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Reflections on the United States Health Care System and the Right to Health

Bill of Health

Despite the important enactment in 2010 of the Patient Protection and Affordable Care Act (ACA), which increases access to care by expanding Medicaid eligibility and protecting insurance coverage of people with pre-existing health conditions and disabilities, more than 25 million people remain uninsured.

COVID-19 162
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HIPAA Disclosures of Protected Health Information after Dobbs v. Jackson Women's Health Organization: Foster Swift Highlights Navigating Michigan and Federal Law

Foster Swift

Jackson Women’s Health Organization overturned Roe v. Wade on June 24, 2022, the Department of Health and Human Services (“HHS”) was tasked with responding to how the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) would be affected.

HIPAA 52
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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

Two weeks after CMS issued its March 2022 guidance, the Kaiser Family Foundation released its annual survey of state Medicaid and Children’s Health Insurance Program (CHIP). What States Are Doing Now.

Medicaid 147
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2022 MHPAEA Annual Report Illuminates Tri-agency Review and Enforcement Priorities in a Post-Consolidated Appropriations Act World

C&M Health Law

The Departments of Labor, Health and Human Services (“HHS”), and the Treasury (the “Tri-agencies”) released their 2022 annual report to Congress on the Mental Health Parity and Addiction Equity Act (“MHPAEA”) on Tuesday, January 25. The 2022 annual report is only the beginning of the post-2021 CAA era.

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Addressing Ghost Networks in Mental Health Care

Bill of Health

Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical. Federal legislative solutions The federal No Surprises Act , approved in 2021, mandates that health insurers update the information in their provider directory at least every 90 days.

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How Will the “New” Health Economy Fare in a Macro-Economic Downturn?

Health Populi

What happens to a health care ecosystem when the volume of patients and revenues they generate decline? How would that further impact the micro-economy of health care? A report from Trilliant on the 2022 Trends Shaping the Health Economy helps to inform our response to that question.

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Large Employers’ Focus on Prescription Drugs: Costs, Coupons and Communication

Health Populi

Employers cited several main tactics to address coupon cards looking forward from 2019 to 2022. Co-pay accumulators are being discussed across health plan types, including government-sponsored plans like Medicare along with commercial health insurance programs. Much now depends on the U.S.