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Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Kaiser Health News

Under the law, which has offered coverage through state and federal marketplaces since 2014, insurers are barred from rejecting people with preexisting conditions and cannot charge higher premiums for them, either. The ACA does offer subsidies to offset deductible costs for people on the lower end of the income scale.

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One in Two Americans with Work-Based Insurance Worries That Healthcare Costs Could Lead to Bankruptcy

Health Populi

“The ACA expanded coverage to millions of poor and near-poor families between 2014 and 2016, and the obtaining of health insurance may have staved off financial ruin, perhaps. Nonetheless, the ACA has not been a panacea ridding Americans of the threat of medical bankruptcy and financial toxicity of health care costs borne by U.S.

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Medical Debt in the U.S. Greater in States That Did Not Expand Medicaid

Health Populi

The first line chart illustrates the trends in medical debt in collections by state expansion of Medicaid, with the bottom darkest line representing debt in collections in Medicaid expansion states from the jump in 2014. Now, cast your eye up to the orange line, tying to debt in states that expanded Medicaid after 2014.

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Starting This Year, Health Care Providers Will Be Short Changed in Medicaid Reimbursements

The Health Law Firm

The rate increase was part of the Affordable Care Act (ACA) as an incentive for providers to participate in Medicaid. However, that rate increase expired December 31, 2014. However, for the past two years, Medicaid programs have been required to reimburse primary care providers at Medicare levels, which is typically higher.

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Will CMS’s Proposed Rule on “Identified Overpayments” Increase Reverse FCA Cases?

Healthcare Law Today

” The currently proposed provision has similar effect to the language CMS proposed in 2012 and, after consideration of comments, ultimately rejected in the 2014 Final Rule (Medicare Advantage and Part D) and 2016 Final Rule (Medicare Part A and Part B). The term “knowingly” has the meaning set forth in 31 U.S.C.

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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. United States Dep’t of Health & Hum. 20-50963, 2022 WL 807554, at *1 (5th Cir. The Risk-Adjustment Program.

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Opioid Drug Addiction: How Digital Health Technologies Can Help

The Digital Health Corner

According to the National Institute on Drug Abuse (NIDA) from 2001 to 2014, deaths due to overdoses in the USA were noted as: 8 fold increase due to prescription drugs. The classification of substance abuse as a chronic condition by the ACA has implications with regards to digital health. 4 fold increase due to prescription opioids.

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