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October 24, 2016
Health Advocates Urge CHIP Extension
External Source and Andy DiAntonio Letter
NHeLP joins other national health care and children's advocacy groups urging Congress to extend the Children's Health Insurance Program (CHIP). CHIP was first enacted in 1997 to provide funding to states to reduce the numbers of uninsured children, focusing on low income children in working families who don't have…
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October 14, 2016
Issue Brief 7: Medicaid Managed Care Final Regulations: BSS
Elizabeth Edwards Issue Brief
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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October 4, 2016
Issue Brief: A Primer on Reference Pricing & VBID
David Machledt Issue Brief
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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September 1, 2016
Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule
Sarah Somers Issue Brief
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
Andy DiAntonio Regulations and Laws
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August 31, 2016
Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults
Leo Cuello and Andy DiAntonio Issue Brief
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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Medicaid Archive

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Health Advocates Urge CHIP Extension

Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

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

Lessons from CA: Special Enrollment Period Verifications

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

Medicaid Archive

Never miss a thing.

Subscribe today.

Health Advocates Urge CHIP Extension

Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

Issue Brief: A Primer on Reference Pricing & VBID

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

Lessons from CA: Special Enrollment Period Verifications

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