Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception.

ACA 52

ACA Medicaid Medicaid Health Outcomes 52

Medisys Compliance

JULY 27, 2022

Section 4104 of the Affordable Care Act (ACA) defined the term ‘preventive services’ to include ‘colorectal cancer screening tests’ and, as a result, it waives any coinsurance that would otherwise apply under Section 1833(a)(1) of the Social Security Act for screening colonoscopies. Background for Reduced Co-Insurance.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

Healthcare Law Blog

DECEMBER 15, 2022

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Healthcare Law Blog

AUGUST 25, 2022

The first list of up to 10 Part D negotiation-eligible drugs will be published in 2026, the earliest “price applicability date” at which the Program takes effect. The drug publication date for 2026 will be chosen by September 1, 2023. Program Compliance. Additional updates of note include: ACA Premium Tax Credit Eligibility.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

JANUARY 27, 2023

West Springs Hospital found in ‘full compliance’ after state audit Parkview Health System finalizes merger agreement with UCHealth COVID, flu and RSV hospitalizations keep falling in Colorado Post-pandemic telehealth visits remain high in Colorado ‘This is a great community,’ Centura-St. But will consumers actually benefit?

US Department of Health and Human Services 40

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