During the pandemic, Connecticut extended health coverage for most Medicaid members enrolled on or after March 18, 2020, even if they no longer qualified, a process the federal government calls Continuous Enrollment. As of March 31, 2023, Connecticut began “Unwinding” Continuous Enrollment. That is, they resumed the process of reviewing households for eligibility. HUSKY Health […]
Looking Ahead: Updates to 2024 Medicare Advantage Program and Part D Payment Policies
In an effort to ensure that Medicare Advantage and Part D drug programs remain strong, fair and viable, the Centers for Medicare & Medicaid Services (CMS) has ruled on commonsense updates for next year. Some abbreviated highlights: Medicare Advantage Guidelines are clarified to ensure equal access to medically necessary care as with Traditional Medicare. When […]
Inflation Reduction Act: Extending Relief for Marketplace Insurance Premiums
Our non-Medicare clients and friends may also benefit from the Inflation Reduction Act as it extends—through 2025—the financial help for premiums on Healthcare.gov and state-based Marketplaces (such as Access Health CT). These supports were initially made available through the American Rescue Plan of 2021 and would have expired at the end of 2022. On average, […]
Inflation Reduction Act: Key Dates for Medication Price Reductions
Provisions of the Inflation Reduction Act of 2022 will favorably impact prescription drug prices and other healthcare costs for Medicare participants. While it will take several years to realize the full benefit of the law (including the $2,000 cap on total out-of-pocket drug costs in 2025) there are a number of immediate changes in 2023 […]
More Medicare Screening News
In the April 2022 edition of The Compass, we shared news about expanded coverage for lung cancer screenings. In July 2022, however, Centers for Medicare and Medicaid Services (CMS) did not support coverage of Computed Tomography Colonography (CTC), an alternative tool to screen for colorectal cancer. (If you’re interested, read about the decision here.) The […]
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