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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.

Medicaid 293
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Addressing Ghost Networks in Mental Health Care

Bill of Health

.: not accepting new patients, retired, moved away, or no longer accepting the particular type of insurance). To assess the prevalence of ghost networks, Senate Finance Committee staffers conducted a secret shopper study of 120 mental health provider listings across 12 Medicare Advantage plans.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

After the PHE, states can facilitate smooth transitions for those no longer eligible for Medicaid by taking advantage of the full 12- to 14- month period that the Centers for Medicare & Medicaid Services (CMS) has established for redetermining eligibility. What States Are Doing Now.

Medicaid 144
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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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What Are THE 3 Major Things Addressed in the HIPAA Law?

HIPAA Journal

For example: Had the health insurance industry been allowed to continue operating as it did prior to HIPAA, tens of millions of Americans would be excluded from health plan benefits. Had the momentum to improve health care not been given a kickstart by HIPAA, subsequent health care initiatives may never have happened.

HIPAA 119
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Federalizing Public Health

Bill of Health

We deliberately organized our health law casebook (since our first edition, and now on the brink of our third) to reflect that shift in emphasis toward federal authority, particularly in regulating health insurance markets that traditionally were the domain of state business and consumer protection laws.