Kaiser Health News

JANUARY 19, 2022

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. Under the ACA, sliding-scale subsidies are available to help low- and moderate-income people buy coverage.

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Healthcare Law Today

JANUARY 2, 2023

For example, in a 2015 case, DOJ attorneys stated in a court conference, “[T]his is not a question. of a case where the hospital is diligently working on the claims and it's on the sixty-first day and they're still scrambling to go through their spreadsheets, you know, the government wouldn't be bringing that kind of a claim.

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Overpayment Overpayments ACA Medicare 52

MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation. What is Healthcare Compliance?

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HIT Consultant

JUNE 5, 2024

The Affordable Care Act of 2010 (ACA) and the Medicare Access and CHIP Reauthorization Act of 2015 put providers on notice that quality of care measures, like reducing hospital readmissions and improving patient outcomes, would take precedence over fee-for-service models.

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MedTrainer

MARCH 28, 2024

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Cons: Limited focus on other aspects of compliance beyond their specific areas. Board of Directors Ultimately responsible for the organization’s compliance efforts.

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Healthcare Law Blog

APRIL 6, 2022

Mothers with incomes up to 138% of the federal poverty level (“FPL”) in states which have expanded Medicaid under the Affordable Care Act (“ACA”) are eligible to remain covered by Medicaid and those with incomes above 138% FPL may be eligible to qualify for subsidized coverage through the ACA marketplace. 31, 2022). [2] 2] Emily E.

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Medicaid Medicaid ACA Public Health 52

Health Populi

MARCH 13, 2019

The authors note that “consumer-driven” health care is, “associated with neoliberal efforts to emphasize market factors in health reform,” de-emphasizing government regulation and financing. This concept can be potentially harmful, they believe, assuming that health care is a traditional market.

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