- API data.cms.gov | Last Updated 2019-01-25T08:38:33.000Z
The Market Saturation and Utilization Data Tool includes an interactive map and a data set that shows national-, state-, and county-level provider services and utilization data for selected health service areas. The tool can be used to monitor market saturation as a means to prevent fraud, waste, and abuse. The data can also be used to reveal the degree to which use of a service is related to the number of providers servicing a geographic region. Note: The export feature in the interactive data set may result in reordering of the data records. It is recommended that users sort the exported data by variables(s) of interest to ensure all records are included.
- API data.cms.gov | Last Updated 2017-03-29T21:51:24.000Z
The Affordable Care Act created the new Pre-Existing Condition Insurance Plan (PCIP) program to make health insurance available to Americans denied coverage by private insurance companies because of a pre-existing condition. Coverage for people living with such conditions as diabetes, asthma, cancer, and HIV/AIDS has often been priced out of the reach of most Americans who buy their own insurance, and this has resulted in a lack of coverage for millions. The temporary program covers a broad range of health benefits and is designed as a bridge for people with pre-existing conditions who cannot obtain health insurance coverage in today’s private insurance market. To learn more, visit PCIP.gov or HealthCare.gov. Note: * Massachusetts and Vermont are guarantee issue states that have already implemented many of the broader market reforms included in the Affordable Care Act that take effect in 2014. Existing commercial plans offering guaranteed coverage at premiums comparable to PCIP are already available in both states.