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January 24, 2024

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TOP NEWS
     

NABIP calls for clarity on CMS proposed rule impacting Medicare Advantage
 
Insurance News Net
NABIP, an association representing over 100,000 licensed health insurance agents, brokers, general agents, consultants, and employee benefits specialists seeks further clarification from the Centers for Medicare and Medicaid Services (CMS) regarding the proposed rule on Contract Year 2025 Policy and Technical Changes to the Medicare Program. This rule pertains to significant changes to the Medicare Advantage, Medicare Prescription Drug Benefit Program, and other related health programs. Read More

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Medicaid and state financing: What to watch in upcoming state budget debates
 
KFF
State legislatures are currently gathering to develop new budgets for state fiscal year (FY) 2025. Heading into this budget cycle, state fiscal conditions are shifting, with state revenues starting to decline following steep revenue growth during the pandemic. While states reported favorable fiscal conditions in KFF's recent budget survey, they noted uncertainty in their fiscal outlooks in the years ahead. Read More

Biden administration reinforces reproductive health obligations for payers, providers
 
Fierce Healthcare
The healthcare regulators under the Biden administration have issued new guidelines, educational materials, and other measures to reaffirm payers' and hospitals' federal obligations with regard to emergency treatment and reproductive care. Read More

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NABIP NEWS
     

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Registered Employee Benefits Consultant® (REBC®) designation
 

Earning the Registered Employee Benefits Consultant® (REBC®) designation elevates your credibility as a professional, and the field of employee benefits continues to evolve rapidly. Displaying a nationally recognized designation after your name represents the credentials required to uphold continuing professional development. Simply earning CE credits to satisfy a state license is not the same as staying abreast with new government regulations, new or modified coverages, and new techniques for controlling benefit costs. Professionals need to understand the provisions, advantages, and limitations associated with each type of benefit program as a method for meeting economic security. Set yourself apart from the rest and click here to learn more about earning your REBC designation.

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INDUSTRY NEWS
     

Repealing the Affordable Care Act? What a second Trump term might mean for health care
 
USA Today
On the campaign trail, former President Donald Trump is once again promising to repeal and replace the Affordable Care Act — a nebulous goal that became one of his administration's splashiest policy failures. The Obama-era health law is even more popular and widely used now than it was in 2017, when Trump and congressional Republicans proved unable to pass their own plan. Read More

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A Better Alternative to RBP
 
Promoted by Novo Connection
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Does Medicare pay for mental health care? Here's which services are covered
 
Fortune
About one in four people on Medicare have a mental health condition, yet only 40% to 50% receive treatment, according to a new report by The Commonwealth Fund. Since the start of the pandemic, anxiety and depression have more than doubled among older people an analysis by KFF (formerly the Kaiser Family Foundation) found. Read More

MedPAC mulls standardizing Medicare Advantage supplemental benefits
 
Becker's Payer Issues
The Medicare Payment and Advisory Commission is considering standardizing the supplemental benefits Medicare Advantage insurers can offer, to make it easier for beneficiaries to compare plans. At its Jan. 12 meeting, commission staff, which advises Congress on Medicare, put forth several options for standardizing Part A and B cost sharing and hearing, vision and dental benefits. Read More

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Reference Based Pricing with Exceptional Service
 
Promoted by ClaimDOC, LLC
ClaimDOC's unique model within RBP leverages superior member advocacy to build partnerships with members and providers while consistently maintaining a 360-degree view of risk as co-fiduciary. Using next-generation technology paired with a human touch makes ClaimDOC the most sustainable alternative in the industry. Learn More

Obamacare enrollment is surging. Here's where.
 
Politico
Many Southern states are seeing Affordable Care Act enrollment surge as the number of people covered under such plans hits new highs. Last year, more than 20 million people signed up for year 2024 plans — a new high. The previous record was 16.3 million sign-ups for the 2023 plan year. Open enrollment ended Tuesday in most states. Read More

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Addressing specialty drug costs
 
Promoted by Fidelity Investments
Drug costs are a major part of an employer’s health spend that continues to grow, primarily driven by high-cost specialty drugs and expansions in their approved uses. To address drug prices, employers may need to place more scrutiny on their carriers, third-party administrators, and other health benefit providers. Read More

Biden focuses on reproductive rights on Roe anniversary
 
Axios
President Biden is highlighting his administration's efforts to protect reproductive rights, aiming to use the anniversary of Roe v. Wade to elevate an issue that Democrats believe will turn out voters this fall. Read More

Internet use gaps among Medicare patients shrinking across segments
 
mHealth Intelligence
Gaps in internet use rates appear to be narrowing among Medicare beneficiaries, but disparities across demographic groups persist, impacting telehealth access, according to a study published in the "Journal of the American Geriatrics Society." Read More

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Non-profit health system PBM
 
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Committee advises against Medicare Advantage for Delaware state retirees
 
Becker's Payer Issues
A state committee is recommending Delaware cast aside any plans to provide retired state employees health benefits through Medicare Advantage. The state's Retiree Healthcare Benefits Advisory Subcommittee submitted a slate of recommendations to Delaware Gov. John Carney Dec. 31. Read More

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New York City looks to clear $2 billion in unpaid medical bills for 500,000
 
CBS News
New York City will purchase millions of dollars of medical debt and then erase it in effort to help as many as 500,000 residents, Mayor Eric Adams announced on Monday. The program involves partnering with a nonprofit organization, RIP Medical Debt, that buys unpaid medical debt from hospitals at a steep discount and then clears it. Read More

BeWellnm reports record enrollment for health insurance
 
Santa Fe New Mexican
BeWellnm, New Mexico's health insurance marketplace, closed its open enrollment Jan. 16 with a record 56,447 residents enrolling in a medical insurance plan. The enrollment count increased by 12,000 over last year, beWellnm reported, and 1,500 people enrolled on the final day. Read More

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Bills printed by Idaho legislative committee to limit Medicaid expansion, expand physician training
 
Idaho Capital Sun
Lawmakers on the House Health and Welfare Committee introduced legislation on Monday that would effectively repeal expanded Medicaid coverage in 2025 if certain requirements are not met. Read More

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Streamline Your Group Enrollment Process
 
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America's weight-loss drug boom, explained
 
Axios
An obesity drug boom is sweeping America, dominating headlines, upending entire industries and stoking belief in the transformational potential of appetite-suppressing injectable treatments like Ozempic. Behind the wave are plenty of unknowns, including the long-term health effects and how much the skyrocketing demand will drive up health spending. Read More

ARPA-H to create medical trucks for health care access in rural areas
 
Medical Economics
A new federal initiative aims to take health care on the road to reach people living in rural areas around the country. The Platform Accelerating Rural Access to Distributed & Integrated Medical (PARADIGM) care program was announced this month by the administration of President Joe Biden, the U.S. Department of Health and Human Services (HHS), and its Advanced Research Projects Agency for Health (ARPA-H). Read More

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Protect With Flexibility: Level-Funding Plans
 
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Senate bill would offer veterans with lost medical records a way to access disability benefits
 
Government Executive
Senate Veterans' Affairs Committee Chairman Jon Tester, D-Mont., wants to ensure that veterans have a new way to access disability benefits when their medical records have been lost transitioning between the Defense Department and the Veterans Affairs Department. Read More

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Reduce Costs for Kidney Patients
 
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Dialysis Management Solutions (DMS) provides services to help self-funded employers and brokers manage the impact of dialysis claims and ease the stop-loss renewal process. With a focus on plan design, data mining, cost-reduction strategies and case management, our solution helps clients save more than 75% off billed charges, on average. Learn More

How AI will — and won't — change health care
 
Axios
Even AI optimists don't envision the technology fundamentally remaking the U.S. health care system anytime soon, but there's widespread agreement that it has the potential to vastly improve the quality of care and trim costly waste. Read More

NABIP Newswire
National Association of Benefits and Insurance Professionals
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Katherine Radin
Executive Editor, Multiview
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NABIP Newswire is a daily brief featuring the latest news of interest to healthcare agents and brokers, selected from thousands of sources by the editors of Multiview. NABIP personnel, in accordance with internal policies, do not approve all stories selected. Any comments regarding content of this publication should be emailed to NABIP. It should not be understood or inferred from the presence of advertisements that NABIP endorses any products or services advertised. Similarly, NABIP is not responsible for the quality of journalism reflected in the articles: it should not be understood or inferred that NABIP supports the information provided. Multiview and NABIP are not liable, for any delays or inaccuracies in the information contained in this brief, nor for any actions taken or outcomes resulting from relying on the information provided herein.

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