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Prison Health Care is Broken Under the Medicaid Inmate Exclusion Policy

Bill of Health

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

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Medicare Advantage offers less access to psychiatrists than ACA plans, managed Medicaid: study

Fierce Healthcare

Medicare Advantage (MA) beneficiaries have less choice when it comes to finding a psychiatrist than Medicaid enrollees or those who buy coverage on the Affordable Care Act (ACA) marketplace do, acc | Medicare Advantage continues to grow, and so does the need for beneficiaries to have access to psychiatrists, says a study in Health Affairs.

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Churntables: A Look at the Record on Medicaid Redetermination Plans

Bill of Health

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.

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Wyden pushes for CMS to crack down on broker misbehavior

Fierce Healthcare

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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Federal officials trumpet record high ACA enrollment

Fierce Healthcare

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

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CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers

Healthcare IT Today

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.

ACA 145
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Patient Centered Care Through Value Based Care, Social Determinants of Health, and Behavioral Health – 2025 Health IT Predictions

Healthcare IT Today

Medicare Advantage (MA) will likely see expanded backing, further solidifying its role as a cornerstone of value-based care. While there may be concerns regarding the Affordable Care Act (ACA), its survival seems likely given its established infrastructure and widespread reliance.

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