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New Rule Opens the Affordable Care Act Marketplaces to DACA Recipients

Center for Health Insurance Reform

Department of Health & Human Services has released a final regulation allowing people who receive Deferred Action for Childhood Arrivals (DACA) to access new health insurance options. CHIR's Sabrina Corlette and Julian Polaris of Manatt Health review the rule and its implications for state policy.

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New Georgetown Report and Issue Brief on Outpatient Facility Fee Billing and State Policy Responses

Center for Health Insurance Reform

In a new report and issue brief supported by West Health, CHIR’s Christine Monahan, Karen Davenport, and Rachel Swindle explore outpatient facility fee billing in the commercial sector, including the impact of these fees on consumers and how states are responding.

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States Expand Access to Affordable Private Coverage for Immigrant Populations

Center for Health Insurance Reform

While state efforts to provide Medicaid-equivalent benefits to some populations of undocumented residents have helped expand access to coverage, many low- and moderate-income undocumented residents remain without affordable health insurance options.

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What is CAQH & How Does It Relate to Provider Credentialing?

Physician Credentialing Company

Ensuring Compliance with Regulations CAQH aligns with Health Insurance Portability and Accountability Act (HIPAA) rules and regulations, which stress safeguarding the provider’s data and information. Credentialing boards can make decisions quickly and accurately. How to Use CAQH for Credentialing?

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How important are Medical Oncology Billing Guidelines?

Physician Credentialing Company

Health Insurance Portability and Accountability Act (HIPAA) and Centers for Medicare and Medicaid Services (CMS) urge the providers to not only bill accurately but also adhere to their compliance rules. Healthcare professionals can reduce claim denials by following all billing protocols defined by payers and state policies.

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The End of Public Health? It’s Not Dead Yet

Bill of Health

This separated spheres of authority vision does not account for the ubiquitous use of federal/state partnerships in achieving national and state policy goals, especially health policy goals. United States , which held Congress cannot “dragoon” state executive officials to implement federal laws.

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Top Healthcare Policy Developments in 2023; Register for Crowell Health Solutions Webinar

C&M Health Law

While the EMTALA guidance is currently being challenged in federal court, we expect the Administration to address additional issues related to reproductive health care services, including state policies affecting telehealth and travel restrictions for abortion.