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Rachel Schwartz

Senior Policy Associate

Rachel Schwartz is a former policy associate at America's Essential Hospitals.

America’s Essential Hospitals said the federal Anti-Kickback Statute and Physician Self-Referral Law should be modified to remove barriers to coordinating care for the complex patients essential hospitals serve.

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A U.S. Court of Appeals panel upheld a ruling on the constitutionality of the individual mandate but returned the case to a lower court to decide whether that nullifies the entire law.

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Through this newly approved Section 1115 demonstration waiver, South Carolina becomes the first state to apply work requirements primarily to parents and caregivers.

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State Medicaid directors named delivery system and payment reform as their top priority in an annual operations survey from the National Association of Medicaid Directors.

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America’s Essential Hospitals expressed concern that a proposed drug acquisition cost survey would impose excessive burden on hospitals and raise many operational challenges.

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States are leveraging financial incentives, quality measures, waivers, and public-private partnerships to slow climbing rates of substance use disorder and overdose among pregnant women.

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In a letter to the Department of State, America’s Essential Hospitals expressed concern that broadening the definition of public charge would harm the nation’s health care system, vulnerable patients, and state and local economies.

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The agency proposes to increase transparency in Medicaid supplemental payments and impose more stringent requirements on those payments and their financing for states and providers.

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This year’s update contains new quality and accountability measures and new national context data.

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The move aims to give researchers a better understanding of key Medicaid and Children's Health Insurance Program information, including on utilization and spending under Medicaid managed care.

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CMS also approved a unique behavioral health transformation waiver for the District of Columbia that targets beneficiaries with serious mental illness or serious emotional disturbance.

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In a new state policy brief, America’s Essential Hospitals examines the unique health care risks homeless individuals face, states leading the way to create long-term solutions, and the role essential hospitals play in providing care to homeless populations.

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This marks the second consecutive year the uninsured rate for children has increased following continuous decreases after enactment of the Affordable Care Act. Only North Dakota saw a decrease in the uninsured rate for children.

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A Kaiser Family Foundation survey of state Medicaid directors found declines in Medicaid enrollment and modest spending growth in 2019, but respondents anticipate slight increases in enrollment and higher spending in 2020.

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The court struck down parts of the law that explicitly prohibit discrimination based on gender identity and termination of pregnancy.

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California recently became the first state to release data on wholesale acquisition cost increases for prescription drugs.

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The brief urges the United States Supreme Court to uphold prior rulings and reject the rescission of the Deferred Action for Childhood Arrivals program.

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The final rule revises conditions of participation and conditions for coverage and also targets emergency preparedness, quality reporting, infection control, and physical examination requirements.

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The final rule requires hospitals to create discharge plans for all inpatients and some outpatients and excludes several burdensome requirements that were included in the proposed rule.

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America’s Essential Hospitals expressed concern that changes to the Supplemental Nutrition Assistance Program could increase food insecurity and worsen health outcomes.

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The methodology outlines how the agency will calculate states’ Medicaid disproportionate share hospital payment reductions and encourages states to target remaining payments to hospitals caring for the most low-income patients.

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The rate of Americans without health insurance was 8.5 percent in 2018, up from 7.9 percent the previous year.

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Beginning in April 2020, hospitals with multiple service locations must accurately enter the address of their off-campus, provider-based departments.

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States that expanded Medicaid under the Affordable Care Act saw higher prescribing rates for medication-assisted treatment than nonexpansion states.

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Covered entities that fail to complete recertification will be removed from the 340B program for a minimum of one quarter.

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America's Essential Hospitals urged the agency to leverage a new pilot program to expand telehealth services in communities essential hospitals serve.

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The guidance follows a May 23 presidential memorandum calling for increased enforcement of laws related to individuals sponsoring immigration applicants.

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America’s Essential Hospitals expressed concern that changes to nondiscrimination protections will decrease access and worsen outcomes for vulnerable patients, including transgender individuals and individuals with limited English proficiency.

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The agency will reimburse hospitals at least 65 percent of the cost for this innovative cancer treatment.

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The agency now will require hospitals to submit documents supporting the hospital classification they select during 340B Drug Pricing Program registration.

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The court ruled that the Secretary of Health and Human Services failed to adequately consider the effect of the work requirements on Medicaid coverage.

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