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  • November 30, 2016

    Lessons from California: Nov

    While Nov. 8 statewide elections in California brought the passage of a number of positive health care related initiatives, the looming Trump administration poses serious threats to health care in California and the nation, writes Staff Attorney Amy Chen in this month's Lessons from California. "Today and in the years…

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  • November 28, 2016

    Health Advocate: The Post-Election State of Our Health

    With a looming Trump administration and conservative majorities in Congress promising to repeal the Affordable Care Act, popularly known as Obamacare, and greatly weaken Medicaid and other public safety net laws, NHeLP D.C. Managing Attorney Mara Youdelman details some of what to expect in the coming year on health care.…

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  • November 1, 2016

    Lessons from California

    Abbi Coursolle and

    Decades after being ordered by a state appeals court to adhere to Medicaid law, California's Medicaid agency, Medi-Cal, starting in 2017 will be required by state law to ensure it is providing transportation services to Medicaid beneficiaries, writes Staff Attorney Abbi Coursolle in this month's Lessons from California. Coursolle…

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  • 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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