Archive for 2016

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  • Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

    Senior Attorney Elizabeth Edwards provides analysis and guidance on the updated rule regarding managed care plans in Medicaid, and how it relates to new requirements around beneficiary support systems (BSS). Edwards explains that the updated rule, adopted this year by the U.S. Department of of Health and Human Services…

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  • NHeLP Comments on ACA Proposed Rule on Benefit and Payment Parameters

    NHeLP provides comments on a proposed rule from the U.S. Department of Health and Human Services (HHS) setting forth payment parameters and provisions related to the risk adjustment program; cost sharing parameters and reductions; user fees for the federally operated and state-based marketplaces; and guidance related to an array…

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  • Issue Brief: A Primer on Reference Pricing & VBID

    Cost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely health care services. Health care experts, however, are exploring other mechanisms, such as Value-Based Insurance Design (VBID) and its Reference Pricing ways to address shortcomings of cost sharing. VBID, at…

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  • The Data Project

    NHeLP's Reproductive Health Data and Insurance Accountability Project (the Data Project) and the Women's Law Project on October 3 published a guide on abortion coverage for low-income women, and physicians in Pennsylvania. The guide details the extent of Medicaid coverage of abortion care in the state, administered by Pennsylvania…

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  • 1332 Waiver

    Western Center on Law & Poverty, NHeLP and the Legal Aid Society of San Mateo County in a letter to the chair and board members of Covered California, the state's marketplace, provide comments on formulation of an innovation waiver that would allow more undocumented immigrants to purchase health insurance…

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  • Comments on the Draft 2017 Letter

    NHeLP provides comments on the Centers for Medicare and Medicaid Services (CMS) draft letter to issuers in the Federally Facilitated Marketplaces (FFMs). NHeLP provides comment on a number of matters including guidance and suggestions on standardized plan options, on network adequacy of Qualified Health Plans, Essential Community Providers, Discriminatory Benefit…

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