Archive for 2016

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… results.
  • September 23, 2016

    Health Advocate: States Expand Coverage of Contraception

    States are taking the initiative to bolster federal health care policy intended to provide comprehensive contraceptive coverage, Staff Attorney Agata Pelka writes in the September Health Advocate. Pelka states, "Access to quality, comprehensive health care is critical for women to be equal, participating, and productive members of society." While…

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  • September 1, 2016

    NHeLP Comments to PERM Regulations

    Leo Cuello

    In comments to the U.S. Department of Health and Human Services, NHeLP Director of Health Policy Leonardo Cuello recommends that HHS should make the Payment Error Rate Measurement regulations consistent with the recently released Medicaid managed care regulations and use the Payment Error Rate Measurement process as a tool to promote…

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  • September 1, 2016

    NHeLP Comments to MACRA Regulations

    Leo Cuello

    In comments to the U.S. Department of Health and Human Services, NHeLP Director of Health Policy Leonardo Cuello recommends that HHS should improve the Medicare and CHIP Reauthorization Act regulations to encourage models of care that will provide consumers with high-quality care, and put less emphasis only on increasing provider risk…

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  • September 1, 2016

    Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule

    The federal Centers for Medicare & Medicaid Services (CMS) have issued final regulations establishing a process for states to comply with the Medicaid Act's requirements that payments be sufficient to ensure adequate provider participation in the program. This Q&A discusses those requirements and provides tips for advocates who want…

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  • August 31, 2016

    Lessons from CA: Special Enrollment Period Verifications

    This issue of Lessons from California highlights the audit process that California's marketplace just implemented to ensure individuals who claim to have a basis for a special enrollment period in fact have a qualifying event to enroll outside of annual open enrollment.   

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  • August 31, 2016

    Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults

    Leo Cuello

    In this issue brief, Leonardo Cuello reviews the recently finalized Medicaid managed care regulations, and how they impact access to health care for older adults. He highlights important new provisions in the regulations on a range of topics such as enrollment protections, network adequacy requirements, long-term services and supports…

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