NIHB To Host Webinar November 3rd– Reaching Our Native Young Invincibles: Open Enrollment 2017– Join Us!
October 25, 2016
Review Your Health Coverage, Indian Country!
It is critical that you take the time to review and understand your current health care coverage and what it means for the coming year.
The Open Enrollment period for the healthcare marketplace starts next Tuesday, the 1st of November and continues until January 31st 2017. Members of a federally recognized Tribe and Alaska Native Claims Settlement Act Shareholders can enroll in Marketplace coverage any time of the year. For American Indians and Alaska Natives who sign up through the Marketplace, there is no limited enrollment period and AI/ANs are able to change plans as often as once a month. However, we still strongly encourage individuals to consider the open enrollment period as the ideal time for evaluating current coverage, comparing the health coverage options available, and making adjustments as needed.
Additionally, note December 15th, 2016 as an important date in the open enrollment timeline. If you are making changes to your current coverage, switching plans, or enrolling in coverage you must make these changes before December 15th to have them become effective by January 1ST!
Important Dates on the Marketplace:
- November 1, 2016: Open Enrollment starts – first day you can enroll, re-enroll, or change a 2017 insurance plan through the Health Insurance Marketplace. Coverage can start as soon as January 1, 2017.
- December 15, 2016: Last day to enroll in or change plans for coverage to start January 1, 2017.
- January 1, 2017: 2017 coverage starts for those who enroll or change plans by December 15.
- January 31, 2017: Last day to enroll in or change a 2017 health plan. After this date, you can enroll or change plans monthly.
For more information, visit: www.Healthcare.gov
October 13, 2016
Attention Indian Country: Open enrollment for the Medicare program starts October 15th and closes December 7th!
Medicare health and drug plans can make changes each year; costs, coverage, and what providers and pharmacies are in network. October 15th to December 7th is the time when you can change your Medicare health plans and prescription drug coverage for the following year!
You may qualify for Medicare if:
- You are 65 or Older
- Under 65 but disabled as determined by the Social Security Administration
- Any age with End-Stage Renal Disease (ESRD); permanent kidney failure requiring dialysis or a kidney transplant.
For more information about the Medicare programs and coverage, visit your local Indian Health Care Provider. Or, visit the Social Security office at www.socialsecurity.gov, call at 1-800-7772-1213.
Furthermore, in partnership with the Indian Health Service, the National Indian Health Board is releasing new content; The Enrollment Assistor Toolkit. This toolkit will help Enrollment Assistors with their work across Indian Country of educating and enrolling Tribal members into health coverage through the Marketplace, Medicaid, Medicare, and the Children’s Health Insurance Program.
September 30, 2016
ATTENTION: IHS and NIHB Announces Release of New Affordable Care Act Toolkit for Native Youth
September 8, 2016
BREAKING: CMS will give providers flexibility on MACRA requirements
The CMS on Thursday announced it will allow providers to choose the level and pace at which they comply with the new payment reform model aimed at emphasizing quality patient care over volume. The announcement comes after intense pressure from industry stakeholders and policymakers to ease implementation of the Medicare Access and CHIP Reauthorization Act, which is set to start Jan. 1, 2017. Two months ago, CMS Acting Administrator Andy Slavitt said the agency was considering delaying the start date. Next year, eligible physicians and other clinicians will be given four options to comply with new payment schemes such as the Merit-based Incentive Payment System (MIPS) or an alternative payment model such as accountable care organizations. Under MIPS, physician payments will be based on a compilation of quality measures and the use of electronic health records. About 90% of physicians are expected to pursue MIPS because a qualifying APM requires a hefty amount of risk. In the first option offered Thursday, any data reported will allow providers to avoid a negative payment adjustment. The goal is to ease providers into broader participation in the following two years. The second option allows providers to submit data for a reduced number of days. This means their first performance period could begin later than Jan. 1 and that practice could still qualify for a small payment if it submits data on how the practice is using technology and how it’s improving. The third option is for practices that are ready to go in 2017. “We’ve seen physician practices of all sizes successfully submit a full year’s quality data, and expect many will be ready to do so,” Slavitt said. The final option is to participate in an advanced alternative payment model such as a Medicare Shared Savings ACO. In a call with Modern Healthcare, Slavitt inferred the flexibility came after Congress asked for enough time to prepare providers. This week, representatives from the House Ways and Means Committee and the House Energy and Commerce Committee wrote to HHS Secretary Sylvia Mathews Burwell calling for more flexibility with MACRA implementation. For months now, medical groups, including the American Medical Association, the American Academy of Family Physicians and the Medical Group Management Association, have campaigned toward the same end. “We’re making the consequences of not being ready more modest as these models start up,” Slavitt said in a call with Modern Healthcare. Senators showed great concern for small and rural practices, which have said MACRA could force them to join hospitals or larger practices because of the paperwork and payment changes required. Slavitt said the CMS is concerned about the potential conflicts and will address them in the final rule expected to drop in November. “Some of the things that are on the table, (that) we’re considering include alternative start dates, looking at whether shorter periods could be used, and finding other ways for physicians to get experience with the program before the impact of it really hits them,” he said during a Congressional hearing in July. Slavitt said he hopes the flexibility his agency is offering providers will allow them to focus on patient care. “The bulls-eye for us isn’t what will happen with this program in 2017, it’s about what will lead to the best patient care in the long term,” he said.
- Slavitt suggests MACRA could be delayed
- Slavitt promises flexibility, mindfulness during MACRA implementation
- Will Medicare’s physician payment overhaul drive more docs to hospitals?