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- May 15, 2023
Principles for Fairer, More Responsive Automated Decision-Making Systems
Read moreMany government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS we mean, broadly, systems that use standardized logic or algorithms to assess eligibility for and access to public benefits. This includes not only sophisticated “big data” systems, such as programs…
- April 20, 2023
AMICUS: J.R. v. Horizon NJ Health, New Jersey Superior Court, Appellate Division
Litigation Team CasesRead moreJ.R. is a young child who requires nursing services and appealed a significant reduction in her Medicaid nursing services that was based on the results of a secret scoring tool and care guidelines. The notice provided to J.R. reducing their services only provided the end result of the tool…
- October 3, 2022
NHeLP Comments on Section 1557 Proposed Rule
Mara Youdelman, Wayne Turner, Elizabeth Edwards, Madeline Morcelle, Abigail Coursolle, Charly Gilfoil, Jennifer Lav, Skyler Rosellini, Alicia Emanuel, Cat Duffy, Catherine McKee, Fabiola Carrión, David Machledt, Héctor Hernández-Delgado, Dania Douglas, and Carly Myers CommentsRead moreNHeLP submitted comments on the Department of Health and Human Services' Notice of Proposed Rulemaking to implement Section 1557 of the Affordable Care Act. Section 1557, the ACA's nondiscrimination provision, protects individuals from discrimination on the basis of race, color, national origin (including language access), age, disability and sex…
- August 15, 2022
Questions and Answers on the 2022 Proposed Rule Addressing Nondiscrimination Protections under the ACA’s Section 1557
Mara Youdelman, Wayne Turner, Abigail Coursolle, Elizabeth Edwards, Jennifer Lav, and Madeline Morcelle Q&ARead moreIn courts and through regulatory action, the Biden-Harris administration is vigorously working to address health equity. This includes strengthening the Affordable Care Act’s (ACA) nondiscrimination requirements. On August 4, 2022, the administration released a proposed rule that would reinstate key provisions of the ACA’s nondiscrimination requirements repealed by the…
- September 15, 2021
Comments on NIST Proposal for Identifying & Managing Bias in AI
Read moreAs awareness grows of the biases baked into artificial intelligence and other automated decision making, and the real world impacts of these systems on people, federal agencies like the National Institute of Standards and Technology are developing risk management frameworks for these systems. NHeLP submitted comments on NIST's recent…
- June 29, 2021
Webinar: Quality and Accountability in Medicaid Managed Care — Where We Stand in 2021
Read moreThis webinar presents a recent series of papers that provide tips on leveraging managed care accountability tools, locating state quality data, and improving state reporting on health disparities. This includes updates on current implementation status of the 2016 Medicaid managed care regulations as well as links to various state…