C&M Health Law

FEBRUARY 11, 2022

The Departments of Labor, Health and Human Services (“HHS”), and the Treasury (the “Tri-agencies”) released their 2022 annual report to Congress on the Mental Health Parity and Addiction Equity Act (“MHPAEA”) on Tuesday, January 25. The 2022 annual report is only the beginning of the post-2021 CAA era.

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Health Populi

JUNE 20, 2022

When high-deductible health plans became part of health insurance design in America, they were lauded as giving patients “more skin in the game” of health care payments. “Instead, they’ve faced thousands of dollars in bills as health insurers shifted costs onto patients through higher deductibles.”

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Healthcare Law Blog

MARCH 20, 2023

1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2] 21, 2023).

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Bill of Health

APRIL 13, 2022

Two weeks after CMS issued its March 2022 guidance, the Kaiser Family Foundation released its annual survey of state Medicaid and Children’s Health Insurance Program (CHIP). What States Are Doing Now.

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Health Populi

JUNE 30, 2023

The chart on the median price of newly marketed drugs between 2008 and 2002 shows the cost in 2022 reaching $222,000. For this study, PwC conducted 21 surveys and 12 interviews in April through May 2023 among health plan actuaries covering about 100 million employer-sponsored lives and 10 million ACA marketplace members.

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Prescription Drug Pricing COVID-19 ACA Hospitals 87

Healthcare Law Blog

MARCH 25, 2022

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. United States Dep’t of Health & Hum. 20-50963, 2022 WL 807554, at *1 (5th Cir.

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Health Populi

OCTOBER 8, 2020

who benefits from health insurance at the workplace, the annual family premium will average $21,342 this year, according to the 2020 Employer Health Benefits Survey from the Kaiser Family Foundation. Workers receiving health insurance through their jobs have seen their portfolio of benefits changing over the years.

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Hall Render

AUGUST 19, 2022

Connecticut ditches $20M health information exchange software. Two Health Insurers Grilled for Proposing Rate Increases of 20 and 25 Percent. Henry Ford Health reports negative operating margin. Michigan health insurance companies ordered to lower costs. Sentara Health Plans names new leader.

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

Bill of Health

FEBRUARY 27, 2023

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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C&M Health Law

NOVEMBER 23, 2020

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. Disclosure notice. In-Network Rate File.

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Health Populi

JUNE 2, 2021

and how much care would be postponed or never realized in the health care system. A big uncertainty in this year’s forecast, pondering the 2022 picture, is what extent eliminate care will have on future adverse health outcomes… something that keeps my scenario planning humming across various modeling.

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COVID-19 Health Insurance Health Outcomes Public Health 174

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). 31, 2022). [2] 2] Emily E. Peterson, et. 3] Madeline Y.

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Medicaid Medicaid ACA Public Health 52

Compliance Now

JANUARY 13, 2022

The Biden Administration recently announced the new out-of-pocket (OOP) limits that will apply to group and individual health plans during the 2023 plan year, as well as the Patient-Centered Outcomes Research Institute (PCORI) Fee for plan or policy years ending on or after October 1, 2021, and before October 1, 2022. This is a $.13

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Health Populi

AUGUST 16, 2019

Employers cited several main tactics to address coupon cards looking forward from 2019 to 2022. Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs. Much now depends on the U.S.

Governance 79

Governance Health Care Reform FDA ACA 79

Hall Render

OCTOBER 27, 2023

Here’s why Grady Health System recognized as health care I.T. Million Health Care Fraud Conspiracy in Idaho Orthopedic activity in the 5 most underserved states St. Louis-based health system to form Michigan joint venture Mercy opens ‘high-tech’ multispecialty center, ASC in St.

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US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Bill of Health

MAY 12, 2023

Frequently, in these low-wage positions, workers earn just enough to pay for their health insurance premiums and sometimes the associated cost-sharing requirements. The infertility shift further distorts the already fun-house mirror effects of employer-sponsored insurance on the labor economy.

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Healthcare Law Blog

MAY 17, 2022

On January 5, 2022, we discussed the Notice of Benefit and Payment Parameters for 2023 proposed rule released by the Centers for Medicare & Medicaid Services (CMS). On April 28, 2022, CMS issued the NBPP 2023 Final Rule. CMS published a Fact Sheet and other resources on April 28, 2022. Clayton County.

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Healthcare Law Blog

AUGUST 25, 2022

The Inflation Reduction Act (“IRA”) was signed into law by President Biden on August 16, 2022. The expansive legislation includes key health care provisions, including drug pricing reforms, inflationary rebates, Medicare Part D benefit redesign, as well as myriad other updates. Other Updates. office.

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Healthcare Law Blog

JANUARY 4, 2023

On December 21, 2022, the Department of Health and Human Services (“HHS”) issued a proposed rule aimed at advancing health equity and mitigating health disparities while minimizing administrative burden. Coverage Expansion. Overall Impact Looking Ahead.

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Health Insurance ACA Medicaid Medicaid 52

Hall Render

JANUARY 27, 2023

to revisit whether to set limits for numbers of patients assigned to a nurse Tufts spent $70M on EHR install Wait times for long-term psychiatric care span months for some patients Health care leaders applaud appointment of Kate Walsh as Massachusetts health secretary As ER waits stretch for days, Mass. hospitals call on Gov.

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

Kaiser Health News

JUNE 13, 2024

To understand it, we need to break down the protections put in place by the ACA, and those that exist separately. Insurers providing coverage to large employers could impose long waiting periods before employees’ benefits kicked in. . Some basic preexisting condition protections exist independent of the ACA.

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Compliance Now

OCTOBER 13, 2022

The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on January 1, 2023. of their household income, as adjusted annually for inflation). ALEs will NOT be required to offer affordable coverage to dependents.

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Compliance Now

OCTOBER 13, 2022

The Biden Administration issued a final regulation and a new IRS notice on October 11, 2022, which eliminate the Affordable Care Act’s (ACA) “family glitch” beginning on January 1, 2023. of their household income, as adjusted annually for inflation). ALEs will NOT be required to offer affordable coverage to dependents.

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Kaiser Health News

JANUARY 27, 2022

million Americans have signed up for health insurance under the Affordable Care Act for 2022. But many millions of those newly insured could face significantly higher premiums for 2023 unless Congress extends the temporary subsidies it passed last year. The Biden administration announced that 14.5

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Hall Render

APRIL 7, 2023

5 moves to know Most hospital websites routinely transfer patient data via tracking tools Nonprofit hospitals that pay board members linked to less charity care Nurses, federal lawmakers push for staffing ratio legislation Reports of serious adverse events rose in 2022: Joint Commission Doctors are drowning in paperwork. on revenue of $2.1B

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

Hall Render

NOVEMBER 3, 2023

institute focused on health equity Medical providers at D.C.’s Vincent’s Riverside has conducted over 800 robotic-assisted procedures Baptist Health Care in talks to donate hospital campus Florida nonprofit hospitals focused on serving low-income residents Florida Rep. In Boulder, you recycle it. The whole thing.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JUNE 16, 2023

Vincent’s to begin ER construction, gains CON approval Birmingham CRE firm acquires South Carolina medical office property Encompass Health prepares to open rehab hospital, fill gap in care Nearby ED means more avoidable visits from AL residents, study finds Nurse salaries rose last year, dipped in 2023. emergency rooms D.C.

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US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Healthcare Law Blog

AUGUST 22, 2022

On July 25, 2022, the U.S. Department of Health and Human Services (“HHS”) issued a proposed new rule [1] that significantly expands the scope of protection available to vulnerable populations under Section 1557 of the Affordable Care Act (the “ACA”). FOOTNOTES. [1] 2] See 81 Fed. 3] See 85 Fed.

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ACA Health Insurance Medicare Medicare 52

Kaiser Health News

DECEMBER 23, 2021

million Americans have signed up for health coverage for 2022 on the Affordable Care Act marketplaces, with nearly a month remaining to enroll in most states, the Biden administration announced Wednesday. They also said enhanced personal assistance and outreach helped connect more people to health insurance plans.

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Health Insurance ACA Medicaid Medicaid 95

Hall Render

MAY 12, 2023

Elizabeth Community Hospital receives top marks for safety Strike set at Los Angeles hospital Sutter Health credit rating upgraded ahead of $750 million bond issue Sutter Health in talks to acquire Sansum Clinic in Santa Barbara Sutter Health opens 2023 with $194M gain, 2.3%

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

Hall Render

JUNE 2, 2023

Ross Eye Institute to construct 45K-square-foot ASC Practice eyes Orchard Park for specialty surgery center 10 best hospitals in New York for outpatient hip, knee replacements ‘Embrace reality’ and other words of wisdom from Northwell Health CEO Michael Dowling NORTH CAROLINA Advocate Health reports 0.1%

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