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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. And for the 2018 benefit year, HHS promulgated a new rule in December 2018. 3d 1164, 1211 (D.N.M.

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Healthcare Access and Cost Top Americans’ Concerns in Latest Gallup Poll

Health Populi

Healthcare — availability and affordability — is a more intense worry for Americans in March 2018 than crime and violence, Federal spending, guns, drug use, and hunger and homelessness. were worried about the economy, and 23% about unemployment, in March 2018. adults 18 and over between 1st-8th March 2018.

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Tweets at Lunch with Paul Krugman – Health IT Meets Economics

Health Populi

I greatly appreciated the opportunity today to attend a luncheon at the HX360 meeting which convened as part of the 2018 HIMSS Conference. There’s an old saw that the US government is an insurance company with an army” quips @PaulKrugman @HIMSS #HIMSS18 #HX360 #Healthinsurance #Medicare #Healthcare #Healthcosts.

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Texas OIG Inspectors Discover Errors in Reported Nursing Home Staff Hours

Med-Net Compliance

The inspection objective was to determine whether the direct care licensed nursing hours recorded at the nursing home supported the hours submitted to the US Centers for Medicare & Medicaid Services (CMS) in compliance with federal requirements.

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Universal Health Care and Financial Inclusion – Not Mutually Exclusive

Health Populi

Universal health care was covered in a section on 28 April 2018, and coverage on financial inclusion was bundled into the 5th May edition. Two weeks in a row, The Economist , the news magazine headquartered in London, included two special reports stapled into the middle of the magazines.

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Growing Support for Medicare for All – But Do People Really Understand What It Means?

Health Populi

These two surveys are: The Morning Consult’s poll published today finding growing support among Democratic voters for Medicare for All as the centerpiece for health reform in America; and, A recent study from Eligibility.com on “Medicare Myths Explained,” with the tagline, “How much do you know about Medicare?”

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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

Kaiser Health News

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. The total amount of the penalties is determined by how much each hospital bills Medicare.

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