Archive for June, 2014

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  • NHeLP Amicus Brief in Reaching Souls v. Sebelius

    The ACA recognizes that preventive health services are critical to individual and community health. It accordingly requires new group health plans and health insurance issuers to cover such additional women's preventive health care services as provided for in guidelines supported by the Health Resources and Services Administration (HRSA). (2)…

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  • NHeLP Amicus Brief in Grace Schools v. Sebelius

    The ACA recognizes that preventive health services are critical to individual and community health. It accordingly requires new group health plans and health insurance issuers to cover such additional women's preventive health care services as provided for in guidelines supported by the Health Resources and Services Administration (HRSA). (2)…

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  • NHeLP Matters – June 2014

    Summary of the recent accomplishments of NHeLP, including protecting informed consent, stopping discrimination against people with HIV/AIDS and fighting for immigrant women.

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  • Health Advocate: Understanding the Medicare Coverage “Cliff”

    The Affordable Care Act (ACA) includes numerous provisions that will improve the health security of older adults. For example, the ACA eliminates the coverage gap in Medicare Part D prescription drug coverage (sometimes referred to as "the doughnut hole") and expands access to free preventive and wellness visits for…

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  • NHeLP Comments to Health Indiana 1115 Demonstrations

    These NHeLP comments to the State of Indiana address numerous legal problems with the states two proposed section 1115 demonstrations, one to expand Medicaid and one to renewal the current 1115 if the Medicaid expansion is denied. NHeLP comments identify problems such as illegal premiums, cost-sharing, and restrictions on…

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  • External Quality Review: An Overview

    Part of the overall quality strategy mandated by the Medicaid Act and regulations requires states to include annual independent external quality reviews (EQRs) in each managed care contract. This approach requires an independent organization to validate state selected performance measures, perform site visits and "otherwise evaluate the performance of…

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