networkadequacy

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November 17, 2023

Civil Rights Groups Issuing Report Cards On State Medicaid Redetermination Processes With a large proportion of the 10M Medicaid disenrollees cut from the program for procedural reasons, a group of civil rights entities are issuing report cards to states. The report cards seek to call out whether each state has done the necessary due diligence during unwinding to ensure those who remain eligible retain coverage. While states and the Centers for Medicare and Medicaid Services (CMS) are at some fault, Congress is really to blame for not passing legislation that allowed for a longer transition time. #medicaid #redterminations Link to Article FTC Moves To Stop Hospital Merger in California Kudos to the Federal Trade Commission (FTC) on taking action to stop the merger of two California hospitals. The Biden Administration, including the FTC, Justice and Health and Human Services, have been active in calling attention to the massive consolidation occurring

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November 16, 2023

CMS Changes Network Adequacy And Open Enrollment For State Exchanges The Centers for Medicare and Medicaid Services (CMS) is mandating that State Exchanges follow federal network adequacy as well as open enrollment periods, among other changes. #networkadequacy #cms #aca #exchanges #obamacare Link to Article Commonwealth Fund Study Shows Impact of High Cost Healthcare System In The U.S. Must read report from the Commonwealth Fund on the impact of our high costs in America on citizens’ access to healthcare. Commonwealth compares us to eight other countries and finds that Americans skipped medical care more often and had more problems handling or paying a bill. American adults face wider income-related disparities in healthcare affordability compared to adults in other high-income countries. This all links back to the fact that America is the only developed nation without affordable universal access to healthcare. It should be noted that other developed nations do much better than

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