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November 14, 2014
Health Advocate: Open Enrollment 2 (OE2): What to Expect
Mara Youdelman and dfitzgerald Health Advocate
The second open enrollment period begins Nov. 15, 2014. While we are leaps and bounds from the road bumps experienced during the first enrollment period, we still have work to do. This edition of the Health Advocate walks through many of the challenges and concerns as we head into…
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November 10, 2014
NHeLP Letter to CMS re: PA State Plan Benefits
Leo Cuello and Jane Perkins Letter
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October 29, 2014
Lessons from CA: Covering Behavioral Health Treatment in Medi-Cal
dfitzgerald Issue Brief
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October 27, 2014
Reducing Medicaid Emergency Department Use: Increase Accessibility, Not Copays
David Machledt Issue Brief
Emergency department care, one of the most frequently cited drivers of health care costs, has become a major target for cost sharing policies. The stereotypical "frequent flyer" who uses the emergency department (ED) for every cough and sniffle has become a powerful, but unwarranted symbol of inefficient spending driven…
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October 16, 2014
Issue Brief: Update on Private Enforcement of the Medicaid Act
Jane Perkins Issue Brief
Over the years, Medicaid beneficiaries have asserted claims under the Supremacy Clause of the U.S. Constitution and 42 U.S.C. § 1983 in litigation to enjoin state violations of the Medicaid Act. This Fact Sheet will summarize the history of § 1983 and Supremacy Clause enforcement, provide current point-in-time assessments…
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September 30, 2014
Lessons from CA: Contraceptive Coverage
dfitzgerald Issue Brief
In this month's Lessons from California, we highlight landmark legislation, the Contraceptive Coverage Equity Act (SB 1053, Mitchell), the state just enacted that requires that Medi-Cal managed care organizations (MCO) and most private insurers cover all FDA-approved methods and strictly limits MCO medical management techniques. These important new state…
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