Bill of Health

JANUARY 26, 2022

As a first step to protecting incarcerated individuals’ right to health, Congress should repeal the Medicaid Inmate Exclusion Policy (MIEP). The MIEP, established in 1965, prohibits Medicaid from covering incarcerated individuals, despite any prior eligibility. Specifically, states that have expanded Medicaid could save $4.7

Medicaid 300

Medicaid Medicaid COVID-19 Public Health 300

Healthcare Dive

MARCH 13, 2024

The budget request includes proposals for “Medicaid-like” coverage in non-expansion states and future penalties for hospitals that don’t implement cybersecurity standards.

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ACA Medicaid Medicaid Hospitals 258

Healthcare Dive

DECEMBER 21, 2023

Enrollment in the Affordable Care Act exchanges could be boosted by extended subsidies and the effects of Medicaid redeterminations.

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ACA Medicaid Medicaid 298

Healthcare Dive

FEBRUARY 8, 2023

The insurer said it expects to add some members who are no longer eligible for Medicaid to its ACA exchange plans.

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Medicaid Medicaid ACA 130

Center for Health Insurance Reform

SEPTEMBER 9, 2024

As Medicaid unwinding draws to a close, millions of people have had to find new health coverage options, many of them through the Affordable Care Act (ACA) Marketplaces.

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Medicaid Medicaid ACA Health Insurance 59

Modern Healthcare

APRIL 17, 2023

CMS' final rule for ACA exchanges sets plan limits, requires plans to include substance abuse and mental health providers and makes Medicaid's special enrollment period a permanent option.

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ACA Medicaid Medicaid 95

American Medical Compliance

APRIL 17, 2024

The following Comprehensive Affordable Care Act (ACA) and Americans with Disabilities Act (ADA) Compliance Training educates healthcare providers on the historical context of both Acts. Expand the Medicaid program to cover all adults with income below 138% of the FPL. Not all states have expanded their Medicaid programs.

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ADA ACA Compliance Health Care Reform 52

Center for Health Insurance Reform

MARCH 24, 2022

CHIR and our colleagues at the Center for Children and Families (CCF) have published two new resources examining state-level preparations for the end of the COVID-19 public health emergency and the redetermination of the Medicaid eligibility of close to 85 million people.

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ACA Medicaid Medicaid COVID-19 95

Fierce Healthcare

OCTOBER 19, 2021

Senate bill aims to make it easier for Americans to qualify for coverage such as Medicaid, ACA subsidies. Tue, 10/19/2021 - 16:35.

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ACA Medicaid Medicaid 103

Fierce Healthcare

JULY 6, 2023

More than 52,000 low-income adults in Sout­­h Dakota are now eligible for Medicaid, the Centers for Medicare & Medicaid Services (CMS) and the U.S. | Low-income adults in South Dakota are now eligible for expanded Medicaid access under the Affordable Care Act, while 11 states hold out on approving the expansion.

Medicaid 57

Medicaid Medicaid ACA Medicare 57

Innovaare Compliance

APRIL 27, 2023

A perspective on recent industry shifts influencing ACA plan operations in states, which are yet to adopt ACA Medicaid expansion Health Exchange plans covered under ACA (Accountable Care Act) witnessed 36% enrollment growth between 2021 and 2023. This is the sharpest rise in ACA enrollment since inception.

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ACA Medicaid Medicaid Health Outcomes 52

Fierce Healthcare

OCTOBER 4, 2021

Missouri starts signing up residents under ACA's Medicaid expansion after legal fight. Mon, 10/04/2021 - 12:37.

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ACA Medicaid Medicaid 61

Fierce Healthcare

JANUARY 24, 2024

million people will be enrolled in an Affordable Care Act during this year's open enrollment period, Centers for Medicare & Medicaid Services (CMS) announced today. More than 21.3 Affordable Care Act enrollment has hit an all-time high, prompting federal officials to recognize its importance to the insurance marketplace today.

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ACA Medicaid Medicaid Medicare 108

Bill of Health

APRIL 13, 2022

When the PHE ultimately expires, this will also trigger the end of the Medicaid continuous enrollment requirement, under which states must provide continuous Medicaid coverage for enrollees through the end of the last month of the PHE in order to receive enhanced federal funding. Continuity of Coverage.

Medicaid 148

Medicaid Medicaid COVID-19 Public Health 148

Healthcare Dive

JULY 19, 2023

Although it’s still early in the redeterminations process, Elevance is seeing “encouraging” signs that many Medicaid members who lose coverage are transitioning onto ACA plans, according to its CFO.

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ACA Medicaid Medicaid 130

Fierce Healthcare

MAY 22, 2024

A key senator is calling on the Centers for Medicare & Medicaid Services (CMS) to crack down on brokers who submit fraudulent enrollments for Affordable Care Act (ACA) plans. |

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ACA Medicaid Medicaid Medicare 115

Health Populi

JULY 20, 2021

Furthermore, the flow of medical debt was greater among health citizens living in states that did not expand Medicaid as part of the Affordable Care Act, compared with patients who reside in Medicaid expansion states, according to an original research essay, Medical Debt in the US, 2009-2020 published in JAMA on 20 July 2021.

Medicaid 93

Medicaid Medicaid ACA Doctors 93

Fierce Healthcare

APRIL 2, 2024

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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ACA Medicaid Medicaid Medicare 107

Kaiser Health News

JANUARY 12, 2024

The ACA also includes subsidies that offset all or part of the premium costs for the majority of low- to moderate-income people who seek to buy their own insurance. residents struggle to afford the deductibles, copayments, or out-of-network fees included in some ACA or job-based insurance plans. of household income. 16 in most states.

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Health Insurance ACA Medicaid Medicaid 140

Center for Health Insurance Reform

OCTOBER 19, 2023

The annual open enrollment period for Affordable Care Act (ACA) Marketplace coverage kicks off November 1 in most states.

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ACA Medicaid Medicaid Health Insurance 104

Healthcare Law Blog

APRIL 6, 2022

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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Medicaid Medicaid ACA Public Health 52

Kaiser Health News

APRIL 16, 2024

In turn, sales agents used the information to either enroll them in ACA plans or switch their existing policies without their consent. Such private sector platforms, which must be approved by the Centers for Medicare & Medicaid Services, streamline enrollment by integrating with the federal ACA marketplace, called healthcare.gov.

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ACA Health Insurance Governance Medical Billing 141

Healthcare Law Blog

MARCH 25, 2022

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. United States Dep’t of Health & Hum. 20-50963, 2022 WL 807554, at *1 (5th Cir. The Risk-Adjustment Program.

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ACA US Department of Health and Human Services Health Insurance Medicaid 52

Fierce Healthcare

SEPTEMBER 19, 2023

Troubled insurtech Bright Health must shell out about $380 million to the Centers for Medicare & Medicaid Services (CMS) over the next 18 months, according to a recent

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ACA Medicaid Medicaid Medicare 61

Healthcare IT Today

DECEMBER 22, 2020

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

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ACA Medicaid Medicaid Medicare 145

Center for Health Insurance Reform

MARCH 31, 2023

The Affordable Care Act (ACA) recently celebrated its 13th anniversary with historic enrollment growth in the health insurance Marketplaces and the lowest-ever recorded uninsured rate.

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Health Insurance ACA Medicaid Medicaid 97

Center for Health Insurance Reform

NOVEMBER 13, 2023

In October, we read studies on consumer experiences enrolling in the Affordable Care Act (ACA) Marketplace, health care affordability issues among the insured and uninsured, and the impact of Medicaid expansion on coverage in heavily redlined areas.

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ACA Medicaid Medicaid 52

Center for Health Insurance Reform

MARCH 31, 2022

In the proposed Notice of Benefit and Payment Parameters for 2023, the Centers for Medicare & Medicaid Services asked for feedback on how to promote health equity through ACA marketplace operations and plan certification standards.

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ACA Health Insurance Medicaid Medicaid 94

Center for Health Insurance Reform

APRIL 29, 2022

As many as 16 million people are expected to lose Medicaid once the COVID-19 public health emergency ends. One-third of these could be eligible for ACA marketplace plans.

Public Health 96

Public Health ACA COVID-19 Health Insurance 96

Center for Health Insurance Reform

NOVEMBER 9, 2022

At the end of the COVID-19 public health emergency, millions of people will lose Medicaid as states resume eligibility determinations.

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Public Health ACA COVID-19 Health Insurance 97

Health Populi

JUNE 18, 2021

workers with private insurance more likely report poor access to health care, greater costs of care, and lower satisfaction with care versus people covered by public health insurance plans — whether Medicaid, Medicare, VHA or military coverage. Health Populi’s Hot Points: U.S. households.

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ACA Health Insurance Medicaid Medicaid 139

Jane Sarashon

FEBRUARY 27, 2024

In addition to highlighting the Patient’s Bill of Rights, NABIP’s keynotes and general sessions will speak to similar topics being brainstormed at VIVE this week — including mental health, maternal health, pharmacy and prescription drugs (pricing, PBMs), population health, and Medicare and Medicaid innovations.

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ACA Prescription Drug Pricing Health Insurance Hospitals 118

Bill of Health

NOVEMBER 9, 2023

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.

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COVID-19 Public Health ACA Health Insurance 163

Healthcare IT News - Telehealth

AUGUST 29, 2022

Galileo first launched with in-home care for Medicare and Medicaid patients, creating a framework to include social determinants of health in clinical analysis and to bridge gaps in healthcare education. We currently power UnitedHealthcare's Virtual-First ACA Exchange plan in multiple states with more coming in 2023.

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Telemedicine ACA Medicaid Medicaid 152

Center for Health Insurance Reform

APRIL 6, 2022

In addition to filling out our March Madness brackets, the CHIR team reviewed studies on health insurance rates during the pandemic, how the Affordable Care Act (ACA) impacted women’s health coverage, and consumer access to high-quality marketplace plans. Along with the cherry blossoms, new health policy research was in full bloom this month.

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ACA Health Insurance COVID-19 Medicaid 96

HIT Consultant

FEBRUARY 6, 2024

Expanding Payer Reach and Expertise Based in Chicago with 160 experienced professionals, HealthScape offers comprehensive consulting services to payers across all segments, including commercial, Medicare, Medicaid, ACA, and federal.

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ACA Medicaid Medicaid Medicare 52

Kaiser Health News

JULY 6, 2022

Since late 2010, when this provision of the ACA took effect, many patients have paid nothing when they undergo routine mammograms, get one of more than a dozen vaccines, receive birth control, or are screened for other conditions, including diabetes, colon cancer, depression, and sexually transmitted diseases. The ACA does set parameters.

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