American Medical Compliance

MARCH 13, 2025

Compliance of Section 1557 of the Affordable Care Act (ACA) reinforces this by prohibiting discrimination and holding healthcare providers accountable for fostering an inclusive environment. With July 5, 2025, fast approaching, healthcare organizations must act now to ensure compliance. Click here.

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Compliance ACA Patient Satisfaction Medicare 59

Kaiser Health News

JULY 24, 2024

Often, consumers who are targeted don’t know they’ve been enrolled or that their coverage has been switched to a new plan until they lose access to preferred doctors, learn they have different deductibles, or find they owe taxes for ACA insurance premium subsidies.

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ACA Health Insurance Patient Advocacy Fraud 136

Healthcare Law Blog

DECEMBER 11, 2023

Permitting states to expand Medicaid eligibility by disregarding more income and resource threshold standards for individuals that are excepted from the application of the Modified Adjusted Gross Income financial methodology. Reducing the risk adjustment user fee for 2025 from $0.21 for Medicare & Medicaid Servs.

Medicaid 52

Medicaid Medicaid ACA Medicare 52

Hall Render

JULY 8, 2024

On May 6, 2024, the Centers for Medicare and Medicaid Services (“CMS”) and the Office for Civil Rights of Health and Human Services (“HHS”) issued a final rule implementing Section 1557 of the Affordable Care Act (“Section 1557”) (the “Final Rule”). The Final Rule went into effect on July 5, 2024.

Health Insurance 40

Health Insurance Compliance Medicare Medicare 40

Kaiser Health News

NOVEMBER 27, 2023

A principios de este año, DeSantis criticó a California por ser demasiado generosa con los programas públicos como Medicaid, que el Estado Dorado ha ampliado a todos los residentes elegibles, independientemente de su estatus migratorio. Florida no cuenta con un mercado estatal, ni ofrece subsidios patrocinados por el estado.

COVID-19 68

COVID-19 ACA Medicaid Medicaid 68

AIHC

AUGUST 13, 2024

Written by Corliss Collins , BSHIM, RHIT, CRCR, CSM, CCA, CBCS, CPDC and Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, OHCC, ICDCT-CM/PCS The 2024 Final Rule for Section 1557 of the Affordable Care Act (ACA) was issued by the Department of Health and Human Services (HHS) on April 26, 2024.

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Compliance ACA Health Insurance Medicaid 52

Healthcare Law Blog

AUGUST 25, 2022

Additional updates of note include: ACA Premium Tax Credit Eligibility. Essentially, the moratorium on the requirement that, to be eligible for a premium tax credit, household income must be at or below 400% of the federal poverty level, is extended through 2025. Improvement of Access to Adult Vaccines under Medicaid and CHIP.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Jane Sarashon

FEBRUARY 19, 2025

To keep sharp on the topics, I attended Rx Market Insights: Performance Trends and Outlook for 2025, a data-rich session presented on February 18 by IQVIA and sponsored by Ascend Laboratories. The research was fielded between December 30, 2024 and January 7, 2025]. A poll conducted among 2,000 U.S.

ACA 59

ACA Doctors Medicaid Medicaid 59

Jane Sarashon

DECEMBER 12, 2024

trust the CDC, NIH, and FDA, and most people also want the 47th incoming President Donald Trump to strengthen health/care institutions — from the VA and FDA to Medicare, Medicaid, as well as the CDC and Affordable Care Act. Most health citizens in the U.S. health consumers with some striking differences across political party ID.

FDA 52

FDA Public Health Medicaid Medicaid 52

Hall Render

JUNE 28, 2024

less than MU Health projected Lutheran Family and Children’s Services Expands Services in Kansas City Kansas City groups support designating gun violence as public health crisis Fitch downgrades Missouri hospital MONTANA Organizations request Montana health department investment following Medicaid redetermination Montana offers $15.8M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 17, 2025

NATIONAL 340B contractor boosts profits while driving up patient costs: Report A vital hospital revenue stream under threat Aetna suit against private-equity radiologists tests No Surprises Act Americans want action on consolidation, private equity in healthcare, federal report finds Anti-Kickback Statute grows in scope: 5 things to know AWS and General (..)

Nursing Homes 40

Nursing Homes Nurses Hospitals Medicaid 40

Kaiser Health News

OCTOBER 31, 2023

1 for the ACA’s federal and state exchanges. Health policy experts and brokers recommend all ACA policyholders at least look at next year’s options, because prices — and the doctors and hospitals in plans’ networks — may have changed. It Could Be Another Record Year ACA plans are now well entrenched — an estimated 16.3

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ACA Health Insurance Medicaid Medicaid 123

Kaiser Health News

OCTOBER 31, 2023

Para millones de personas que compran su propio seguro de salud a través del mercado establecido por la Ley de Cuidado de Salud a Bajo Precio (ACA, popularmente conocida como Obamacare), el final del año trae un ajuste de cuentas: es el momento de comparar beneficios y precios, cambiar a un nuevo plan o inscribirse por primera vez.

ACA 64

ACA Medicaid Medicaid COVID-19 64

Kaiser Health News

JULY 24, 2023

The latest round of rules and legislation comes as the ACA — passed in 2010 — is now cemented in the system. More than 16 million people enrolled in their own plans this year, and millions more are getting coverage through expanded Medicaid in all but 10 states, leading to an all-time-low uninsured rate.

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ACA Health Insurance Medicaid Medicaid 90

Hall Render

MAY 24, 2024

County’s highest paid employee. Chicago children’s hospital completes cyberattack recovery CommonSpirit posts $365M quarterly loss, -3.9% Chicago children’s hospital completes cyberattack recovery CommonSpirit posts $365M quarterly loss, -3.9% Chicago children’s hospital completes cyberattack recovery CommonSpirit posts $365M quarterly loss, -3.9%

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

JANUARY 10, 2025

A new state-sponsored group will help. UCHealth to use war medical tactic to help save lives in Northern Colorado New Northern Colorado program delivers whole blood to patients in the field CONNECTICUT $1.9

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Hall Render

NOVEMBER 27, 2023

11 Plan To Slash $1.5B 11 Plan To Slash $1.5B face growing challenges to stay open KENTUCKY BehaVR merges with New York City-based Fern Health For years, a powerful Louisville hospital sued people for unpaid bills.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

JUNE 16, 2023

24 spot in national ranking of life science talent What changes did CT make to its Medicaid program in 2023? before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M before Baptist merger Bankruptcy Trustee Wants Doctor To Pay Her $1.6M Baltimore, and Northern Virginia DELAWARE Bayhealth adds northern Del.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Jane Sarashon

JANUARY 28, 2025

The Kaiser Family Foundation has hit the 2025 health policy ground running in publishing the January 2025 Health Tracking Poll last week and a poll on health care trust and mis-information yesterday. As of the second week of January 2025, the top priorities for health care among U.S. Trust is baked into what U.S. Kennedy, Jr.,

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Hall Render

OCTOBER 27, 2023

Ransomware attacks against hospitals put patients’ lives at risk, researchers say States, FTC continue to target noncompetes: 3 updates The best hospital in each state, per Newsweek What to know about Stark law’s $9.2M Here’s why Grady Health System recognized as health care I.T.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes COVID-19 40

Bill of Health

DECEMBER 7, 2024

For many Americans, the Affordable Care Act (ACA) has been a crucial piece of that safety net, providing access to affordable health care, expanded coverage options, and support for innovative medical care delivery methods that lower health care costs. However, Medicare does not cover all health care needs, notably long-term care services.

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ACA Medicaid Medicaid Health Care Reform 185

Jane Sarashon

NOVEMBER 14, 2024

elections, on probably policy and market impacts that we can expect in 2025 and beyond. For health care, there are many uncertainties as we reflect, one week after the 2024 U.S. In today’s Health Populi post, I’ll reflect on the first of several certainties we-know-we-know about U.S.

Prescription Drug Pricing 52

Prescription Drug Pricing ACA Health Insurance Medicaid 52

Bill of Health

DECEMBER 7, 2024

For many Americans, the Affordable Care Act (ACA) has been a crucial piece of that safety net, providing access to affordable health care, expanded coverage options, and support for innovative medical care delivery methods that lower health care costs. However, Medicare does not cover all health care needs, notably long-term care services.

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ACA Medicaid Medicaid Health Care Reform 130

Kaiser Health News

OCTOBER 25, 2024

JD Vance, about possible changes to the ACA have opened Republicans up to heavier scrutiny. More than 1,500 doctors across the country recently released a letter calling on Trump to reveal details about how he would alter the ACA, saying the information is needed so voters can make an informed decision. Tom Cotton (R-Ark.)

ACA 129

ACA Medicaid Medicaid Health Insurance 129

Hall Render

MARCH 28, 2025

’s ‘Scorched-Earth’ Sanctions Bid YNHH hands out 150 pink slips at Northeast Medical Group s DC Ascension’s Providence Hospital shut down its urgent care center. Johns BayCare improved operating margin to 9.6%

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Nursing Homes Hospitals 40

Hall Render

FEBRUARY 7, 2025

CONNECTICUT Drug counselor sentenced to 27 months in federal prison for submitting false claims to Medicaid Trinity Health Of New England names new regional president of 3 hospitals, including St. Alaska Mental Health Trust Authority chooses new chief executive ARIZONA Arizona couple pleads guilty to $1.2B The university says no.

Nurses 40

Nurses Nursing Homes Hospitals Medicaid 40

Hall Render

FEBRUARY 14, 2025

ARIZONA Arizona sues drug firm, alleging scheme to skip Medicaid rebates Arizona’s largest pediatric hospital system back in network of state’s largest health insurer Banner Health appoints chief research officer Brian Bell Named President and CEO of Arkansas Hospice Char Boulch Named CEO of Saline Health System E.

Nursing Homes 40

Nursing Homes Nurses Hospitals Doctors 40

Kaiser Health News

NOVEMBER 1, 2024

ACA Premiums The election is likely to affect the cost of health insurance for millions who buy coverage on the Affordable Care Act marketplaces. That’s because extra, pandemic-era subsidies that lower the cost of premiums will expire at the end of 2025 — unless Congress and the next president act. Many pay no premiums at all.

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