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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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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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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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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.

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Universal Health Care and Financial Inclusion – Not Mutually Exclusive

Health Populi

Universal health care was covered in a section on 28 April 2018, and coverage on financial inclusion was bundled into the 5th May edition. Two weeks in a row, The Economist , the news magazine headquartered in London, included two special reports stapled into the middle of the magazines.

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HHS Issues Proposed Rule to Provide Clarity on Rights of Conscience in Healthcare

Healthcare Law Blog

Medicaid and Medicare The Balanced Budget Act of 1997, Public Law 105–33, 111 Stat. The Medicaid and Medicare statutes also contain conscience provisions related to the performance of advanced directives, religious nonmedical healthcare providers and their patients.

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