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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. And for the 2018 benefit year, HHS promulgated a new rule in December 2018. 3d 1164, 1211 (D.N.M.

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Guns, Jobs, or Health Care? In 2018, Voters Split as to Top Issue

Health Populi

It’s a fairly even split between voting first on gun policy, jobs, or healthcare for the 2018 mid-term elections, ac. cording to the May 2018 Kaiser Family Foundation Health Tracking Poll. ” Health Populi’s Hot Points: The 2018 mid-term elections in America will be strongly focused on healthcare and health costs.

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Voting for Health in 2020

Health Populi

In the 2018 mid-term elections, U.S. The key issues for health care voters were costs (for care and prescription drugs) and access (read: protecting pre-existing conditions and expanding Medicaid). Issue #2 for 2018 voters was the economy. voters were driven to polls with health care on their minds.

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Health Care Paradox: Medicare Penalizes Dozens of Hospitals It Also Gives Five Stars

Kaiser Health News

The penalties — a 1% reduction in Medicare payments over 12 months — are based on the experiences of Medicare patients discharged from the hospital between July 2018 and the end of 2019, before the pandemic began in earnest. ” KHN (Kaiser Health News) is a national newsroom that produces in-depth journalism about health issues.

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The Top Pain Point in the Healthcare Consumer Experience is Money

Health Populi

The second chart presents these data, published in this week’s Kaiser Family Foundation Health Tracking Poll, dated late Summer 2018. Healthcare is a Come Together moment and opportunity in America for the 2018 mid-term elections. More people with pre-existing conditions are concerned, as well.

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Texas OIG Inspectors Discover Errors in Reported Nursing Home Staff Hours

Med-Net Compliance

The inspection objective was to determine whether the direct care licensed nursing hours recorded at the nursing home supported the hours submitted to the US Centers for Medicare & Medicaid Services (CMS) in compliance with federal requirements.

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Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

Health Populi

In fact, the number of uninsured Americans rose by 2 million people in 2018 , and by 1.9 In addition, people living in states that failed to expand Medicaid as part of the Affordable Care Act provisions were also at greater risk of inadequate coverage. million people in 2017.