Proposed IPPS rule, American Health Care Act headline policy activity in nation’s capital
While the healthcare landscape continues to be dominated by debate over replacing the Affordable Care Act, the regulatory machine must still move forward. Our updated Healthcare Policy Tracker takes a look at the most recent news coming from Washington, D
Patient Protection and Affordable Care Act — final rule on market stabilization
Shortens the enrollment period for 2018 by six weeks. Instead of lasting three months, it will start on Nov. 1 and end Dec. 15. The rule tightens enrollment eligibility standards and allows insurers to refuse to cover persons who haven’t paid their premiums.
Proposed Hospital Inpatient Prospective Payment Systems for Acute-Care Hospitals and the Long-Term Care Hospital Prospective Payment System pay rule for fiscal 2018
Proposes a $3 billion raise to inpatient hospitals in fiscal 2018. The agency also plans to change the way it reimburses uncompensated care — a move that’s been panned by the hospital industry. The proposal seeks comments potentially lifting the ACA’s restrictions on physician-owned hospitals. It also seeks comments on reducing the regulatory burden overall.
American Health Care Act
Eliminates the ACA’s individual mandate. Ends Medicaid expansion after Dec. 31, 2019. Restructures Medicaid’s federal funding to a per capita cap. Eliminates cost-sharing subsidies and replaces them with tax credits. The legislation maintains ACA provisions of coverage for young adults up to 26 and allows people with pre-existing coverage to obtain coverage.
State guidance revising timing of submission and posting of rate-filing justifications
Revises rate-filing deadlines for all health plans currently selling products on the insurance exchanges. It pushes back the deadline for filing applications and rates from May 3 to June 21.