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Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

When incarcerated individuals receive care, providers are often unfamiliar with their medical history, an obstacle to chronic disease treatment. While hospitals and clinics abide by the Center for Medicaid & Medicare Services guidelines, jails and prisons do not.

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American Hospital Association, Johns Hopkins and others launch pro-telehealth campaign

Healthcare IT News - Telehealth

Congress must act to expand patient choice in every American community, meet patients where they are, and bring health care into the 21st century. Department of Health and Human Services found a 63-fold jump in Medicare telehealth use during the pandemic. Most recently, a report from the U.S.

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Addressing Ghost Networks in Mental Health Care

Bill of Health

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. Insurers should also work to decrease the shortage of mental health care providers in their networks.

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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.

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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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Come Together – A Health Policy Prescription from the Bipartisan Policy Center

Health Populi

Among all Americans, the most popular approach for improving the health care in the U.S. isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. Addressing employer-sponsored health insurance. Reducing system-wide health care costs.

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What is HIPAA?

HIPAA Journal

HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Health care access, portability, and renewability. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?

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