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- March 13, 2023
NHeLP Comments on the HHS Prior Authorization Proposed Rule (2023)
Read moreIn these comments on the Prior Authorization Proposed Rule, NHeLP urges HHS to go further to curb the abuse of prior authorization as a cost savings strategy that endangers patients’ health. NHeLP supports efforts to streamline prior authorization processing and bring greater transparency to denial rates and the clinical…
- December 2, 2022
Managed Care Sanctions: An Important Tool for Accountability
Read moreThis report is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care, focusing on sanctions, which are one of the tools available to states to hold managed care organizations (MCOs) accountable for failing to meet their obligations. Our research indicates that the states…
- 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 De Liban, 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…
- July 28, 2022
Essential Health Benefits: Best Practices in Benchmark Selection
Read moreThe Affordable Care Act (ACA) established a comprehensive set of ten Essential Health Benefits (EHB) that most health plans must cover. Under federal rules, states can select a benchmark plan that defines what the ten benefits look like in each state. However, many states still have no process for…
