Search Results for keywords:"network adequacy"

The Centers for Medicare & Medicaid Services (CMS) is inviting public comments on its plan to collect information under the Paperwork Reduction Act of 1995. This involves a proposed reinstatement of a previously approved information collection related to patient access through Application Programming Interfaces (API). The aim is to improve the interoperability of health information, allowing patients better electronic access to their health records. Public comments are being accepted until January 6, 2025, and can be submitted through the specified online portal.

The Centers for Medicare & Medicaid Services (CMS), under the Department of Health and Human Services, is seeking public comments on a proposed information collection related to network adequacy for Medicare Advantage and 1876 Cost Plans. This effort is part of its compliance with the Paperwork Reduction Act of 1995, which mandates that federal agencies must get approval from the Office of Management and Budget for collecting data from the public. The aim is to ensure adequate access to healthcare services by maintaining a network of providers that meet set criteria. The information collection is crucial for monitoring and ensuring compliance with these requirements. Public comments are invited until January 13, 2025.

The final rule from the Department of Health and Human Services (HHS) and the Treasury Department provides new guidelines for implementing the Patient Protection and Affordable Care Act (PPACA). It includes plans for reducing user fees for issuers using federal platforms in 2022 and introduces a new direct enrollment option allowing states more flexibility in how they facilitate health insurance plans through private entities. Additionally, the rule seeks to ensure that State Innovation Waivers can be more predictable by codifying policies into regulations, offering states more room for innovation while ensuring the availability of affordable health coverage. The rule clarifies that plans without provider networks are exempt from network adequacy certification while maintaining their other requirements.