Kaiser Health News

JANUARY 12, 2024

Still, “we know from surveys and other data that, even 10 years on, a lot of people are unaware there are premium subsidies available through ACA marketplaces,” said Sabrina Corlette , co-director of the Center on Health Insurance Reform at Georgetown University. 1 and runs until Jan. 16 in most states.

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Bill of Health

APRIL 13, 2022

The COVID-19 Public Health Emergency (PHE) expires at the end of this week, with Department of Health and Human Services (HHS) Secretary Xavier Becerra expected to renew the PHE once more to extend through mid-July. This policy improves coverage and helps reduce churn , which is associated with poor health outcomes.

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Medicaid Medicaid COVID-19 Public Health 144

HIT Consultant

NOVEMBER 8, 2021

Jessica Altman, Pennsylvania’s insurance commissioner sums it up well : “When we talk about bringing something back to state control, that is a real narrative that can appeal to both sides of the aisle. There is nothing political about making health insurance more affordable.”.

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Health Insurance Medicaid Medicaid Governance 98

Center for Health Insurance Reform

MAY 16, 2023

The Affordable Care Act established health insurance Marketplaces to facilitate enrollment in comprehensive and affordable health insurance. Most states rely on the federal government to run their Marketplace, but recently, several states have expressed interest in taking over Marketplace operations.

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Health Insurance Governance Medicaid Medicaid 84

Compliance Now

AUGUST 10, 2023

As background, according to federal Health Insurance Portability and Accountability Act (HIPAA) rules, individuals have 60 days from losing CHIP and Medicaid eligibility to elect coverage under their group plan. The real potential of this number growing daily is what has prompted the Agencies to issue this “request.”

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Medicaid Medicaid Compliance Health Insurance 100

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 72

Fierce Healthcare

SEPTEMBER 26, 2023

Medicaid expansion will launch in North Carolina on Dec. 1, adding more than 600,000 people to the state’s health insurance system, Gov. Roy Cooper, the state anticipates more than 600,000 people will be eligible under Medicaid expansion. Roy Cooper announced Monday. Deemed a major victory for Gov.

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Medicaid Medicaid Health Insurance 75

HIT Consultant

NOVEMBER 9, 2023

Director of Healthcare Strategy, LexisNexis Risk Solutions During the peak of the Covid-19 pandemic, over 10 million Americans enrolled in Medicaid – nearly a 14% increase from the beginning of 2020. A month before the public health emergency ended on May 11, 2023, 87 million individuals were enrolled in Medicaid.

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Medicaid Medicaid Health Insurance Health Outcomes 64

Center for Health Insurance Reform

JUNE 3, 2022

Our colleagues at the Georgetown Center for Children & Families examine the new marketplace network adequacy standards and how they compare to Medicaid's standards. Continue reading → The post Standards for Provider Network Adequacy in Medicaid and the Marketplaces appeared first on Center on Health Insurance Reforms.

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Medicaid Medicaid Health Insurance 74

HIPAA Journal

JUNE 8, 2023

The Iowa Department of Health and Human Services has announced there have been three separate breaches of the protected health information of Iowa Medicaid recipients in the past two months – two hacking incidents and an impermissible disclosure, all three of which involved third-party contractors.

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Medicaid Medicaid Ransomware Health Insurance 83

Center for Health Insurance Reform

MARCH 20, 2023

As states resume conducting Medicaid and CHIP re-determinations of eligibility, the U.S. As millions of people transition from Medicaid to private insurance coverage, they could experience disruptions in critical health care services.

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Medicaid Medicaid Health Insurance Public Health 64

Center for Health Insurance Reform

APRIL 15, 2022

A recently published report from Georgetown's Center on Health Insurance Reforms and Center for Children & Families finds significant differences in standards for network adequacy between Medicaid and Marketplace plans, as well as gaps in oversight.

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Medicaid Medicaid Health Insurance 68

Modern Healthcare

AUGUST 18, 2022

States would have to track Medicaid and Children's Health Insurance Program quality metrics starting in fiscal 2024.

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Medicaid Medicaid Health Insurance 79

Center for Health Insurance Reform

AUGUST 8, 2022

Many of those losing their Medicaid eligibility after the COVID-19 public health emergency will have illnesses or conditions requiring uninterrupted access to health care services.

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Medicaid Medicaid COVID-19 Public Health 76

HIPAA Journal

NOVEMBER 21, 2022

million being defrauded from Medicaid, Medicare, and private health insurance programs. Five state Medicaid programs, two Medicare Administrative Contractors, and two private health insurers were tricked into changing the bank account details for payments. million, and $6.4 million, and $6.4

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Center for Health Insurance Reform

APRIL 20, 2022

It will be "all hands on deck" for state officials once the public health emergency ends and up to 16 million people face the loss of their Medicaid coverage.

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Health Insurance Public Health Medicaid Medicaid 79

Health Populi

JUNE 26, 2023

People love being health-insured, but their negative experiences with health plans create serious burdens on patients-as-consumers. The 2023 Kaiser Family Foundation Survey of Consumer Experiences with Health Insurance updates our understanding of and empathy for insured peoples’ Patient Administrative Burdens (PAB).

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Health Insurance Doctors COVID-19 Medical Billing 62

HIPAA Journal

APRIL 14, 2023

The Iowa Department of Health and Human Services (DHHS) has confirmed that the personal information of 20,800 Iowans who receive Medicaid was exposed in a cyberattack at a subcontractor of one of its business associates between June 30, 2022, and July 5, 2022. It is currently unclear how many individuals have been affected.

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Medicaid Medicaid Ransomware HIPAA 92

Kaiser Permanente

JANUARY 27, 2022

Medicaid provides health coverage to eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements and is jointly funded by states and the federal government. Kaiser Permanente’s Participation in Oregon Health Plan.

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Health Insurance Medicaid Medicaid Governance 52

Kaiser Permanente

JANUARY 1, 2022

Medicaid and the Children’s Health Insurance Program (CHIP) have served as critical supports to children, pregnant women, parents, seniors, and individuals with disabilities – covering 80 million individuals during the COVID-19 pandemic. Since February 2020, Medicaid enrollment has grown sharply to cover an additional 9.9

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Medicaid Medicaid Medicare Medicare 92

Center for Health Insurance Reform

DECEMBER 8, 2023

Several state-based Marketplaces have deployed innovating programs to keep people covered during the Medicaid unwinding.

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Medicaid Medicaid 77

HIPAA Journal

MARCH 15, 2023

FHKC is a state-created entity that offers health and dental insurance to children in Florida between the ages of 5 and 18. FHKC receives Medicaid funds and state funds for providing health insurance programs for children in Florida.

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Health Insurance Due Diligence HIPAA Fraud 73

Center for Health Insurance Reform

AUGUST 28, 2023

A massive coverage transition is underway for millions of people who have relied on Medicaid throughout the COVID-19 pandemic. After a three-year pause, states have begun disenrolling residents from Medicaid, leaving millions of people in need of new coverage.

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Medicaid Medicaid COVID-19 78

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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ACA Medicaid Medicaid COVID-19 65

HIPAA Journal

AUGUST 10, 2023

Four more entities have confirmed they were affected by the mass hacks of the MOVEit Transfer file transfer solution and had protected health information stolen. It is currently unclear exactly how many Medicaid recipients were affected. The DSS said all Missouri Medicaid recipients are being notified about the breach as a precaution.

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Medicaid Medicaid Health Insurance HIPAA 52

The Health Law Firm

NOVEMBER 8, 2022

Board Certified by The Florida Bar in Health Law The nation's largest Medicaid insurer, Centene, has agreed to pay $165.6 million to Texas to resolve claims that it overcharged the state’s Medicaid program for pharmacy services. By George F. Indest III, J.D., Louis-based Centene.

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Medicaid Medicaid Health Insurance 52

Center for Health Insurance Reform

DECEMBER 8, 2022

States are expected to resume redeterminations of Medicaid eligibility in early 2023, resulting in a projected 15 million people losing access to Medicaid. Ensuring these individuals transfer to another source of coverage smoothly and seamlessly is a particular challenge for states.

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Medicaid Medicaid Health Insurance Public Health 47

Healthcare Law Blog

JANUARY 20, 2023

To add uniformity to this practice, CMS codified this flexibility in the 2016 Medicaid and Children’s Health Insurance Plan (CHIP) managed care final rule by authorizing coverage for “In Lieu of Service or Settings” (ILOS). [i] ILOSs must advance the objectives of the Medicaid program.

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Medicaid Medicaid Medicare Medicare 52

Health Care Law Brief

FEBRUARY 2, 2024

While still subject to legislative approval, the Executive Budget incorporates the recently approved amendment (“Waiver Amendment”) to New York’s Medicaid Section 1115 Demonstration that includes $7.5 billion in Medicaid investments over the next three years. Services will be delivered via a two-tiered system.

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Medicaid Medicaid Medicare Medicare 52

Bill of Health

JANUARY 23, 2024

Medicaid pays for more than 40% of births in the U.S., Examining efforts at the federal and state level, I highlight three options, leveraging Medicaid as a policy lever. In the past, when individuals were Medicaid-eligible due to pregnancy, federal law required states to provide coverage for at least 60 days postpartum.

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Medicaid Medicaid Patient Satisfaction Health Insurance 111

Center for Health Insurance Reform

JUNE 12, 2023

April showers bring May flowers, and May was abloom with health policy research. Last month, we read about the impact of ending pandemic-related coverage policies, consumer awareness of the resumption of Medicaid renewals, and approaches to tackling rising health care costs in commercial health insurance markets.

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Center for Health Insurance Reform

DECEMBER 6, 2023

This week, the Centers for Medicare & Medicaid Services (CMS) is spotlighting how the Marketplaces can serve LGBTQI+ individuals, a community that has historically faced discriminatory barriers to health insurance and health care. It’s time to sign up for 2024 coverage on the Affordable Care Act’s Marketplaces.

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Health Insurance Medicaid Medicaid Medicare 82

Healthcare It News

DECEMBER 16, 2022

The Medicaid and CHIP Access to Prescription Digital Therapeutics Act seeks to expand care options that can help improve health outcomes and quality of life for those facing barriers to healthcare. The act would also define "prescription digital therapeutic" in Medicaid and allow U.S. WHY IT MATTERS. THE LARGER TREND.

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Medicaid Medicaid COVID-19 Health Outcomes 195

Health Law RX

SEPTEMBER 16, 2022

AHCA is sending out postcards to existing Florida Medicaid providers (Providers) alerting them to upcoming changes in the Florida Medicaid program. Providers are urged to sign into their account on the Florida Medicaid portal immediately. County Health Department Certified Match Program Fee Schedule. Check your mailboxes.

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Medicaid Medicaid Nursing Homes Nurses 52

Health Populi

SEPTEMBER 17, 2020

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. The coronavirus pandemic has only exacerbated the erosion of the health insured population. lacked health insurance.

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COVID-19 Health Insurance Public Health Health Care Access 62

Healthcare IT Today

FEBRUARY 26, 2023

Proposed fixes include improved health insurance literacy – which could help could help 3.8 Georgia-based Augusta University Health chose Biofourmis to help expand its virtual care at home program. Wellpath and the Federal Bureau of Prisons selected Bicycle Health for virtual Medication for Opioid Use Disorder services.

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Medicaid Medicaid FDA Health Insurance 93

Kaiser Health News

APRIL 16, 2024

Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov. Some consumers were switched multiple times or had duplicative policies.

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