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Delivering Better Care at Lower Cost

Fact Sheet

Biweekly Enrollment Snapshot

8.8 million Americans have signed up for coverage through since Open Enrollment began on November 1st. This compares to about 8.6 million plan selections last year at this time, demonstrating Americans’ strong and growing demand for affordable, quality coverage.
Fact Sheet

CMS proposes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System changes for 2019 (CMS-1695-P)

On July 25, 2018, CMS proposed changes that would encourage site-neutral payment between sites of services and make healthcare prices more transparent for patients so that they can be more informed about out-of-pocket costs.
Fact Sheet

Short-Term, Limited-Duration Insurance Final Rule

The Secretaries of the Treasury, Labor, and Health and Human Services published a proposed rule to consider allowing short-term, limited-duration insurance to cover longer periods.
Fact Sheet

2019 Medicare Advantage and Part D Prescription Drug Program Landscape

The Centers for Medicare & Medicaid Services (CMS) is committed to strengthening and modernizing the Medicare Advantage and Part D prescription drug programs by providing additional flexibilities and efficiencies so that plan sponsors are encouraged to provide innovative benefits and plan offerings that provide Medicare enrollees with high quality healthcare services.
Fact Sheet

Summary of Significant Changes to the Medicare Program Integrity Manual Chapter 13 – Local Coverage Determinations

The Centers for Medicare & Medicaid Services (CMS) has revised chapter 13 of the Medicare Program Integrity Manual (PIM). This chapter describes the local coverage determinations (LCD) process.
Fact Sheet

Data on 2019 Individual Health Insurance Market Conditions

The Centers for Medicare and Medicaid services released data showing average premiums rates will drop in 2019 for individual health insurance plans sold on the platform.
Fact Sheet

2019 Medicare Parts A & B Premiums and Deductibles

On October 12, 2018, the Centers for Medicare & Medicaid Services (CMS) released the 2019 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs.
Fact Sheet

Fact Sheet: Short-Term, Limited-Duration Insurance Proposed Rule

In October, President Trump issued an Executive Order instructing the Departments of Health and Human Services, Labor, and the Treasury to consider proposing regulations or revising guidance to promote healthcare choice and competition by expanding the availability of short-term, limited-duration insurance.
Fact Sheet