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One in Two Americans with Work-Based Insurance Worries That Healthcare Costs Could Lead to Bankruptcy

Health Populi

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

ACA 139
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Will CMS’s Proposed Rule on “Identified Overpayments” Increase Reverse FCA Cases?

Healthcare Law Today

In the 2016 Final Rule , CMS agreed “the 60-day time period begins when either the reasonable diligence is completed or on the day the person received credible information of a potential overpayment if the person failed to conduct reasonable diligence and the person in fact received an overpayment. § 401.305(a)(2).

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What Does the OFAC Sanctions List Have to do With Russia and Ukraine?

Verisys

Healthcare facilities receive billions of dollars in federal and state funding through the Affordable Care Act (ACA), Medicare, Medicaid, CHIP, and other programs. In 2016, Alcon Laboratories was slapped with a $7.6 When it comes to healthcare, knowing who you’re doing business with matters.

ACA 52
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Payor-Led Initiatives to Strengthen Mental Health Resources

Healthcare Law Blog

7] In alignment with this initiative, the Centers for Medicare and Medicaid Services (CMS) has recently issued a proposed rule to streamline the prior authorization process, which would purportedly decrease processing times from twenty-one (21) to seven (7) days. November 2022. [2] 21, 2023). [5] 5] Bellon, J., PhD, Quinlan, C., PhD, et al.,

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CMS Includes MAOs in Data Exchange and Prior Authorization Requirements

Healthcare Law Blog

The Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule , “Advancing Interoperability and Improving Prior Authorization Processes” (the “Proposed Rule”), that is intended to improve patient and provider access to health information and streamline processes related to prior authorization for medical items and services.

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Más de 100 millones de estadounidenses viven acosados por las deudas médicas

Kaiser Health News

La deuda de los pacientes se acumula a pesar de la histórica Ley de Cuidado de Salud a Bajo Precio (ACA) de 2010. ACA amplió la cobertura de seguro a decenas de millones de estadounidenses. Muchos hospitales prosperaron incluso durante la pandemia. El papel de Washington.

ACA 78
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Final Rule Implementing Section 1557 of the Affordable Care Act Is Effective

Hall Render

On May 6, 2024, the Centers for Medicare and Medicaid Services (“CMS”) and the Office for Civil Rights of Health and Human Services (“HHS”) issued a final rule implementing Section 1557 of the Affordable Care Act (“Section 1557”) (the “Final Rule”). The Final Rule went into effect on July 5, 2024.