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Medicare Star Ratings 2021 Changes and Strategies to Address

Innovaare Compliance

It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS. Medicare Star Ratings 2021 Changes.

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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. In this context, policy efforts like the Humane Correctional Health Care Act (H.R.3514)

Medicaid 293
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New Transparency Requirements for Skilled Nursing Facilities in California

C&M Health Law

On July 21, 2023, the Department of Health Care Access and Information of the California Health and Human Services Agency released a Notice of Proposed Rulemaking (the “Proposed Rule”) with regulations that would implement new financial and ownership transparency requirements for skilled nursing facilities (“SNFs”) in California.

Nurses 98
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Virtual Care and Mental Health Top of Mind for Employers’ Workplaces in 2023

Health Populi

This is our annual go-to study guiding us on the private sector’s big thinking about health care plans and investments on workers’ behalf. The first line chart illustrates how this phenomenon shot up in importance for large companies between 2021 and 2022.

COVID-19 154
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Addressing Ghost Networks in Mental Health Care

Bill of Health

Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical. Insurers should also work to decrease the shortage of mental health care providers in their networks.

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The Cost to Cover Health Insurance for a Family in America Is $22,221

Health Populi

and post-pandemic job growth in 2021, the cost of health insurance premiums rose faster than either the price of goods or wages. That family health plan premium reached $22,221, an increase of 22% since 2016, we learn in the annual report from Kaiser Family Foundation, 2021 Employer Health Benefits Survey.

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And the Oscar Goes To….Power to the Patients!

Health Populi

to paint the movement on outdoor walls to promote health citizenship and the importance of health care access and affordability for all people in America. Power to the Patients is motivating muralists around the U.S. You can follow #PowerToThePatients on Instagram and @PowertoPatnts on Twitter.