Medicaid is probably the most innovative program in healthcare today. Its flexibility, adaptability, and focus on whole-person care have made it a leader in addressing the complex needs of vulnerable populations, and it offers useful examples of how to embrace true risk-based, value-based reimbursement.
In two letters, U.S. representatives and senators called for an extension of the enhanced premium tax credits, which are set to expire in 2025 and have lowered costs for those purchasing coverage on the marketplace.
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Under the Affordable Care Act, most private health insurance plans are required to cover birth control methods approved by the FDA without out-of-pocket costs. But not all plans are doing this, Bernie Sanders declared in a letter.
President Joe Biden discussed several healthcare concerns during his State of the Union address, including reproductive rights, prescription drug costs, the Affordable Care Act and women's health research.
Individual market insurers are estimated to owe about $500 million in rebates to enrollees this year, a Kaiser Family Foundation analysis found. Small group market insurers are anticipated to owe about $330 million, and large group market insurers are expected to owe about $250 million.
A recent court decision could lead to women losing access to free mammogram screenings, a new Urban Institute report showed. Without insurance, mammograms can cost up to $560 in out-of-pocket expenses.
Patient expectations continue to evolve, and healthcare practices that fail to adapt risk more than just revenue—they risk losing trust.
With more people now covered by the ACA than ever, health plans have an unprecedented opportunity to make a lasting impact on public health by encouraging members to take advantage of a
CMS hopes the changes will increase healthcare access for underserved populations, streamline the plan selection process and simplify enrolling in Marketplace coverage.
The investigation also found that companies denied exceptions requests on average four or more times out of ten, raising barriers to accessing birth control, according to a news release on Tuesday.
The judge’s ruling mentioned the Supreme Court decision in Burwell v. Hobby Lobby multiple times, which said that the chain of stores did not have to cover contraception since it violated the RFRA.
A new report from Relatient, A Data-Driven Guide to Patient Access Succes, highlights how focusing on data accuracy and relevance can enhance the performance of healthcare practices.
About 5.2 million people have gained healthcare coverage since 2020. The previous record for the lowest national uninsured rate was 9% in 2016.
In its second report evaluating whether hospitals are with complying with the price transparency rule that went into effect Jan. 1, 2021, PatientRightsAdvocate.org found compliance to be still very low with none of the hospitals at the nation's largest hospital system posting prices online.
Insurer participation in the ACA individual marketplace is on the rise and the trend is driven by policy changes at the federal level and the lingering effects of the Covid-19 pandemic.
At a Health Datapalooza session, former HHS head Kathleen Sebelius looked back on lessons learned in 2009 when the Affordable Care Act was moving through Congress. She cautioned the Biden administration against leaning on bipartisanship when restoring the healthcare law.
Recent efforts to improve transparency haven't made much of a difference, one author noted. But earlier reforms made a dent the "most egregious" practices.