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Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

Incarcerated individuals need health care, but punitive policies make securing access to care particularly difficult among this population, which numbers about 2.1 million as of 2021. Gamble (1976), affirmed that incarcerated individuals have the constitutional right to health care.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

In August 2021, CMS released guidance giving states up to 12 months following the end of the PHE to redetermine whether Medicaid enrollees were still eligible and renew coverage. What States Are Doing Now.

Medicaid 144
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2022 MHPAEA Annual Report Illuminates Tri-agency Review and Enforcement Priorities in a Post-Consolidated Appropriations Act World

C&M Health Law

The Employee Benefits Security Administration (“EBSA”) released an FY 2021 MHPAEA Enforcement Fact Sheet alongside the annual report. The 2022 annual report is only the beginning of the post-2021 CAA era. But plans and issuers need additional agency guidance.

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HHS Finalizes Health Plan Price Transparency Rule

C&M Health Law

On October 29, 2020, the Departments of Health and Human Services, Labor, and the Treasury (“the Departments”) issued a final rule requiring private-sector health insurers and self-insured health plans to disclose treatment prices and cost-sharing information with consumers.

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The End of Public Health? It’s Not Dead Yet

Bill of Health

In administrative law disputes, a critical aspect of public health law, clear statement rules enforce separation of powers. Supreme Court decisions issued in 2021 and 2022 demonstrate this vertical constraint. Under the ACA, for instance, the health insurance exchanges must be implemented by HHS if states do not create them.

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Large Employers’ Focus on Prescription Drugs: Costs, Coupons and Communication

Health Populi

One-third of employers were already doing this in 2019, with another 20% adding in 2020 and 16% considering for 2021-22. Some 15% of companies will consider this tactic in 2021-22. 18% of large eployers offered rebates at POS in 2019, and 40% are considering incorporating this patient-Rx payment tactic in 2021-22.

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How to Restore Americans’ Confidence in U.S. Health Care: Deal With Access and Cost

Health Populi

Now that hygiene protocols are well-established in health care providers’ settings, at least two other major consumer barriers to seeking care must be addressed: cost and access. The Urban Institute and RWJF reminded us about the challenge of people diagnosed with chronic conditions delaying care.

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