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Stakeholder Perspectives and Feedback on Health Equity in the 2023 Notice of Benefit and Payment Parameters

Center for Health Insurance Reform

In the proposed Notice of Benefit and Payment Parameters for 2023, the Centers for Medicare & Medicaid Services asked for feedback on how to promote health equity through ACA marketplace operations and plan certification standards.

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Two Healthcare Organizations Caught Up in Medicare Fraud Schemes

Compliancy Group

Fraud in healthcare has run rampant in recent years, as evident by two incidents in which healthcare organizations billed insurance companies for things patients never received. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received. Attorney Philip R.

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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

NABIP, whose members represent professionals in the health insurance benefits industry, drafted and adopted a new American Healthcare Consumer Bill of Rights launched at the meeting. Health Populi’s Hot Points: Is there an American Civil Right for health care?

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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

Kaiser Health News

Although the practice does not appear widespread, it has prompted the Department of Health and Human Services to seek changes to some oversight rules affecting brokers. They would start in 2023.

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HHS Issues Proposed Rule to Provide Clarity on Rights of Conscience in Healthcare

Healthcare Law Blog

On January 5, 2023, the U.S. Department of Health and Human Services (“HHS”) published a notice of proposed rulemaking entitled “Safeguarding the Rights of Conscience as Protected by Federal Statutes” (the “ Proposed Rule “). Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat.

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Who Started the First Healthcare Compliance Program?

MedTrainer

In 2023, the OIG provided updated guidance with a promise of updates to industry-specific guidance in 2024. The introduction of laws like the Health Insurance Portability and Accountability Act (HIPAA), the Affordable Care Act (ACA), and the Medicare Modernization Act have added layers of complexity to healthcare compliance.

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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Here are key dates in compliance history: 1965 – Medicare and Medicaid 1996 – Health Insurance Portability and Accountability Act (HIPAA) 2009 – Health Information Technology for Economic and Clinical Health (HITECH) Act 2010 – Affordable Care Act (ACA) 2015 – Medicare Access and CHIP Reauthorization Act (MACRA) 2023 – OIG Issues update – (..)