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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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CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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

Health Populi

workers were enrolled in a high-deductible health plan in the first 9 months of 2017, according to the latest research published by the National Center for Health Statistics, part of the Centers for Disease Control in the U.S. million Americans in 2017. In the first nine months of 2017, 43.2% Over four in 10 U.S.

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Reduced Co-Insurance for Screening Colonoscopies

Medisys Compliance

Section 4104 of the Affordable Care Act (ACA) defined the term ‘preventive services’ to include ‘colorectal cancer screening tests’ and, as a result, it waives any coinsurance that would otherwise apply under Section 1833(a)(1) of the Social Security Act for screening colonoscopies. Background for Reduced Co-Insurance.

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Healthcare and the F-Word: Health Politics Rank High on November 6, 2018

Health Populi

“Let’s get this thing f-ing done,” Martha McSally passionately asserted on May 4, 2017. In this case, I feel it’s important to capture the Zeitgeist of the Republican Party’s commitment to cutting down the ACA since President Trump took office in January 2017.

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Equality Health Announces New Investment from Governor Jeb Bush-Led Firm

HIT Consultant

The Partners, complemented by a team of private equity professionals, have successfully invested together since 2017, with approximately $700 million of funds committed and a track record of 11 portfolio companies.

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How AI Can Advance Health Equity

Healthcare IT Today

Is the algorithm in question used for Medicare, Medicaid, or ACA populations? Sachin Patel joined Apixio in 2017 as Chief Financial Officer and later served as President and Chief Financial Officer before taking his current role as Chief Executive Officer. Health coverage program. ” About Sachin Patel.

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