIN Vocabulary and Access Distribution System ( PHIN VADS) is a critical component of the CDC Standards and Interoperability Services that develop, …

https://www.cdc.gov/phin/php/standards/index.html

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Patient Protection and Affordable Care Act; Establishment of …

(9 days ago) WEBResponse: We finalize the definition of a health plan as codified from section 1301(b)(1) of the Affordable Care Act, and the standards set forth for …

https://www.federalregister.gov/documents/2012/03/27/2012-6125/patient-protection-and-affordable-care-act-establishment-of-exchanges-and-qualified-health-plans

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CMS Finalizes a New Prior Authorization and Health Information …

(8 days ago) WEBUnlike paper-based health records, which are used by one person at a time, interoperable health records could be used simultaneously by many users in different …

https://www.asha.org/news/2024/cms-finalizes-a-new-prior-authorization-and-health-information-exchange-rule/

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Interoperability in Healthcare HIMSS

(9 days ago) WEBEach is involved in the creation, exchange and use of health information and/or data. An efficient interoperability ecosystem provides an information infrastructure that uses …

https://www.himss.org/resources/interoperability-healthcare

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Microsoft Word - eanj comments on nj health exchange act

(3 days ago) WEBA2171, which defines New Jersey’s health insurance exchange and which is identical to the bill being discussed now. long as their plans meet federal reform standards. The …

https://www.eanj.org/sites/default/files/basic_pages_docs/eanj%20comments%20on%20nj%20health%20exchange%20act.pdf

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What is HIE? HealthIT.gov - ONC

(8 days ago) WEBForm Approved OMB# 0990-0379 Exp. Date 9/30/2025. What is HIE? Electronic health information exchange (HIE) allows doctors, nurses, pharmacists, other health care …

https://www.healthit.gov/topic/health-it-and-health-information-exchange-basics/what-hie

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Patient Protection and Affordable Care Act; Establishment of …

(2 days ago) WEBExchange; (2) standards for health insurance issuers with respect to participation in the Exchange, including the minimum certification requirements for qualified health plan …

https://www.cms.gov/CCIIO/Resources/Files/Downloads/hie3r-ria-032012.pdf

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Connecticut Health Insurance Exchange

(2 days ago) WEBThe Connecticut Health Insurance Exchange should promptly notify the Auditors of Public Accounts and the State Comptroller of any breach of security, in …

https://wp.cga.ct.gov/apa/wp-content/cgacustom/reports/FullReports/Connecticut%20Health%20Insurance%20Exchange%20FULL_20240515_FY2020,2021.pdf

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New Jersey ACA Health Insurance Plans HealthMarkets Plans

(8 days ago) WEBChoose a New Jersey health insurance plan with the coverage and price that fits your needs. 1-817-813-4562, TTY 711. Find a licensed insurance agent-Text Size + Call us. …

https://www.healthmarkets.com/plans/aca-health/new-jersey/

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Clarifying the Eligibility of Deferred Action for Childhood Arrivals

(Just Now) WEBStart Preamble Start Printed Page 39392 AGENCY: Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS). ACTION: …

https://www.federalregister.gov/documents/2024/05/08/2024-09661/clarifying-the-eligibility-of-deferred-action-for-childhood-arrivals-daca-recipients-and-certain

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STATE OF CONNECTICUT AUDIT SUMMARY

(3 days ago) WEBWe have audited certain operations of the Connecticut Health Insurance Exchange in fulfillment of our duties under Sections 1-122 and 2-90 of the Connecticut …

https://wp.cga.ct.gov/apa/wp-content/cgacustom/reports/Connecticut%20Health%20Insurance%20Exchange_20240515_FY2020,2021.pdf

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Which individual health insurance plan is best for you?

(1 days ago) WEBWhen you buy health insurance the total cost of coverage is made up of two costs: the premium you pay each month PLUS the cost sharing you pay out-of-pocket for the …

https://nj.gov/dobi/division_insurance/ihcseh/whichindividualplanbest/whichplanbest2019.pdf

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New House Bills Making Changes to Illinois Health Insurance

(6 days ago) WEBH.B. 579 added a new Section 1405-50 to the Illinois Insurance Code and amended certain other provisions of the Insurance Code dealing with Illinois’ health …

https://www.natlawreview.com/article/illinois-insurance-law-update-hb-579-and-hb-2296-signed-law-significant-changes

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**Special HR Alert** Health Plan Prices on NJ Insurance …

(8 days ago) WEBWith the premium subsidy, the cost will be $145/month. For a family of four earning $50,000 per year, the Silver Plan will cost $943 per month, reduced to $282 per month with the …

https://www.eanj.org/resources-tools/hr-alerts/special-hr-alert-health-plan-prices-nj-insurance-marketplace-issued-hhs

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Connecticut Health Insurance Exchange failed to report data …

(5 days ago) WEBCarol Kaliff/For Hearst Connecticut Media. The Connecticut Health Insurance Exchange – the state’s version of Obamacare - suffered 51 breaches of …

https://www.ctinsider.com/news/article/ct-state-auditors-health-insurance-exchange-19462188.php

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Medicaid Program; Medicaid and Children's Health Insurance …

(1 days ago) WEBThese proposed maximum timeframes were informed by standards for individual health insurance coverage offered through Federally-Facilitated …

https://www.federalregister.gov/documents/2024/05/10/2024-08085/medicaid-program-medicaid-and-childrens-health-insurance-program-chip-managed-care-access-finance

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Connecticut health exchange criticized for multiple client data

(9 days ago) WEBThe Connecticut Auditors of Public Accounts have criticized the state's health insurance exchange, Access Health CT, for 51 breaches of clients' personally …

https://www.businessinsurance.com/article/20240517/STORY/912364541/Connecticut-health-exchange-criticized-for-multiple-client-data-breaches

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NJ hospitals cited for LGBTQ+ equality standards by HRC …

(Just Now) WEB0:04. 0:45. Thirty-two hospitals in New Jersey were named 2024 LGBTQ+ Healthcare Equality Leaders by the Human Rights Campaign Foundation, the third-most …

https://www.usatoday.com/story/news/health/2024/05/08/nj-hospitals-cited-lgbtq-equality-standards/73602550007/

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