Medical Review Board Affordable Care Act

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Fact Sheet: Celebrating the Affordable Care Act | HHS.gov

https://www.hhs.gov/about/news/2022/03/18/fact-sheet-celebrating-affordable-care-act.html

Since its enactment on March 23, 2010, the Affordable Care Act has led to an historic advancement of health equity in the United States. This landmark law improved the health of all Americans, including women and families, kids, older adults, people with …

About the ACA | HHS.gov

https://www.hhs.gov/healthcare/about-the-aca/index.html

About the Affordable Care Act. The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform …

HHS-Administered Federal External Review Process for …

https://www.cms.gov/CCIIO/Programs-and-Initiatives/Consumer-Support-and-Information/csg-ext-appeals-facts

The Affordable Care Act (ACA) ensures that consumers have the right to appeal certain health insurance plan decisions. This means they are able to ask that the plan …

External Appeals | CMS

https://www.cms.gov/CCIIO/Programs-and-Initiatives/Consumer-Support-and-Information/External-Appeals

The Affordable Care Act’s New Patient’s Bill of Rights

https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/aca-new-patients-bill-of-rights

The Affordable Care Act’s New Patient’s Bill of Rights. A major goal of the Affordable Care Act – the health insurance reform legislation President Obama signed …

Cancellations & Appeals | HHS.gov

https://www.hhs.gov/healthcare/about-the-aca/cancellations-and-appeals/index.html

If your health insurer refuses to pay a claim or ends your coverage, you have the right to appeal the decision and have it reviewed by a third party. You can ask that your …

External Review | HealthCare.gov

https://www.healthcare.gov/appeal-insurance-company-decision/external-review/

External Review | HealthCare.gov Appealing a health plan decision External Review There are 2 steps in the external review process: You file an external review: You must file a …

Internal Claims and Appeals and External Review - DOL

https://www.dol.gov/agencies/ebsa/laws-and-regulations/laws/affordable-care-act/for-employers-and-advisers/internal-claims-and-appeals

Guidance Technical Release 2013-01 — Extension of the transition period for the temporary NAIC-similar State external review process under ACA Technical Release 2011-02 — …

Complaints & Appeals | HHS.gov

https://www.hhs.gov/regulations/complaints-and-appeals/index.html

FDA-Regulated Clinical Trials: How to report a complaint (FDA.gov) Pet Food: How to report a complaint (FDA.gov) How to Appeal a Decision Health Plan Decisions: How to appeal a …

Rate Review & the 80/20 Rule | HealthCare.gov

https://www.healthcare.gov/health-care-law-protections/rate-review/

The health care law provides 2 ways to hold insurance companies accountable and help keep your costs down: Rate Review and the 80/20 rule. Rate Review Rate Review helps …

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