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Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

Incarcerated individuals need health care, but punitive policies make securing access to care particularly difficult among this population, which numbers about 2.1 As a first step to protecting incarcerated individuals’ right to health, Congress should repeal the Medicaid Inmate Exclusion Policy (MIEP).

Medicaid 293
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The New Search for Reproductive Justice in Old Laws

Bill of Health

Passed in 1986, EMTALA requires hospitals accepting Medicaid or Medicare payments from HHS or CMS to provide abortion care necessary to address emergency medical conditions. Because most hospitals rely on Medicaid and Medicare payments, the law currently applies to nearly all hospitals in the U.S.

HIPAA 184
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Medicaid and Health Equity: CalAIM’s Bold Experiment

Healthcare Law Blog

More than 13 million people were enrolled in Medi-Cal in California in September 2021, making it the largest Medicaid program in the nation. In 2015, DHCS launched the WPC Pilots as part of its Medi-Cal 2020 Section 1115 Demonstration.

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The SRFs include low-income subsidy, dual eligibility (meaning eligible for Medicare and Medicaid) and disability.

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Health Provider News

Hall Render

NATIONAL A deep dive into health system and health plan Q1 earnings Amazon building ‘modern pharmacy’ of the future: Medical Officer Breaking down the FTC noncompete ban, its impact on healthcare CISA, HHS warn healthcare of Black Basta ransomware attacks CMS extends Medicaid waivers to 2025 Could providers be liable in Change outage?

Nurses 40
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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

ACA 113
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Medicare Star Ratings 2021 Changes and Strategies to Address

Innovaare Compliance

It has become evident by changes to the Centers for Medicare & Medicaid Services (CMS) Star Rating formulas over the past several years—and especially with changes implemented for the 2021 Plan Year—that member experience and medication adherence is of utmost importance to the CMS. Medicare Star Ratings 2021 Changes.