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December 16, 2014
Health Advocate: 2014 Litigation Round Up
Jane Perkins Health Advocate
More than four years since the Affordable Care Act was signed into law have passed, and yet litigation over it has not stopped. This edition of the Health Advocate examines the major cases impacting health policy in 2014, including some that go straight to the heart of health care…
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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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October 14, 2014
Health Advocate: EPSDT Screening: Including Sexuality Education in Health Education
dfitzgerald Health Advocate
Under Medicaid and some Children's Health Insurance Programs (CHIP), youth are eligible to receive the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit, which includes coverage for medical screening. Federal law requires each screen to include five required components. One component is age-appropriate health education, which should include…
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September 19, 2014
Health Advocate: Medicaid Managed Care: Modernized Federal Regulations are Long
Sarah Somers Health Advocate
In 1965, when the Medicaid program was created, American health care bore little resemblance to the complex system we have today. One of the most significant changes has been the expanding role of managed care. In its early years, Medicaid was almost exclusively a fee-for-service system in which providers…
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August 18, 2014
Health Advocate: Alternative Benefit Plans
Michelle Lilienfeld Health Advocate
Alternative Benefit Plans (ABPs), formerly known as Medicaid benchmarks, have existed since the Deficit Reduction Act of 2005 gave states the authority to develop alternative Medicaid benefit packages for select groups of Medicaid beneficiaries. Prior to the Affordable Care Act (ACA) only a few states had selected this option.…
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July 14, 2014
Health Advocate: ACA Litigation Continues: A Primer of Major Cases
Jane Perkins Health Advocate
The ACA has been under continuous attack in the courts since its enactment. These challenges could significantly roll back key parts of the ACA. In this month's Health Advocate, Jane Perkins and Dipti Singh tell us what is at stake with a primer on some of the major cases…
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