State versus federal health insurance marketplaces: A bigger deal for Medicaid and a smaller deal for the individual mandatedoi:10.1016/j.hpopen.2021.100059Sabrina TerrizziA. L. Mathews-SchultzM. DeeganHealth Policy OPEN
100% – 250%= income eligibility range for cost sharing reduction subsidies on “Silver” plans bought on the Health Insurance Marketplace (including lower deductibles and copayments) 100% – 400%= eligibility range for the ACA Premium Tax Credits subsidies on Health Insurance Marketplace plans 40...
Another important use of the FPL is determining eligibility for Marketplace subsidies. Depending on your income (and the affordability of your employer-sponsored health benefit), the health insurance you purchased through the federal or state-run marketplace may be eligible for premium tax credits. ...
However, ARPA reforms neglect the health insurance needs of nonelderly adults below the poverty line, who may remain ineligible for marketplace subsidies depending on their state of residence. In 11 states that have not expanded Medicaid to this group, childless adults and many parents—about 2.2...
Her work includes running hotlines for Medicare and the health insurance marketplace. The Centers for Medicare and Medicaid Services receive 35 million inquiries a year, and technology-driven improvements from Maximus have brought CMS some of the highest customer satisfaction scores in all of ...
Centers for Medicare & Medicaid Services. Accessed August 1, 2021. https://www.cms.gov/hospital-price-transparency/resources 2. Haque W, Ahmadzada M, Allahrakha H, Haque E, Hsiehchen D. Transparency, accessibility, and variability of US hospital price data. JAM...
About 10 million people have private policies through HealthCare.gov and state-run insurance markets, with roughly 9 in 10 getting taxpayer-financed help to pay their premiums. An estimated 12 million more are covered through the law's Medicaid expansion, aimed at low-income adults. Income-based...
They include Medicaid and the Children’s Health Insurance Program, which provides coverage to children in families that earn too much money to qualify for Medicaid, according to the U.S. Centers for Medicare and Medicaid Services. Some states have shortened the five-year wait. Trump’s...
The HHS also issued a new set ofguidelinesclarifying a longstanding requirement that hospitals must obtain written informed consent as a condition for being reimbursed by Medicare and Medicaid. "While we recognize thatmedical trainingon patients is an important aspect of medical education, this guidance...
The FPL is used to establish who qualifies for certainfederal subsidiesand aid, such as Medicaid, Family and Planning Services,Children’s Health Insurance Program (CHIP), the National School Lunch Program, andSupplemental Nutrition Assistance Program (SNAP), which is commonly known as food stamps ...