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- July 15, 2024
Coalition Letter on California’s Essential Health Benefits Benchmarking
Read moreCalifornia is currently in the process of evaluating the State's Essential Health Benefits benchmark plan. In response to a request for comment from the Department of Managed Health Care, NHeLP and a coalition of statewide health advocacy organizations submitted a letter explaining why the benchmarking process presents an opportunity…
- July 11, 2024
NHeLP Letter to CCIIO on DC EHB Procedural Defect
Read moreNHeLP urges the HHS Center for Consumer Information and Insurance Oversight (CCIIO) to reject the District of Columbia's recent EHB benchmark plan update due to procedural defects. Specifically, the DC Department of Insurance, Securities and Banking and DC HealthLink announced a public comment period only days before the submission…
- January 31, 2024
FTC Complaint: Request for Investigation into Deloitte’s Texas Medicaid Eligibility System
Sarah Grusin, Elizabeth Edwards, Jane Perkins, Emily Paul, Emma Weil, John Davisson, and Grant Fergusson Comments, Letter, CasesRead moreIn a formal complaint filed January 31, the National Health Law Program (NHeLP), the Electronic Privacy Information Center (EPIC), and Upturn urge the Federal Trade Commission (FTC) to investigate Deloitte due to inaccurate and unreliable Medicaid eligibility determinations resulting from the use of the company’s automated software in Texas. Complaint (January 31, 2024) Supplemental…
- December 7, 2023
Letter to CMS and FTC: Misleading Advertising by Medicare Advantage Plans to Medicaid/Medicare Enrollees; Request for Immediate Relief Against UnitedHealthcare; Broader Nationwide Investigation and Relief Needed
Read moreIn this letter to the Centers for Medicare and Medicaid Services and the Federal Trade Commission, Disability Rights Connecticut, the National Health Law Program, the National Disability Rights Network, and the Center for Medicare Advocacy request that the agencies immediately intervene regarding misleading advertising that is being directed at…
- September 28, 2023
NHeLP Comments on US Pharmacopeia Drug Classification Update Draft for 2024
Read moreUnder federal rules, health plans subject to the Essential Health Benefits must cover a minimum of one drug per U.S. Pharmacopeia (USP) class and category. However, the USP classification system used for EHB was designed for Medicare Part D, and falls short on covering pediatric formulations, drugs used for…
- September 25, 2023
NHeLP Letter to CCIIO on Legal Authorities and Regulatory Changes for Essential Health Benefits
Read moreIn this letter to the HHS Center for Consumer Information and Insurance Oversight (CCIIO), NHeLP urges changes in regulations governing Essential Health Benefits (EHB). As NHeLP points out, nothing in the Affordable Care Act precludes HHS from adding adult oral health as part of the department's statutory responsibility to…
