Frequently Asked Questions about the ACA’s Health Insurance Marketplace
What are premium tax credits and how do they work? How much can I earn…
What are premium tax credits and how do they work? How much can I earn and qualify for premium tax credits in the Marketplace? What income is counted in determining my eligibility for premium tax credits? Who is eligible for Marketplace premium tax credits? Can I buy health insurance outside of the Marketplace that meets…
¿Cómo funcionan los subsidios para las primas? ¿Cuánto puedo ganar y calificar para subsidios para las primas en el mercado? ¿Qué ingreso cuenta para determinar mi elegibilidad para recibir subsidios? ¿Quién es elegible para recibir subsidios para las primas? ¿Puedo comprar un seguro de salud por fuera del mercado que cumpla con todos los estándares…
Patients formerly covered by exchange plans cost the health system operator another $400 million last quarter and accounted for more than 10 percent of adjusted admissions.
AcademyHealth CEO Aaron Carroll, M.D., M.S., discusses recommendations for strengthening the federal systems that produce and use health research, data, and evaluation
As health plans grapple with new federal deadlines for prior authorization decisions, healthcare AI startup ClarityCare has raised $16.5 million to automate the administrative workload that can keep patients waiting for the care they need. The post ClarityCare Raises $16.5M to Speed Up Prior Authorizations appeared first on MedCity News.
Immigration restrictions and enforcement are central to the Trump administration’s domestic agenda and a focus of debate in the 2026 midterm elections. These policies have ripple effects on health care: immigration-related fears are leading some immigrant families to avoid medical care and drop coverage, including for U.S. citizen children, and visa restrictions could strain a…
HealthTap CEO Sean Mehra says partnerships with durable medical equipment vendors connect patients with primary care physicians when they need a clinical evaluation, documentation or orders
The cost of waiting is not evenly distributed. Rural and critical access hospitals report under 50 percent adoption of even basic predictive tools, compared with 86 percent among top-tier system-affiliated hospitals. Every year without a bridge widens that gap, and it widens it fastest for the hospitals with the least room to absorb it. The…
Data from the Centers for Medicare & Medicaid Services (CMS) shows that 4.3 million Medicare beneficiaries, including 3.1 million Medicare Advantage drug plan enrollees and 1.2 million PDP enrollees, will have their plan terminated at the end of 2026. An additional 1.4 million Medicare Advantage enrollees are in a plan that is consolidating with another…
(Maria Fabrizio for WPLN and KFF Health News) Gina Conley, an Army veteran in Aberdeen, North Carolina, knew she wanted a low-intervention birth for her first child. But her plan started to go off the rails as soon as she got to the hospital. “Everything that I did not want to happen had happened,” she…