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Fifth Circuit Upholds ACA Risk Adjustment Program

Healthcare Law Blog

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. United States Dep’t of Health & Hum. 20-50963, 2022 WL 807554, at *1 (5th Cir. The Risk-Adjustment Program.

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Reduced Co-Insurance for Screening Colonoscopies

Medisys Compliance

For dates of service on or after calendar year 2030, Medicare waives the coinsurance. In addition, the ACA amended Section 1833(b)(1) of the Act to waive the Part B deductible for screening colonoscopies, which includes moderate sedation services as an inherent part of the screening colonoscopy procedural service.

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Equality Health Announces New Investment from Governor Jeb Bush-Led Firm

HIT Consultant

The Partners, complemented by a team of private equity professionals, have successfully invested together since 2017, with approximately $700 million of funds committed and a track record of 11 portfolio companies.

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How AI Can Advance Health Equity

Healthcare IT Today

Is the algorithm in question used for Medicare, Medicaid, or ACA populations? Sachin Patel joined Apixio in 2017 as Chief Financial Officer and later served as President and Chief Financial Officer before taking his current role as Chief Executive Officer. Health coverage program. ” About Sachin Patel.

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CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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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. A 2017 report showed several of the largest penalties have been imposed on small- to medium-sized healthcare organizations, including United Medical Instruments Inc.

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CMS BLOG: Medicare for All? Just another name for a government-run, single payer system

CMS.gov

CMS BLOG: Medicare for All? Seema Verma, Administrator, Centers for Medicare & Medicaid Services . Medicare Part C. Medicare Part D. Medicare for All? When listening to those advocating ‘Medicare for All’ it’s good to be skeptical about their promises. keya.joy-bush@…. Fri, 11/02/2018 - 21:32.