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Health Equity and SDoH – 2023 Health IT Predictions

Healthcare IT Today

As we head into 2023, we wanted to kick off the new year with a series of 2023 Health IT predictions. This year was a financially challenging year for many health systems and the economic uncertainty will continue to impact peoples’ lives. Chelsea King Arthur, Vice President of Population and Digital Health at Get Well.

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Addressing Ghost Networks in Mental Health Care

Bill of Health

The Consolidated Appropriations Act of 2023 requires Medicaid plans to publish and update accurate and searchable provider directories. Insurers should also work to decrease the shortage of mental health care providers in their networks.

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

Bill of Health

America is the only wealthy nation to lack universal health coverage. At the end of the PHE, states began Medicaid disenrollment, and more than 7 million people have already lost health insurance this year. In short, the pandemic underscored the need for a rights-based approach to health in the U.S.,

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What’s Expected to Drive Up Health Plan Costs in 2025: GLP-1s, Behavioral Health, and Inflationary Pressures for Hospitals and Doctors – PwC’s Behind the Numbers 2025

Jane Sarashon

We’ve discussed the hockey-stick rise in the adoption and persistent use of GLP-1 drugs for managing diabetes and obesity here in Health Populi. This graph diagrams utilization, unit cost, and cost as a percent of overall medical cost trend: note that by the middle of 2023, GLP-1 drug costs for Group health plan members comprised 13.6%

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A Health Consumer Bill of Rights: Assuring Affordability, Access, Autonomy, and Equity

Jane Sarashon

The aspirational document sets out the mission that “every individual deserves the right to obtain health care that is comprehensive, equitable and compassionate.” Health Populi’s Hot Points: Is there an American Civil Right for health care?

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Payor-Led Initiatives to Strengthen Mental Health Resources

Healthcare Law Blog

1] In addition to the challenges presented by provider shortages, even when patients are able to locate an available mental health provider, many are hesitant to engage in treatment due to cost uncertainties, which often arise due to limited availability for in-network care and the subsequent need to seek out-of-network care. [2]

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

On April 5, the Centers for Medicare & Medicaid Services (“CMS”) released the 2024 Medicare Advantage and Prescription Drug Benefit Programs Final Rule (“Final Rule”), which will be codified at 42 C.F.R. The Final Rule is effective June 5, 2023. Parts 417, 422, 423, 455, and 460. 79452 (2022)).