This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for…
Health coverage enrollment through the Affordable Care Act (ACA) marketplaces now exceeds 24 million people, a dramatic increase in recent years fueled largely by enhanced premium aid, which started in 2021 as part of the American Rescue Plan Act and extended through 2025 under the Inflation Reduction Act. But, with the subsidies set to expire…More
Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute. Nearly all states have at least one active Section 1115 waiver and some states have multiple 1115 waivers. This brief explains what Section 1115 waivers are and how they are used,…
In 2025, many issues are at play that could affect Medicaid coverage, financing, and access to care.
This is a test for post creation The post Post creation Testing appeared first on Healthcare Blog.
This fact sheet shares information about the World Health Organization (WHO) and U.S. government funding and engagement with WHO.
This policy watch provides a short overview of the Department of Health and Human Services (HHS), describing its history, budget, organizational structure and its major programs and responsibilities.
This interactive chart allows users to track public opinion on the Affordable Care Act, from the inception of the law to the present, for subgroups based on age, race, income, gender, party identification and insurance status.
This brief provides the most recent data on the extent to which non-pediatric physicians are opting out of Medicare, by specialty and by state.