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- July 28, 2022
Essential Health Benefits: Best Practices in Benchmark Selection
Read moreThe Affordable Care Act (ACA) established a comprehensive set of ten Essential Health Benefits (EHB) that most health plans must cover. Under federal rules, states can select a benchmark plan that defines what the ten benefits look like in each state. However, many states still have no process for…
- June 17, 2022
NHeLP Comment on the 2023 Medicare Hospital Inpatient Prospective Payment Systems (IPPS) Rule and Request for Information on Health Care Quality Disparities
Read moreNHeLP submitted comments on the annual Medicare IPPS Rule. Our comments address a new proposed measure, in which CMS would require hospitals to attest to several health equity domains. We ask CMS to strengthen its requirement for hospitals and programs to address disparities and improve oversight of health equity…
- May 23, 2022
The Ongoing Racial Paradox of the Medicaid Program
Read moreThis article originally appeared in the May edition of the Journal of Health and Life Sciences Law, published by the American Health Law Association Medicaid, the largest public health insurance program for low-income people, has since 1965 extended health coverage to millions of people, including people of color. At…
- May 2, 2022
NHeLP Comments on CMS Request for Information on Access to Coverage and Care in Medicaid & CHIP
Charly Gilfoil, Cat Duffy, Abigail Coursolle, Mara Youdelman, Wayne Turner, Jennifer Lav, Elizabeth Edwards, and David Machledt CommentsRead moreThe Centers for Medicare & Medicaid Services (CMS) issued a Request for Information (RFI) to develop and implement a comprehensive strategy to help ensure equitable access to Medicaid and the Children's Health Insurance Program (CHIP). In comments, NHeLP responds to the RFI questions on issues ranging from eligibility and…
- April 14, 2022
NHeLP comments on Oregon’s application for renewal of the Oregon Health Plan § 1115(a) Demonstration Waiver for 2022-2027
Read moreIn public comments, NHeLP expresses support for Oregon's decision to abandon its waiver of EPSDT. However, NHeLP strongly opposes Oregon's proposal to exclude outpatient prescription drugs approved under the FDA's accelerated approval pathway. Denying Medicaid enrollees access to effective break-through therapies would harm people with serious or life-threatening medical…