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June 30, 2015
NHeLP Comments on Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-Facilitated Marketplaces
Andy DiAntonio Comments
NHeLP comments on May 29, 2015 CMS Bulletin on Proposed Out-of-Pocket (OOP) Cost Comparison Tool for the Federally-facilitated Marketplaces (FFMs). The Tool adds a critical new mechanism for consumers to evaluate and select the most appropriate plan to suit their needs and may help them more easily weigh the effect of…
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June 29, 2015
Health Consumer Alliance Letter to California Department of Health Services
Abbi Coursolle, Kim Lewis, and Andy DiAntonio Letter
The HCA commends DHCS for expanding the utilization policy to increase the number of people living with hepatitis C who are eligible for treatment through Medi-Cal. This draft makes several important changes to the previous policy, including recognizing that treatment is often clinically appropriate for people with less-advanced stages…
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June 22, 2015
EHB Prescription Drug Standard Issue No. 3 – Mail-Order Pharmacies
Wayne Turner and Shyaam Subramanian Issue Brief
Introduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice of…
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May 29, 2015
Lessons From CA: Essential Health Benefits
Michelle Lilienfeld Issue Brief
Introduced by the Affordable Care Act, the Essential Health Benefits (EHBs) are a set of ten health care service categories that non-grandfathered health plans in the individual and small group markets must cover. States are in the process of making important decisions about the EHBs, therefore this is a…
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May 14, 2015
Survey of Medicaid Managed Care Contracts: EPSDT Vision and Hearing Services
Jane Perkins, Sarah Somers, and External Source Issue Brief
An estimated 25 percent of all school children in the United States have some type of vision problem significant enough to affect daily life and school performance. Similarly, despite the proliferation of hospital-based newborn hearing screening programs, a significant number of children with possible hearing loss are not receiving…
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May 8, 2015
EHB Prescription Drug Standard – Exceptions Process
Michelle Lilienfeld Issue Brief
Introduced by the Affordable Care Act (ACA), Essential Health Benefits (EHB) are a set of ten health care service categories that plans must cover. One of the ten categories of benefits is prescription drugs. On February 20th, 2015, the Department of Health and Human Services (HHS) issued the Notice…
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