Reform Update: Quality of life difficult to measure for dual-eligibles

By Virgil Dickson State demonstration projects designed to coordinate benefits and care for people dually eligible for Medicare and Medicaid are lacking in how they measure quality-of-life indicators, as well as quality of long-term services and supports, according to a new policy bri
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Reform Update: N.H. may be first of Medicaid expansion holdouts to sign on

By Virgil Dickson Healthcare providers in Nebraska, New Hampshire and Maine are anxiously monitoring hearings in their states as lawmakers debate whether Medicaid will be expanded, while providers in Utah and Virginia will continue lobbying in advance of likely special sessions to set
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Reform Update: Virginia ponders Medicaid ‘private option’ alternative as Arkansas rethinks it

By Virgil Dickson Virginia’s Democratic-controlled state Senate is floating an alternative path to help up to 400,000 low-income residents get healthcare coverage without the state formally expanding its Medicaid program. Read more…
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Health Law Faces New Legal Challenges

By Joe Palazzolo The health law championed by President Barack Obama survived one major legal challenge in last year’s Supreme Court ruling, but it will face fresh legal tests starting this week. Federal judges in Washington, D.C., and Virginia will consider whether the text of
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AMICUS COMMITTEE UPDATE

Article Taken From:  NASP Ohio Amended Substitute House Bill Number 59 was recently enacted into law. The new legislation is an omnibus one ranging from the creation of the Ohio Department of Medicaid (ODM) to renumbering statutes. With respect to subrogation, the bill transfers the a
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Exchange Trendsetters

Article Written By:  Jonathan Block   Taken From:  Modern Healthcare While state-run health insurance exchanges have reported that premiums for 2014 health plans generally will be lower than for comparable 2013 products, congressional Republicans and others have questioned whether tha
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I Hope Trustmark Tells HHS to Go Pound Sand

Today, the Department of Health and Human Services announced that, “Trustmark Life Insurance Company has proposed unreasonable health insurance premium increases in five states—Alabama, Arizona, Pennsylvania, Virginia, and Wyoming. The excessive rate hikes would affect nearly 10
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Affordable Care Act holding insurers accountable for premium hikes

Health insurance premium increases in five states have been deemed “unreasonable” by the U.S. Department of Health and Human Services, HHS Secretary Kathleen Sebelius announced today. After independent expert review, HHS determined that Trustmark Life Insurance Company has proposed un
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