Bill of Health

JANUARY 26, 2022

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. The MIEP, established in 1965, prohibits Medicaid from covering incarcerated individuals, despite any prior eligibility.

Medicaid 299

Medicaid Medicaid COVID-19 Public Health 299

Healthcare Law Blog

MAY 16, 2022

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration.

Medicaid 59

Medicaid Medicaid Nurses Health Care Access 59

Innovaare Compliance

JANUARY 19, 2021

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.

Medicare 52

Medicare Medicare COVID-19 Compliance 52

Bill of Health

DECEMBER 6, 2023

Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical. The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories.

Governance 147

Governance Medicaid Medicaid Medicare 147

Jane Sarashon

JULY 18, 2024

This graph diagrams utilization, unit cost, and cost as a percent of overall medical cost trend: note that by the middle of 2023, GLP-1 drug costs for Group health plan members comprised 13.6% in 2021 to 7.3 in 2021 rising to $23.16 of a major pharmacy benefit management (PBM) company, shown in the third bar.

Doctors 59

Doctors Prescription Drug Pricing Hospitals Health Insurance 59

Health Populi

JULY 13, 2021

As the COVID-19 pandemic shifts to a more endemic phase — becoming part of peoples’ everyday life for months to come — impacts on peoples’ mental health will persist, according to new research from CVS Health in the company’s annual Health Care Insights Study. adults in March 2021.

COVID-19 71

COVID-19 Health Insurance Medicaid Medicaid 71

Hall Render

MARCH 25, 2022

Sensitive health data of 50 million Americans hacked or breached last year: analysis. Private equity’s pandemic-era health care push. Health data breaches swell in 2021 amid hacking surge, POLITICO analysis finds. Alabama lawmaker’s push to extend postpartum Medicaid coverage. $12

COVID-19 40

COVID-19 US Department of Health and Human Services Nursing Homes Nurses 40