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Affordable Care Act market for 2021 sees strong insurer participation

Some 30 insurers are entering the individual market, and an additional 61 are expanding their service area within states, a KFF report says. 

CMS proposed rule reduces the user fee in ACA exchanges 

States, as Georgia has done, could waive certain ACA requirements to develop their own state healthcare programs.

CMS announces new flexibilities for care outside of a hospital setting amid COVID-19 surge

Medicare beneficiaries can receive telehealth services from any location, including their homes. 

Blue Cross Blue Shield of Massachusetts offers digital behavioral health solution

Learn to Live was added to insurer benefits to address behavioral health disorders, which are among the most expensive, according to CEO and co-founder Dale Cook.  

Hospitals need to post their negotiated prices in less than six short weeks

Barring an appeals court decision overturning the rule, the mandate goes into effect on January 1, 2021.

PhRMA, others sue HHS and FDA for allowing import of drugs from Canada

PhRMA questions the cost savings and says the rule leaves safety considerations to state governments, rather than the required federal oversight.

American Hospital Association and PhRMA question legality of Most Favored Nation Model

The interim rule would cut drug reimbursements to hospitals by an average of 65% when fully phased in, the AHA says. 

CMS finalizes changes to Stark Law that hinder physician referral 

The old federal regulations burdened providers with added administrative costs and fear of financial consequences, CMS says.

HHS issues final rule ending pharmacy benefit manager drug rebates to insurers

Opponents say the rule will not lower drug prices and some question whether it is legal, having bypassed the public comment process.

FDA approves first COVID-19 home test 

The test, which provides results in 30 minutes, is currently available by prescription only.