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Results: 1-10 of 18

The 2017 Exchange Regulations: Network Adequacy Challenges Remain
  • Baker & Hostetler LLP
  • USA
  • March 10 2016

The Centers for Medicare and Medicaid Services (CMS) recently issued the final 2017 Benefit and Payment Parameters Rule (Final Rule) and concurrently


Medicaid managed care Proposed Rules: the intersection of private insurance and government programs
  • Baker & Hostetler LLP
  • USA
  • June 8 2015

Approximately a quarter of all Medicaid expenditures is spent on the more than half of all beneficiaries (approximately 39 million by 2011 figures


Late push to reauthorize CHIP funding this session
  • Baker & Hostetler LLP
  • USA
  • September 19 2014

Approximately eight million children currently covered by the Children's Health Insurance Program (CHIP) may lose access to their pediatric-specific


Is it a violation to help?
  • Baker & Hostetler LLP
  • USA
  • May 30 2014

In a May 21, 2014, letter to the President of the American Hospital Association (AHA), U.S. Department of Health and Human Services (HHS) Secretary


Medicaid DSH: little-noticed CMS rule interpretation creates serious financial shortfalls for impacted hospitals
  • Baker & Hostetler LLP
  • USA
  • December 12 2013

In what may have been a largely unnoticed rule interpretation affecting hospitals that treat a high percentage of children in the Medicaid program


The sliding scale of health coverage: finding the intersection of cost, access and quality
  • Baker & Hostetler LLP
  • USA
  • August 8 2014

While not a new concept, the use of narrow networks has become a lightning rod for the controversy surrounding qualified health plans (QHPs) offered


Healthcare coverage in a post-reform world
  • Baker & Hostetler LLP
  • USA
  • June 11 2009

The Senate Health, Education, Labor and Pensions (HELP) Committee has released a 615-page working "draft of a draft" of its legislative proposal for expanding access and coverage entitled the "American Health Choices Act" along with a 34-page narrative detailing various legislative options for consideration by the Committee


Medicare pays our claims so why don't you?
  • Baker & Hostetler LLP
  • USA
  • February 18 2010

The market tension between providers and health plans appears to be intensifying as more providers drop network contracts and choose to serve patients on an out-of-network basis


PPACA -- OCIIO to launch insurance options portal
  • Baker & Hostetler LLP
  • USA
  • June 24 2010

As required by PPACA, the initial phase of a federal web portal to "guide Americans through a comprehensive landscape of insurance options across the private and public sectors" is slated to go online July 1, 2010."


Second policy options paper offers details for reforming everything including the kitchen sink
  • Baker & Hostetler LLP
  • USA
  • May 14 2009

On May 11, 2009, the second of three expected policy options papers on health system reform was released by the Senate Finance Committee