Bill of Health

JUNE 15, 2023

Both Lilly and Novo invoked the unconstitutional conditions doctrine, which they argued prohibited the government from requiring them to relinquish their property without just compensation as a condition of participating in federal health-insurance programs. Yet also like the 340B program, there is an element of voluntariness.

Medicare 195

Medicare Medicare Medicaid Medicaid 195

Health Populi

FEBRUARY 19, 2020

Until sweeping health care reform changes the employer-based health care system in America, this relationship between worker and company will continue to be values for health — physical, financial, and mental/behavioral.

Health Care Reform 162

Health Care Reform Telemedicine Medical Billing Health Outcomes 162

Health Populi

FEBRUARY 21, 2019

For these enrollees, increases in fee-for-service hospital care and prescription drugs will push spending upward. In addition, five States are expected to expand Medicaid in the next couple of years, moving more people into these State-specific health insurance plans in Idaho, Maine, Nebraska, Utah and Virginia.

Medicare 91

Medicare Medicare Medicaid Medicaid 91

Foster Swift

JULY 18, 2022

Jackson Women’s Health Organization overturned Roe v. Wade on June 24, 2022, the Department of Health and Human Services (“HHS”) was tasked with responding to how the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) would be affected.

HIPAA 52

HIPAA Health Care Reform Health Insurance 52

Bill of Health

APRIL 13, 2022

Two weeks after CMS issued its March 2022 guidance, the Kaiser Family Foundation released its annual survey of state Medicaid and Children’s Health Insurance Program (CHIP). What States Are Doing Now.

Medicaid 147

Medicaid Medicaid COVID-19 Public Health 147

Bill of Health

DECEMBER 6, 2023

Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical. Federal legislative solutions The federal No Surprises Act , approved in 2021, mandates that health insurers update the information in their provider directory at least every 90 days.

Governance 147

Governance Medicaid Medicaid Medicare 147

American Medical Compliance

APRIL 17, 2024

Understanding the ACA The Patient Protection and Affordable Care Act, referred to as the Affordable Care Act or “ACA” for short, is the comprehensive health care reform law enacted in March 2010. The law has 3 primary goals: Make affordable health insurance available to more people.

ADA 52

ADA ACA Compliance Health Care Reform 52

Bill of Health

JANUARY 20, 2022

However, none of the primary actors in the national health system — hospitals, physicians, health insurers, or pharmaceutical and device manufacturers — are directly responsible for combatting contagious disease, beyond their individualized responsibility to care for the individuals who come through their doors.

COVID-19 130

COVID-19 Hospitals Governance Public Health 130

Health Populi

APRIL 24, 2019

High deductible health plan designs continue to grow and mainstream in both commercially-insured populations for people receiving employer-sponsored plans, as well as for folks enrolling in public sector and marketplace plans.

Health Care Reform 63

Health Care Reform Medical Billing Health Insurance 63

Health Populi

AUGUST 16, 2019

Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs. This mechanism prevents a co-pay card or funds from a patient assistance program that discount the patient’s drug(s) to be applied to a deductible.

Governance 79

Governance Health Care Reform FDA ACA 79

Health Populi

OCTOBER 28, 2019

The study also addressed the politics of health care leading up to the 2020 Presidential election. While a “single payer health care system” was favored by 41% in terms of a candidate’s position, 77% of people could not agree on a definition for what “single payer” means in a U.S. health care system model.

Single Payer Health Care 54

Single Payer Health Care Medical Billing Health Care Reform Governance 54

Kaiser Health News

JULY 20, 2023

The Narsh case is “the perfect storm of every problem in our health care system,” said Saini, who at the request of KFF Health News reviewed the payment demand letters the family received. The Narsh family had Blue Cross and Blue Shield health insurance at the time of Mason’s hospitalizations.

Hospitals 61

Hospitals Medical Billing Health Care Reform Health Insurance 61

C&M Health Law

FEBRUARY 11, 2022

Together, the Tri-agencies’ report and EBSA fact sheet provide additional, important information for group health plans and health insurance issuers looking to comply with the 2021 Consolidated Appropriations Act’s (“CAA”) non-quantitative treatment limitation (“NQTL”) comparative analysis requirements.

Compliance 52

Compliance Health Insurance Health Care Reform ACA 52

Kaiser Health News

JULY 11, 2023

.” Hospitals have long argued they need to charge private insurance plans higher rates to make up for the Medicaid shortfall. The American Hospital Association strongly disagrees with the Lown and Johns Hopkins analyses.

Hospitals 72

Hospitals Medicaid Medicaid Medical Billing 72

Bill of Health

OCTOBER 5, 2023

In addition to ongoing AHRQ research, state Attorneys General should expand upon the approach of California and use their investigatory powers to collect relevant information from hospitals, health insurers, and algorithm developers.

FDA 162

FDA Governance Public Health Hospitals 162

Health Populi

NOVEMBER 5, 2019

health care economics, patients are now payors as health consumers with more financial skin in paying medical bills. As consumers, people have great expectations from the organizations on the supply side of health care — providers (hospitals and doctors), health insurance plans, pharma and medical device companies.

Health Care Reform 66

Health Care Reform Medical Billing Hospitals Health Insurance 66

Health Populi

OCTOBER 24, 2022

Add into this picture a CCS Insight analyst’s forecast last week that Apple could enter the health insurance market in 2024. health care system not seen since the 1968 creation of Medicare, coupled with decreased reimbursement due to health care reform. Walmart) to do so, as well.

COVID-19 54

COVID-19 Prescription Drug Pricing Health Insurance Health Care Reform 54

Bill of Health

MAY 12, 2023

Frequently, in these low-wage positions, workers earn just enough to pay for their health insurance premiums and sometimes the associated cost-sharing requirements. How did we get to a place where women must work an “infertility shift” beyond their full-time jobs to access medical care?

ACA 241

ACA Medicaid Medicaid Health Insurance 241

Health Populi

MARCH 15, 2021

household budgets have been particularly hard-hit in paying off credit cards and bills (23%), paying for food (17%), falling behind paying rent or mortgage (16%), affording health insurance coverage (16%), and paying for medical bills (16%). adults had trouble affording any of these basic living expenses. electorate is in favor.

COVID-19 117

COVID-19 Health Insurance ACA Medicaid 117

Bill of Health

NOVEMBER 9, 2023

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured.

COVID-19 162

COVID-19 Public Health ACA Health Insurance 162

Bill of Health

FEBRUARY 28, 2023

We deliberately organized our health law casebook (since our first edition, and now on the brink of our third) to reflect that shift in emphasis toward federal authority, particularly in regulating health insurance markets that traditionally were the domain of state business and consumer protection laws.

Public Health 182

Public Health COVID-19 Medicaid Medicaid 182

C&M Health Law

NOVEMBER 23, 2020

On October 29, 2020, the Departments of Health and Human Services, Labor, and the Treasury (“the Departments”) issued a final rule requiring private-sector health insurers and self-insured health plans to disclose treatment prices and cost-sharing information with consumers.

Regulatory Compliance 40

Regulatory Compliance Hospitals Compliance Health Insurance 40

Health Populi

JULY 31, 2019

Health care is the top issue Democrats want to hear about in the debates, well ahead of climate change, women’s issues, immigration and gun policy. Let’s start with an overall context statistic from this poll: that is that 86% of insured U.S. ” Health Populi’s Hot Points: U.S.

ACA 59

ACA Health Care Reform Health Insurance Medicare 59

Health Populi

NOVEMBER 5, 2018

They fought to erode key elements embedded in the law meant to protect health consumers’ rights: among them, health promotion, disease prevention, and public health; and the assurance that sick people would be covered by health insurance plans without prejudice. The fact is that most U.S.

Medicaid 78

Medicaid Medicaid ACA Health Insurance 78

Health Populi

NOVEMBER 27, 2019

While customer satisfaction with health insurance plans slightly increased between 2018 and 2019, patient satisfaction with hospitals fell in all three settings where care is delivered — inpatient, outpatient, and the emergency room, according to the 2018-2019 ACSI Finance, Insurance and Health Care Report.

Hospitals 71

Hospitals Patient Satisfaction Doctors Health Care Reform 71

Kaiser Health News

JUNE 6, 2022

For the second time in three years, Espinosa faces the prospect of losing permission to work, which would cost him not only his job providing tech support at a software company, but also his health insurance. Without health insurance, his daughter would lose her eligibility for transplants.

Health Insurance 81

Health Insurance Doctors Governance Licensing 81

Health Populi

NOVEMBER 4, 2019

Health care will be a key issue driving people to their local polling places, so it’s an opportune moment to take the temperature on U.S. voters’ perspectives on healthcare reform. For this group, it’s more local control and influence that’s valued versus a national assurance of health care.

ACA 54

ACA Health Care Reform Medicare Medicare 54

Hall Render

DECEMBER 13, 2024

Receiver unravels financial mess at Boston nursing home Baystate Health, Wellpoint reach multi-year contract agreement Cardinal Health opens medical product distribution center in Massachusetts Changing blood test protocol could improve patient care, catch disease sooner Mass. sold for $4.1B

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Hospitals Nurses 40

Health Populi

MAY 3, 2019

.” I note that, by the time Americans voted in the 2018 mid-term elections, it was no surprise that lower-income Americans were highly concerned about paying higher premiums, most people earning over $75,000 a year were also very worried about covering the costs of health insurance. health care system , Gallup learned. “The

ACA 75

ACA Doctors Health Care Reform Health Insurance 75

Hall Render

MARCH 11, 2022

California health officials working to address “Long COVID” Pandemic awakens need for at-home hospital care. State health care reform efforts vary, but gaining momentum overall. New rule lets low-income people in Kansas, Missouri keep shopping for health insurance.

COVID-19 40

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

Health Populi

MAY 19, 2019

RealClear concludes that, “health care is more than a political issue; it is also deeply personal,” and therefore the politics of health care reform, “requires understanding differences in consumer priorities and designing policies to meet their most pressing needs.”

Health Care Reform 63

Health Care Reform Medicare Medicare Health Insurance 63

Bill of Health

FEBRUARY 27, 2023

This pervasive structure for public health and health care laws caused problems before the New Roberts Court, but COVID-19 politics highlighted the degree to which state officials are turning away from partnering and toward what I call the “state veto.”

Public Health 246

Public Health COVID-19 COVID-19 Vaccine Medicaid 246

Kaiser Health News

JULY 24, 2023

House Republicans have advanced a package of bills that could reduce health insurance costs for certain businesses and consumers, partly by rolling back some consumer protections. Health policy experts aren’t surprised.

ACA 90

ACA Health Insurance Medicaid Medicaid 90

Hall Render

MAY 31, 2024

-area philanthropist opens women’s wellness center in Bethesda D.C. public relations firm strikes second acquisition after landing PE investment D.C.’s area philanthropist opens women’s wellness center in Bethesda D.C. public relations firm strikes second acquisition after landing PE investment D.C.’s

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Hall Render

MARCH 24, 2023

Luke’s Health System rolls out Meditech’s ‘smart’ pump integration DOJ dismisses appeal challenging UnitedHealth-Change Healthcare’s $7.8B AG files second challenge against federal behavioral health insurance ruling SOUTH CAROLINA FTC sues former Myrtle Beach doctor for false addiction, cancer treatments S.C.

Nursing Homes 40

Nursing Homes Nurses COVID-19 Hospitals 40

Bill of Health

DECEMBER 7, 2024

The ACA expanded Medicaid eligibility, allowing millions of low-income adults to access essential health care services, including millions of seniors. Trumps approach to health care reform reflects an agenda of state-level decision-making over federal support.

ACA 185

ACA Medicaid Medicaid Health Care Reform 185

Kaiser Health News

OCTOBER 31, 2024

” She previously spent more than a decade reporting on the federal government, most recently covering surprise medical bills, drug pricing reform, and other health policy debates in Washington and on the campaign trail. Childbirth Still Left Them With Crippling Debt ,” by Aria Bendix.

ACA 87

ACA Health Care Reform Health Insurance Medical Billing 87