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… results in Services.
  • October 14, 2016

    Issue Brief 7: Medicaid Managed Care Final Regulations: BSS

    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 6, 2016

    NHeLP Comments on ACA Proposed Rule on Benefit and Payment Parameters

    NHeLP provides comments on a proposed rule from the U.S. Department of Health and Human Services (HHS) setting forth payment parameters and provisions related to the risk adjustment program; cost sharing parameters and reductions; user fees for the federally operated and state-based marketplaces; and guidance related to an array…

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  • October 4, 2016

    Issue Brief: A Primer on Reference Pricing & VBID

    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 30, 2016

    Comments on the Draft 2017 Letter

    NHeLP provides comments on the Centers for Medicare and Medicaid Services (CMS) draft letter to issuers in the Federally Facilitated Marketplaces (FFMs). NHeLP provides comment on a number of matters including guidance and suggestions on standardized plan options, on network adequacy of Qualified Health Plans, Essential Community Providers, Discriminatory Benefit…

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  • 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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