via the Centers for Medicare & Medicaid Services (CMS), by email:
Today, the Centers for Medicare & Medicaid Services (CMS) released the latest enrollment figures for Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). These programs serve as key connectors to care for more millions of Americans.
Medicare
As of June 2022, 64,682,105 people are enrolled in Medicare. This is an increase of 128,817 since the last report.
34,930,433 are enrolled in Original Medicare.
29,751,672 are enrolled in Medicare Advantage or other health plans. This includes enrollment in Medicare Advantage plans with and without prescription drug coverage.
50,185,416 are enrolled in Medicare Part D. This includes enrollment in stand-alone prescription drug plans as well as Medicare Advantage plans that offer prescription drug coverage.
Over 12 million individuals are dually eligible for Medicare and Medicaid, so are counted in the enrollment figures for both programs.
Initiatives will ensure children in Oregon have continuous Medicaid coverage until the age of six, and expand access to coverage and address nutrition and housing needs in Massachusetts and Oregon
Approvals of the initiatives come during the White House Conference on Hunger, Nutrition, and Health, taking direct action on the Biden-Harris Administration’s National Strategy to end hunger, reduce diet-related diseases, and eliminate health inequities
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved groundbreaking Medicaid section 1115 demonstration initiatives in Massachusetts and Oregon. Both demonstrations aim to test improvements in coverage, access, and quality with innovative approaches to ensure more eligible people retain their Medicaid coverage, including by approving Oregon’s demonstration to keep children enrolled in Medicaid up to age six — preventing gaps in coverage that can cause children to lose access to needed care in their formative early years.
The Centers for Medicare & Medicaid Services announced today additional resources and flexibilities available in response to Hurricane Fiona in the commonwealth of Puerto Rico. CMS is working closely with the Commonwealth of Puerto Rico to put these flexibilities in place to ensure those affected by this natural disaster have access to the care they need – when they need it most.
On September 18, 2022, President Biden determined that an Emergency exists in the Commonwealth of Puerto Rico due to the emergency conditions resulting from the then Tropical Storm Fiona beginning on September 17, 2022, and continuing. Additionally, on September 20, 2022, Department of Health and Human Services Secretary Xavier Becerra determined that a Public Health Emergency exists in the Commonwealth of Puerto Rico and has existed since September 17, 2022.
CMS stands ready to assist with resources and waivers to ensure hospitals and other facilities can continue to operate and provide access to care to those impacted by the consequences of the hurricane.
TRENTON —The New Jersey Department of Banking and Insurance today announced that it has determined that Horizon Blue Cross Blue Shield of New Jersey’s application to reorganize its corporate structure as a nonprofit mutual holding company is complete. The application is available at: nj.gov/hschearings/ along with information on how to register to attend upcoming public hearings.
The department will hold three public hearings on the plan to form a mutual holding company as required by statute (P.L. 2020 c. 145).
“As part of the public hearing process, Horizon Blue Cross Blue Shield of New Jersey will present an overview of their plan to reorganize as a mutual holding company,” said Commissioner Marlene Caride. “The public will have multiple opportunities to share comments on the application and plan through one in-person hearing, two virtual sessions as well as the submission of written comments.”
Arizona Announces Extension of Major Medical Transitional Policies Until Further Notice
Phoenix - The Arizona Department of Insurance and Financial Institutions (DIFI) announced that insurers in the individual and small group major medical health insurance markets can choose to renew "transitional policies" for a policy year beginning after October 1, 2022, and thereafter until CMS modifies its non-enforcement policy. Transitional policies are policies that individuals had in place before the Affordable Care Act went into full effect on January 1, 2014.
This extension aligns with the extension announced by the Center for Consumer Information and Insurance Oversight (CCIIO) in Insurance Standards Bulletin Series – INFORMATION – Extension of Limited Non-Enforcement Policy through 2023 and Later Benefit Years. The Bulletin gives insurers the option to annually renew applicable pre-2014 individual and small group policies until further notice. Approximately 30,000 Arizonans have health insurance coverage through a transitional plan.
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved the extension of Medicaid and Children’s Health Insurance Program (CHIP) coverage for 12 months after pregnancy in North Carolina. As a result, up to an additional 28,000 people will now be eligible for Medicaid or CHIP for a full year after pregnancy in North Carolina. With today’s approval, in combination with previously approved state extensions, an estimated 361,000 Americans annually in 24 states and D.C. are eligible for 12 months of postpartum coverage. If all states adopted this option, as many as 720,000 people across the United States would be guaranteed Medicaid and CHIP coverage for 12 months after pregnancy.
After both the Washington HealthPlan Finder and Pennsylvania's Pennie ACA exchange announced that they were setting up Special Enrollment Periods for residents who were scammed by Benefytt Technologies into buying non-ACA compliant heatlhcare policies, this shouldn't be surprising.
ST. PAUL, Minn. — When Minnesota’s open enrollment period starts November 1, Minnesotans who need health insurance can find walk-in assistance from a broker at 18 locations, known as broker enrollment centers. Thanks to new partnerships between MNsure and competitively selected insurance agencies, this expert help is provided free of cost to Minnesotans.
Finding the right health insurance can feel complex and overwhelming, especially for first-time applicants. Taking advantage of free, personalized help from a health insurance expert can make the enrollment process easier and less time-consuming than trying to go it alone, whether applying for the first time, changing plans, or renewing coverage.
A couple of weeks ago I noted that the Washington HealthPlan Finder has launched a special enrollment period for several hundred WA residents who were misled into enrolling in non-ACA compliant healthcare policies via fraudulent marketing by a company called "Benefytt Technologies."
The Federal Trade Commission Took Action Against Benefytt Technologies for Providing Deceptive Health Plans – Pennie is Helping Impacted Pennsylvanians Enroll in Quality Coverage
Last night President Biden raised a lot of eyebrows during a 60 Minutes segment in which he was being interviewed while walking through the Detroit Auto Show:
Scott Pelley: "Mr. President...first Auto Show in three years...is the pandemic over?"
President Biden: "The pandemic is over...we still have a problem with COVID...we're still doing a lot of work on it...but the pandemic is over...If you notice, no one's wearing masks; everyone seems to be in pretty good shape...and so I think it's changing, and I think this is a perfect example of it."
(sigh)
Then, today, HHS Secretary Xavier Becerra, who I had hoped would try to walk back and/or clarify the President's statement, instead doubled down on it:
U.S. Health Sec. Xavier Becerra supported a surprise comment over the weekend from President Joe Biden, who declared the pandemic over.
"The president is correct," Becerra told Yahoo Finance Monday.
