Upcoming Conference
Anchorage, October 6, 2022

Standardized plan requirements for ACA coverage in 2023

| May 17, 2022 | Federal

On April 28th, the Centers for Medicare and Medicaid Services (CMS) announced its final Affordable Care Act (ACA) rule adjustments for calendar year 2023. Among the changes is a requirement that plan sponsors participating in the federally run standardized plans in addition to their other products. An important aim...[ Read More ]

Medicare and inflation

| Apr 18, 2022 | Federal

The most recent consumer price index (CPI) release from the Bureau of Labor Statistics (BLS) revealed that the rate of annual inflation from March 2021 to March 2022 was 8.5 percent -- the highest in four decades. If such rapid price escalation persists for an extended period, it will have...[ Read More ]

Implications of the President’s 2023 budget for health care

| Mar 29, 2022 | Federal

The Biden administration unveiled its updated budget plan this week, and it includes both new policies affecting health care and a re-commitment to previously-advanced initiatives. The release, which the president is required by law to send to Congress annually, covers the fiscal year 2023 (which starts on October 1 of...[ Read More ]

The status of Public Health Emergency declarations

| Mar 16, 2022 | Federal

While the future course of the COVID-19 pandemic remains uncertain, federal and state officials are considering when, and how, to unwind the remaining emergency measures taken during the initial weeks of the crisis. The following is an overview of the authorities that were invoked and the issues raised by plans...[ Read More ]

Medicare Advantage in 2022

| Mar 1, 2022 | Federal

Medicare-directed managed care has come a long way in four decades. What began in 1985 as a limited option available only in select markets—it was initially known as “HMO risk contracting”—has evolved into Medicare Advantage (MA), which is a major book of business for much of the private health insurance...[ Read More ]

Background on CMMI’s Direct Contracting Model

| Feb 18, 2022 | Federal

The Biden administration has come under pressure in recent weeks to modify, or even pull back entirely, the Center for Medicare and Medicaid Innovation’s Direct Contracting Model, which was originally developed during the Trump era. (The administration has indicated it will announce its plans for the model “soon”.) The following...[ Read More ]