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CMS finalizes network adequacy standards, expands dental benefits for ACA exchange

Fierce Healthcare

States now can add routine adult dental services as an essential health benefit, the Centers for Medicare & Medicaid Services announced in its 2025 Notice of Benefit and Payment Parameters fina | In its annual Notice of Benefit and Payment Parameters final rule, CMS prioritized dental and prescription drug benefits, network adequacy standardization (..)

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Healthcare Reforms Under the IRA: Expanding Access to Care

Healthcare Law Blog

The expansive legislation includes key health care provisions, including drug pricing reforms, inflationary rebates, Medicare Part D benefit redesign, as well as myriad other updates. Medicare Drug Price Negotiation Program. The Inflation Reduction Act (“IRA”) was signed into law by President Biden on August 16, 2022.

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CMS Promotes Health Equity through Marketplace Standards and More in New Proposed Rule

Healthcare Law Blog

Reducing the risk adjustment user fee for 2025 from $0.21 for Medicare & Medicaid Servs. On November 24, 2023, the U.S. Recalibrating cost sharing adjustment factors for AI/AN plan variants to improve model prediction and increase incentives for engaging historically underserved populations.

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The Impact of Section 1557 Final Rule on Healthcare

AIHC

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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Final Rule Implementing Section 1557 of the Affordable Care Act Is Effective

Hall Render

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.

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Health Provider News

Hall Render

after Medicare false claims reported Former Dana-Farber patient leads startup aimed at cancer survivors Judge appoints ombudsman to monitor care at Steward hospitals Park West Health System receives $2.5M Chicago children’s hospital completes cyberattack recovery CommonSpirit posts $365M quarterly loss, -3.9%

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Health Provider News

Hall Render

to Washington patients Seattle’s Newest Life Sciences Building 222 Fifth Tops Out Virginia Mason Fransican hospital donates tourniquets to teachers in case of school shootings UW Health: Medical assistant apprenticeship program marks milestone Vancouver Clinic CEO: Congress Must Prevent Medicare Cuts Washington hospital chain to refund up to $13.4