Health Affairs Medicaid Rules

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Inside The Administration’s Proposed Medicaid - Health Affairs

(5 days ago) WebMedicaid’s unique, expansive coverage rules for certain populations, most notably early and periodic screening diagnosis and treatment Health Affairs Forefront, June 15, 2023. DOI: 10.1377

https://www.healthaffairs.org/content/forefront/inside-administration-s-proposed-medicaid-managed-care-rule-steering-behemoth

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CMS finalizes rules to improve Medicaid, CHIP access and payment

(5 days ago) WebThe Centers for Medicare & Medicaid Services April 22 finalized rules intended to improve access in both the Medicaid fee-for-service and managed care …

https://www.aha.org/news/headline/2024-04-22-cms-finalizes-rules-improve-medicaid-chip-access-and-payment

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Biden-Harris Administration Takes Historic Action to Increase …

(5 days ago) WebThe U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), today issued three final rules to fulfill …

https://www.hhs.gov/about/news/2024/04/22/biden-harris-administration-takes-historic-action-increase-access-quality-care-support-families-care-workers.html

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Final 2025 Payment Notice: Marketplace Standards And Insurance …

(7 days ago) WebThe Medicaid rules generally allow for the earliest possible effective date for enrollees, but some states find it infeasible to adopt these rules. Health Affairs …

https://www.healthaffairs.org/content/forefront/final-2025-payment-notice-marketplace-standards-and-insurance-reforms

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Proposed 2025 Payment Rule: Marketplace Standards And …

(8 days ago) WebThe Medicaid rules generally allow for the earliest possible effective date for enrollees, including retroactive coverage in some cases. Health Affairs Forefront, …

https://www.healthaffairs.org/content/forefront/proposed-2025-payment-rule-marketplace-standards-and-insurance-reforms

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Fact Sheet: Vice President Harris Announces Historic …

(3 days ago) WebMedicare and Medicaid pay billions of dollars per year to ensure that 1.2 million Americans that receive care in nursing homes are cared for, yet too many nursing …

https://www.whitehouse.gov/briefing-room/statements-releases/2024/04/22/fact-sheet-vice-president-harris-announces-historic-advancements-in-long-term-care-to-support-the-care-economy/

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New Federal Rules Will Improve Medicaid, CHIP Access Across the …

(6 days ago) WebEnrollees in Medicaid and the Children’s Health Insurance Program (CHIP) will benefit from two rules finalized by the Centers for Medicare & Medicaid Services …

https://www.cbpp.org/blog/new-federal-rules-will-improve-medicaid-chip-access-across-the-country

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HHS Issues New Rule to Strengthen Nondiscrimination Protections …

(Just Now) WebDownload the News Release Download the News Release - Word. Today, the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) and …

https://www.hhs.gov/about/news/2024/04/26/hhs-issues-new-rule-strengthen-nondiscrimination-protections-advance-civil-rights-health-care.html

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Trends In State Medicaid Eligibility, Enrollment Rules - Health …

(Just Now) WebIt is estimated that from 2014 to 2016 as many as 14.5 million people became insured through Medicaid and the Children’s Health Insurance Program (CHIP) as a …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2019.01350

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Most nursing homes don't have enough staff to meet the federal …

(4 days ago) WebThe new rules from the Centers for Medicare & Medicaid Services are the most substantial changes to federal oversight of the nation's roughly 15,000 nursing …

https://www.npr.org/sections/health-shots/2024/04/24/1246628171/nursing-home-staffing-final-rule-medicare-medicaid

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State Policies for Expanding Medicaid Coverage of Community …

(8 days ago) WebMedicaid payment for CHW services: As of July 1, 2022, over half of responding states (29 of 48) reported allowing Medicaid payment for services provided …

https://www.kff.org/medicaid/issue-brief/state-policies-for-expanding-medicaid-coverage-of-community-health-worker-chw-services/

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Feds establish new rules for health care staffing and pay

(8 days ago) WebMedicaid will now direct more health care spending into their pockets. “80% of the rates that are paid by the state to providers have to go directly to the workers, as …

https://www.marketplace.org/2024/04/24/nursing-homes-staffing-health-care-pay/

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Department of the Treasury; Department of Health and Human …

(7 days ago) WebGAO reviewed the Department of the Treasury; and the Department of Health and Human Services (HHS), Centers for Medicare & Medicaid Services (the …

https://www.gao.gov/products/b-336235

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New COVID-19 Rule Addresses Coverage, Medicaid Waivers

(1 days ago) WebA new federal interim final rule with comment period addresses coverage policies for a not-yet-developed COVID-19 vaccine and offers an option for states to …

https://www.healthaffairs.org/content/forefront/new-covid-19-rule-addresses-coverage-medicaid-waivers

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Does Medicare cover long-term care costs? - CBS News

(Just Now) WebSince Medicare leaves such a large gap, considering options like long-term care insurance, Medicaid eligibility planning or hybrid insurance products can provide …

https://www.cbsnews.com/news/does-medicare-cover-long-term-care-costs/

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A New Use for Wegovy Opens the Door to Medicare Coverage for …

(4 days ago) WebKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 …

https://www.kff.org/medicare/issue-brief/a-new-use-for-wegovy-opens-the-door-to-medicare-coverage-for-millions-of-people-with-obesity/

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State health plans must cover gender-affirming surgery, US …

(9 days ago) WebApril 29 (Reuters) - Health insurance plans run by U.S. states must cover gender-affirming surgeries for transgender people, a U.S. appeals court ruled on …

https://www.reuters.com/legal/state-health-plans-must-cover-gender-affirming-surgery-us-appeals-court-rules-2024-04-29/

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State health care plans can't exclude gender-affirming - Axios

(Just Now) WebState health care plans must cover gender-affirming surgeries, a federal appeals court in Virginia ruled Monday.. Why it matters: The ruling marks a major victory …

https://www.axios.com/2024/04/29/state-health-care-plan-gender-affirming-surgery

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Medicaid Stability Is Critical To Nation’s Continuum Of Health

(9 days ago) WebMedicaid Has Proven Long-Term Benefits And The Potential To Eliminate Access And Outcome Disparities. Research is clear that Medicaid positively influences …

https://www.healthaffairs.org/content/forefront/medicaid-stability-critical-nation-s-continuum-health-insurance-options

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Federal judges: West Virginia, North Carolina's transgender care

(Just Now) WebFILE - Connor Thonen-Fleck addresses reporters while his parents stand by his side, March 11, 2019, in Durham, N.C. West Virginia and North Carolina’s refusal to …

https://apnews.com/article/west-virginia-north-carolina-gender-affirming-care-dbe97d7b305ec6c6d07f7c1e33beef00

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Attention Section 95, Podiatry Service Providers: REVISED Calendar …

(3 days ago) WebIn coordination with the Centers for Medicare & Medicaid Services (CMS) revision of rates effective March 9, 2024, MaineCare has updated its Section 95 rates. …

https://www.maine.gov/dhhs/oms/providers/provider-bulletins/attention-section-95-podiatry-service-providers-revised-calendar-year-2024-medicare

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Medicaid Eligibility Restrictions Will Impede Delivery - Health …

(1 days ago) WebMedicaid Eligibility Restrictions Will Impede Delivery System Reform. Recently, the Department of Health and Human Services (HHS) announced new primary …

https://www.healthaffairs.org/content/forefront/medicaid-eligibility-restrictions-impede-delivery-system-reform

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Most IVF errors go unreported, experts say - The Washington Post

(3 days ago) WebThe details: Under sweeping rules finalized Friday by the Department of Health and Human Services, government health officials, federally funded organizations …

https://www.washingtonpost.com/politics/2024/04/29/most-ivf-errors-go-unreported-experts-say/

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Proposed Medicaid Managed Care Rules: Impact On Dual

(4 days ago) WebIn 2020, approximately 3.5 million Medicaid recipients received HCBS, and of these individuals, 2.4 million, or 68 percent, were fully dually eligible for Medicare. …

https://www.healthaffairs.org/content/forefront/proposed-medicaid-managed-care-rules-impact-dual-eligible-individuals-part-1

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Enhancing Access To Routine Vaccines For Adults In Medicaid

(7 days ago) Web"Enhancing Access To Routine Vaccines For Adults In Medicaid", Health Affairs Forefront, January 20, 2023. DOI: 10.1377/forefront.20230118.945919

https://www.healthaffairs.org/content/forefront/enhancing-access-routine-vaccines-adults-medicaid

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In Medicaid Managed Care Networks, Care Is Highly - Health …

(Just Now) WebApril 2024, Perinatal Mental Health & Well-Being March 2024, Nursing Homes, Medicaid, Physicians & More February 2024, Housing & Health View Issues …

https://www.healthaffairs.org/doi/10.1377/hlthaff.2021.01747

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The Importance Of The Medicaid Fiscal Accountability Rule

(4 days ago) WebThis proposed rule takes important and overdue steps to address long-standing problems and implement commonsense reforms. If finalized, this rule will help …

https://www.healthaffairs.org/content/forefront/importance-medicaid-fiscal-accountability-rule

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Payment Policy And The Challenges Of Medicare And - Health …

(9 days ago) Web“Payment Policy And The Challenges Of Medicare And Medicaid Integration For Dual-Eligible Beneficiaries," Health Affairs Health Policy Brief, October 20, 2022. …

https://www.healthaffairs.org/do/10.1377/hpb20220923.93608/

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The Medicaid Access Proposed Rule Would Undermine - Health …

(2 days ago) WebThe 2015 rules, published in final a summary of which can be found in an earlier Health Affairs Blog post. In 1989, the Medicaid equal access statute codified a …

https://www.healthaffairs.org/content/forefront/medicaid-access-proposed-rule-would-undermine-access-not-promote

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Proposed Medicaid Managed Care Rules: Impact On Dual Eligible

(4 days ago) WebTaken together, the provisions CMS is proposing across the HCBS access and Medicaid managed care rules speak to the value of an integrated program …

https://www.healthaffairs.org/content/forefront/proposed-medicaid-managed-care-rules-impact-dual-eligible-individuals-part-2

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Implementing Health Reform: Medicaid Asset Rules And

(9 days ago) WebMedicaid rules prohibit Medicaid coverage of LTSS for persons who have equity in a home that exceeds a certain value, which for 2014 is set at $543,000 (or, at a …

https://www.healthaffairs.org/content/forefront/implementing-health-reform-medicaid-asset-rules-and-affordable-care-act

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The Basis For Compromise On Medicaid Reform And Expansion

(4 days ago) WebThe House-passed health care bill—known as the American Health Care Act (AHCA)— includes the most far-reaching changes in Medicaid financing since the …

https://www.healthaffairs.org/content/forefront/basis-compromise-medicaid-reform-and-expansion

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Implementing Health Reform: A Final Rule On Medicaid Eligibility

(6 days ago) WebOn March 16, 2012, the Center on Medicare and Medicaid Services of the Department of Health and Human Services released its final rule on eligibility changes for Medicaid …

https://www.healthaffairs.org/content/forefront/implementing-health-reform-final-rule-medicaid-eligibility

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Proposed Rules On Medicaid Financing Miss Mark And Threaten …

(1 days ago) Web"Proposed Rules On Medicaid Financing Miss Mark And Threaten Access", Health Affairs Blog, January 8, 2020. DOI: 10.1377/hblog20200108.392104

https://www.healthaffairs.org/content/forefront/proposed-rules-medicaid-financing-miss-mark-and-threaten-access

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Health Affairs: Leading Publication Of Health Policy Research

(Just Now) WebApril 2024, Perinatal Mental Health & Well-Being March 2024, Nursing Homes, Medicaid, Physicians & More February 2024, As a member of our Health Affairs …

https://www.healthaffairs.org/

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