Fierce Healthcare

OCTOBER 19, 2021

Senate bill aims to make it easier for Americans to qualify for coverage such as Medicaid, ACA subsidies. Tue, 10/19/2021 - 16:35.

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ACA Medicaid Medicaid 105

Bill of Health

APRIL 13, 2022

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.

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Medicaid Medicaid COVID-19 Medicare 140

Center for Health Insurance Reform

MARCH 24, 2022

CHIR and our colleagues at the Center for Children and Families (CCF) have published two new resources examining state-level preparations for the end of the COVID-19 public health emergency and the redetermination of the Medicaid eligibility of close to 85 million people.

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Medicaid Medicaid ACA Health Insurance 68

Center for Health Insurance Reform

APRIL 3, 2023

President Biden released his Fiscal Year 2024 budget earlier this month, outlining the administration’s spending and policy priorities for a number of key programs, including the Affordable Care Act (ACA) Marketplaces.

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ACA Medicaid Medicaid Health Insurance 65

Fierce Healthcare

OCTOBER 4, 2021

Missouri starts signing up residents under ACA's Medicaid expansion after legal fight. Mon, 10/04/2021 - 12:37.

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Medicaid Medicaid ACA 64

Health Populi

JULY 20, 2021

Furthermore, the flow of medical debt was greater among health citizens living in states that did not expand Medicaid as part of the Affordable Care Act, compared with patients who reside in Medicaid expansion states, according to an original research essay, Medical Debt in the US, 2009-2020 published in JAMA on 20 July 2021.

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Medicaid Medicaid ACA Doctors 93

Bill of Health

FEBRUARY 27, 2023

For example, Medicaid, the Children’s Health Insurance Program, many aspects of the Public Health Service Act, and the National Emergencies Act all rely on both federal administration and partnership with states to implement federal goals. Federal statutes enacted after these decisions in the mid-1990s tend to include a federal fallback.

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Public Health Medicaid Medicaid Health Insurance 246

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”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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Medicaid Medicaid Public Health ACA 52

Health Populi

APRIL 3, 2023

Social Security, Medicare, and Medicaid all garner most partisans’ support whether identifying as Democrat, Independent, or Republican, KFF found in their monthly poll of U.S. This last chart makes the point that if you have a connection to Medicaid, you tend to see it as “health insurance” versus a “welfare program.”

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Medicaid Medicaid Medicare Medicare 62

Bill of Health

FEBRUARY 10, 2023

Failing to anticipate litigation that challenges our efforts, such as with the ACA or the upcoming attempt to “codify Roe v. That is why the ACA’s Medicaid expansion doesn’t exist in 11 states , why the penalties for failing to have insurance under the “individual mandate” has been set to $0.00.

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Public Health Health Care Reform Medicaid Medicaid 257

Center for Health Insurance Reform

MARCH 31, 2023

The Affordable Care Act (ACA) recently celebrated its 13th anniversary with historic enrollment growth in the health insurance Marketplaces and the lowest-ever recorded uninsured rate.

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Health Insurance ACA Medicaid Medicaid 75

Healthcare IT Today

DECEMBER 22, 2020

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

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Medicaid Medicaid ACA Medicare 145

Hall Render

FEBRUARY 21, 2023

For NFs, the data would be reported via means prescribed by the particular state Medicaid agency. The post Proposed Ownership Disclosure Requirements for Medicare Skilled Nursing Facilities and Medicaid Nursing Facilities appeared first on Law Firm | Health Care Law Firm in the USA | Hall Render.

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Nurses Medicaid Medicaid Medicare 40

Bill of Health

MAY 12, 2023

No state Medicaid program covers IVF. HIPAA and the ACA both responded to concerns about “job lock” – that employer-sponsored insurance restricted job mobility and entrepreneurship. Individual-market plans sold on the exchanges in those 15 states that have infertility benefit mandates will have some coverage; the rest may not.

Medicaid 209

Medicaid Medicaid ACA Health Insurance 209

Compliance Now

JANUARY 13, 2022

To comply with the ACA, non-grandfathered health plans cannot require a participant to pay more out-of-pocket during the plan year than the amounts listed below. Under the ACA, the out-of-pocket limitation requirement directly applies to essential health benefits. This is a $.13

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ACA Health Insurance Medicaid Medicaid 113

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. The Risk-Adjustment Program.

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ACA US Department of Health and Human Services Health Insurance Medicaid 52

Center for Health Insurance Reform

JANUARY 20, 2022

The federal government has taken a series of actions to strengthen the Affordable Care Act (ACA) and Medicaid, and the Biden administration has announced its intent to do more in this arena.

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ACA Health Insurance Medicaid Medicaid 78

Health Populi

JUNE 18, 2021

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

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Health Insurance ACA Medicaid Medicaid 139

Healthcare IT News - Telehealth

AUGUST 29, 2022

Galileo first launched with in-home care for Medicare and Medicaid patients, creating a framework to include social determinants of health in clinical analysis and to bridge gaps in healthcare education. We currently power UnitedHealthcare's Virtual-First ACA Exchange plan in multiple states with more coming in 2023.

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Telemedicine Medicaid Medicaid ACA 153

Center for Health Insurance Reform

NOVEMBER 9, 2022

At the end of the COVID-19 public health emergency, millions of people will lose Medicaid as states resume eligibility determinations.

Public Health 74

Public Health ACA Health Insurance Medicaid 74

Healthcare It News

JUNE 3, 2022

Since California expanded health coverage under the Affordable Care Act, a large number of people have been mistakenly bounced between Covered California, the state’s marketplace for those who buy their own insurance, and Medi-Cal, the state’s Medicaid program for low-income residents. “This shouldn’t be happening.

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Medicaid Medicaid Public Health Health Insurance Professionals 294

Healthcare Law Blog

JANUARY 26, 2023

Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat. The Medicaid and Medicare statutes also contain conscience provisions related to the performance of advanced directives, religious nonmedical healthcare providers and their patients.

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Medicaid Medicaid ACA Medicare 105

Kaiser Health News

JULY 6, 2022

Since late 2010, when this provision of the ACA took effect, many patients have paid nothing when they undergo routine mammograms, get one of more than a dozen vaccines, receive birth control, or are screened for other conditions, including diabetes, colon cancer, depression, and sexually transmitted diseases. The ACA does set parameters.

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Medicare Medicare ACA Medicaid 102

Center for Health Insurance Reform

MARCH 31, 2022

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.

ACA 67

ACA Health Insurance Medicaid Medicaid 67

Center for Health Insurance Reform

APRIL 29, 2022

As many as 16 million people are expected to lose Medicaid once the COVID-19 public health emergency ends. One-third of these could be eligible for ACA marketplace plans.

Public Health 68

Public Health ACA Health Insurance Medicaid 68

HIT Consultant

NOVEMBER 22, 2021

Health Fidelity’s technology uncovers insights that enable better care planning and more complete revenue capture; giving health plans and providers the ability to succeed in risk-sharing arrangements across Medicare Advantage, Affordable Care Act (ACA), Medicaid, and Accountable Care Organization programs. Post-Acquisition Plans.

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ACA Medicaid Medicaid Medicare 52

Health Law RX

MAY 3, 2022

Federal appeals courts have been split on whether such damages are available to plaintiffs bringing discrimination claims under the Rehabilitation Act of 1973 (Rehab Act) and the Patient Protection and Affordable Care Act (ACA). The Rehab Act bars funding recipients from discriminating because of disability.

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ACA Medicaid Medicaid Medicare 52

Healthcare Law Blog

MARCH 20, 2023

The Kaiser Family Foundation surveyed forty-four state Medicaid officials about strategies to address behavioral health workforce shortages and found the following four categories to be most critical. [6] 8] State Delivery System and Payment Strategies Aimed at Improving Outcomes and Lowering Costs in Medicaid , Kaiser Family Foundation (Jan.

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Medicaid Medicaid Health Services Administration Health Care Access 52

Health Populi

OCTOBER 12, 2020

political/election outcomes that could result in a significantly different payor mix: the major aspect of which will be whether Medicaid will grow as part of a bolstered ACA under a Biden administration, or whether a repealed ACA would diminish the role of Medicaid and underpin a bigger self-pay market.

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COVID-19 ACA Medicaid Medicaid 127

The Health Law Firm

JANUARY 29, 2015

This hypothetical situation begs the question: Why would physicians agree to treat Medicaid patients? Treating Medicaid patients has never been a money maker for physicians. However, for the past two years, Medicaid programs have been required to reimburse primary care providers at Medicare levels, which is typically higher.

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Medicaid Medicaid ACA Medicare 40

Kaiser Health News

OCTOBER 13, 2022

Among the takeaways from this week’s episode: The “family glitch” arose because under ACA rules, people offered insurance through their workplace generally don’t qualify for subsidies if they instead purchase a policy on the marketplace — unless their work insurance is deemed unaffordable.

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Medicare Medicare ACA Overpayments 96

Kaiser Health News

MAY 31, 2022

The former generally incurs no cost to patients under the ACA; the latter can generate bills. Remind your provider that the government’s interpretation of the ACA requires that colonoscopies be regarded as a screening even if a polyp is removed.

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ACA Hospitals Medical Billing Doctors 122

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.

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ACA Health Insurance Medicaid Medicaid 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.

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Medical Billing Medicare Medicare ACA 52

Health Populi

AUGUST 28, 2019

Still, the data comes as former Vice President Joe Biden — who has spurned a single-payer system in favor of expanding the ACA with a public option — continues holding tight to his 13-point advantage over Sen. Here’s another Medicare myth uncovered: 1 in 4 Americans think Medicare is part of the ACA/Obamacare.

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Medicare Medicare ACA Prescription Drug Pricing 99

Health Populi

JUNE 22, 2022

The last chart from the Commonwealth Fund 2022 State Scorecard talks about the rate of uninsurance by state — think ZIP code or personal GPS — calling out the fact that a dozen Governors did not expand Medicaid to accommodate ACA health plan enrollment for their health citizens. I’m sympathetic to the fact that U.S.

COVID-19 115

COVID-19 Public Health ACA Medicaid 115

Healthcare IT Today

JULY 14, 2022

Is the algorithm in question used for Medicare, Medicaid, or ACA populations? Similar situations could arise around specific medical conditions where clustering around common environments for physically distant regions could provide higher volumes of data. Health coverage program.

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Hospitals ACA Medicaid Medicaid 136