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

Health Populi

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

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

Healthcare Law Today

In the 2016 Final Rule , CMS agreed “the 60-day time period begins when either the reasonable diligence is completed or on the day the person received credible information of a potential overpayment if the person failed to conduct reasonable diligence and the person in fact received an overpayment. § 401.305(a)(2).

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Payor-Led Initiatives to Strengthen Mental Health Resources

Healthcare Law Blog

The Kaiser Family Foundation surveyed forty-four state Medicaid officials about strategies to address behavioral health workforce shortages and found the following four categories to be most critical. [6] 6] Increase provider reimbursement strategies. Redefining the workforce. November 2022. [2] 21, 2023). [5] 5] Bellon, J., PhD, Quinlan, C.,

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What Does the OFAC Sanctions List Have to do With Russia and Ukraine?

Verisys

Healthcare facilities receive billions of dollars in federal and state funding through the Affordable Care Act (ACA), Medicare, Medicaid, CHIP, and other programs. In 2016, Alcon Laboratories was slapped with a $7.6 When it comes to healthcare, knowing who you’re doing business with matters.

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More Working Americans Enrolled in High-Deductible Health Plans in 2017

Health Populi

in 2017, about the same proportion as in 2016 — but nearly 20 million fewer than in 2010, as the line chart illustrates. Note that the states where the rolls of uninsured people grew the most were led by Governors who chose not to expand Medicaid under the Affordable Care Act. About 28 million people were uninsured in the U.S.

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CMS Includes MAOs in Data Exchange and Prior Authorization Requirements

Healthcare Law Blog

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

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Más de 100 millones de estadounidenses viven acosados por las deudas médicas

Kaiser Health News

La deuda de los pacientes se acumula a pesar de la histórica Ley de Cuidado de Salud a Bajo Precio (ACA) de 2010. ACA amplió la cobertura de seguro a decenas de millones de estadounidenses. Esto hace que la enfermedad sea un factor de predicción de deuda médica más poderoso que la pobreza o el seguro.

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