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- June 18, 2018
Trump’s DOJ, Kentucky Try to Convince Federal Judge HHS Has Authority to Saddle Medicaid with Work Requirements, High Premiums and Lock Outs
Read moreThe fate of Medicaid work requirements rests— for now— with U.S. District Court Judge James E. Boasberg. The judge heard arguments on June 15 in a Washington, D.C. courtroom packed to capacity with health care advocates, lawyers, scholars and reporters. The case at hand, Stewart v. Azar, was the legal…
- June 5, 2018
Network Adequacy for Behavioral Health Services in Medicaid Managed Care
Read moreHas your state set network adequacy standards for behavioral health services offered by Medicaid Managed Care plans yet? If not, now is the time to work with your state to develop strong standards. On July 1, federal regulations will require states to ensure that their Medicaid Managed Care plans…
- May 31, 2018
Despite Trump’s Health Care Sabotage, California is Fighting to Protect Access to Essential Health Benefits
Read moreThe Trump administration issued the Notice of Benefits and Payment Parameters Final Rule for 2019 (HHS 2019 Final Rule), which introduced several changes to the way states define individual and small-group market coverage of the ten Essential Health Benefits (EHBs) mandated by the Affordable Care Act. The HHS 2019…
- May 23, 2018
In the Midst of Sabotage, Some Are Charting the Course for a Just, Equitable Health Care System
Read moreDespite historic gains made by the Affordable Care Act (ACA) in reducing health disparities, significant disparities remain. Recent news coverage on staggeringly high black maternal mortality – three to four times the rate of white mothers – is only one of countless examples of the effects of institutionalized racism…
- April 23, 2018
Trump Rule Targets Landmark Health Care Law by Weakening Essential Health Benefits’ Standards
Read moreSixty-seven percent of consumers believe that the top health care priority should be to lower out-of-pocket costs, instead of cutting benefits and consumer protections. Yet the Trump administration continues to undermine the progress made by the Affordable Care Act (ACA) in ensuring that people have access to basic health…
- April 13, 2018
Closed formularies in Medicaid are No Solution for Lowering Drug Costs
Read moreFor people living at or near the federal poverty line, Medicaid coverage can literally mean the difference between living a long, healthy, and productive life; or suffering with an untreated, painful, and potentially deadly medical condition. Consider Vickie Goldstein, a Florida Medicaid beneficiary who was diagnosed with hepatitis C—a…