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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. and Senator Ron Wyden (D-Ore.)

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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.

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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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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.

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The Infertility Shift

Bill of Health

Frequently, in these low-wage positions, workers earn just enough to pay for their health insurance premiums and sometimes the associated cost-sharing requirements. How did we get to a place where women must work an “infertility shift” beyond their full-time jobs to access medical care?

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How Will the “New” Health Economy Fare in a Macro-Economic Downturn?

Health Populi

What happens to a health care ecosystem when the volume of patients and revenues they generate decline? How would that further impact the micro-economy of health care? A report from Trilliant on the 2022 Trends Shaping the Health Economy helps to inform our response to that question.

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As Nonprofit Hospitals Reap Big Tax Breaks, States Scrutinize Their Required Charity Spending

Kaiser Health News

.” Hospitals have long argued they need to charge private insurance plans higher rates to make up for the Medicaid shortfall. In Georgia, Democratic lawmakers and the NAACP spearheaded the filing of a complaint to the IRS about Wellstar Health System’s nonprofit status after it closed two Atlanta-area hospitals in 2022.