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policy

The fiscal year 2024 appropriations package also delays by three months the fiscal year 2025 cut to Medicaid disproportionate share hospital funding, giving lawmakers time after the general election to return to this issue and other year-end spending priorities.

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policy

We urge Congress to protect access to care in underserved communities and support the safety net by rejecting site-neutral policies.

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policy

New legislation, introduced by Reps. Lori Trahan (D-Mass.) and David Valadao (R-Calif.), would codify “essential health system” in statute, giving policymakers a powerful tool to better target support to the nation’s safety net and improve health care access and equity and public health.

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policy

Congressional leaders announced a new, two-part continuing resolution that would fund some government agencies through March 1 and others through March 8; a continued delay of an $8 billion cut to Medicaid disproportionate share hospital funding is in the latter.

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Essential Insights

By integrating pharmacists into ambulatory settings — especially ambulatory specialty care — hospitals can overcome challenges facing health care systems and the people they serve.

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policy

The race for a House speaker resumes after Rep. Jim Jordan's (R-Ohio)'s Oct. 20 exit; site-neutral policies surface in a House subcommittee hearing.

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policy

The Republicans' House speaker nominee, Rep. Jim Jordan, of Ohio, failed to secure the votes needed on a first ballot, with 20 fellow GOP lawmakers voting against him. It was unclear whether he could win a majority to gain the speakership.

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policy

In its response to a committee request for information on health care access in underserved areas, America's Essential Hospitals urged lawmakers to ensure support for Medicare disproportionate share hospital funding and other essential hospital priorities.

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policy

In a session to consider several health care–related bills, Louisiana's senior senator and ranking member of the Senate Committee on Health, Education, Labor, and Pensions pointed to America's Essential Hospitals' advocacy opposing site-neutral payments in his criticism of the package.

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Essential Insights

MUSC Health, in Charleston, S.C., created a mobile app for youth and young adults up to 25 years old with sickle cell disease to better manage their health.

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policy

In the Sept. 14 letter to House and Senate leaders, members of America’s Essential Hospitals warned of the “far-reaching effects” of scheduled deep cuts to Medicaid disproportionate share hospital funding and said the cuts would “undermine America’s health care safety net.”

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policy

The toolkit aims to help states increase postpartum care access, quality, and equity by maximizing existing Medicaid authorities.

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policy

The report summarizes HHS' progress, barriers, and future plans to improve access to services for individuals with limited English proficiency.

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policy

A bipartisan group of House members sent a letter to the House speaker and Democratic leader urging them to avert an $8 billion cut to Medicaid disproportionate share hospital payments on Oct. 1. America's Essential Hospitals helped build momentum for the letter signing campaign.

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policy

America's Essential Hospitals calls on Senate leaders to reject a House proposal to impose work requirements for Medicaid as part of negotiations to raise the nation's debt limit, saying the plan would jeopardize access to care and harm communities.

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policy

Two proposed rules establish access standards and standardize review and assessment of Medicaid payment rates across states; comments are due to CMS July 3.

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state-action

Three bills support the Mississippi Hospital Sustainability Grant Program and efforts to train and retain health care workers.

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policy

The report summarizes responses to a 2022 request for information, which focus on eligibility and enrollment, access to hospital services, and payment.

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Essential Insights

Leaders at UHealth have shaped local and statewide care services through their community paramedicine training program and say it's the future of American health care.

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Essential Insights

A new analysis from corporate affiliate member Guidehouse shows that health care’s chaotic market — rising expenses and unprecedented patient demand — affects academic medical centers (AMCs) more dramatically than non-AMCs.

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Essential Insights

Hennepin Healthcare, in Minneapolis, ensured optimal Paxlovid access by utilizing a local courier service and taking a proactive approach to medication safety.

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policy

The Bipartisan Safer Communities Act seeks to close gaps in current gun safety laws and bolster mental health care, including through new support for hospitals and other providers.

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policy

The Accreditation Council for Graduate Medical Education introduced two rural track program designations to accredited residency programs and seeks members for an advisory group on health care access for medically underserved areas and populations.

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policy

The association made recommendations on payment rates, workforce development, eligibility and enrollment policies, and measuring access to hospital services.

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policy

The interpretive guidance includes information on hospital admission, discharge, and transfer notification requirements outlined in CMS' May 2020 interoperability and patient access final rule.

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policy

President Biden released an executive order to strengthen Medicaid and the Affordable Care Act. The order calls for a special enrollment period on the federally facilitated exchange for uninsured or underinsured individuals — particularly those hardest hit by the COVID-19 pandemic.

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policy

America's Essential Hospitals warns the Centers for Medicare & Medicaid Services that its proposal will weaken federal oversight of Medicaid payment rates and undermine beneficiary access to care.

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policy

The agency proposes to rescind the requirement due to states' concerns regarding undue administrative burden.

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policy

In a letter to the Office of Management and Budget, America’s Essential Hospitals expressed concern that changes to the consumer inflation index would negatively impact vulnerable populations’ access to Medicaid coverage.

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webinar

Learn how your hospital can partner with the Essential Hospitals Institute on new research projects to drive innovation in quality, safety, and care.

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Essential Insights

Decisions made at the state and federal levels regarding Medicaid expansion continue to evolve nearly a decade after passage of the Affordable Care Act.

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state-action

America's Essential Hospitals reviews examples of state-led litigation and state legislation regarding various coverage-related provisions of the Affordable Care Act.

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institute

Communities served by essential hospitals experience a disproportionate prevalence of transportation barriers. This challenge creates an opportunity for essential hospitals, in conjunction with state policy levers, to help mitigate such barriers.

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policy

America's Essential Hospitals praised the administration’s efforts to streamline managed care regulations for Medicaid and the Children's Health Insurance Program, reduce regulatory burden, and increase state flexibility.

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policy

The guidance allows states additional flexibility to waive certain provisions of the Affordable Care Act while preserving access to affordable, comprehensive coverage.

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policy

To ensure Medicaid beneficiaries' access to quality care, America's Essential Hospitals urges CMS not to issue access monitoring review exemptions to states with high managed care penetration.

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policy

The proposed rule would exempt states with high Medicaid managed care penetration from Medicaid access to care guidelines; 17 states currently meet the proposal's exemption requirements. America’s Essential Hospitals is analyzing the proposed rule and will provide written comment to CMS.

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policy

The guidance specifies rate reductions in Medicaid fee-for-service that will not require access reviews by the Center for Medicare & Medicaid Services.

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institute

The fellowship, based at Harvard University, is designed to prepare physician-leaders to improve health system capacity and promote policies and practices to improve access to care for minority, disadvantaged, and vulnerable populations.

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institute

The Health Care Access Design Challenge, offered through the Federal Transit Administration, aims to overcome transportation-related barriers to health care access.

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policy

Expanded Medicaid access under the Affordable Care Act might have helped patients seek treatment for behavioral health issues, which disproportionately affect low-income populations.

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institute

Researchers examined outcomes in Kentucky, Arkansas, and Texas; they found expanding access to health coverage improved care access and affordability.

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Attempts to revive the American Health Care Act with changes that make a deeply damaging bill even worse are misguided and disappointing.

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policy

Under the rule, OIG provides safe harbor protections for hospital agreements that provide no-cost or discounted local transportation to established patients

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policy

These long-term HCBS services and supports are critical to ensure people can remain in their homes and communities as they receive treatment.

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policy

The summaries outline efforts by 19 working groups under the "Vital Directions" initiative to improve health care in the United States.

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policy

Failure to follow the public notice and process for Medicaid payment changes can result in delay or disapproval of state plan amendments.

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policy

A review of 61 studies found that expansion under the ACA has improved health coverage, access to care, and economic outcomes.

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quality

The rule carries out Affordable Care Act protections for individuals in federally funded health programs and sets new requirements for supporting people with limited English proficiency.

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policy

The Comprehensive Primary Care Plus model will encourage primary care practices to transform care delivery, including by increasing care management and coordination.

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policy

Results of America's Essential Hospitals member survey show new landscape of foundation support for essential hospitals and fundraising challenges in the post-Affordable Care Act world.

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policy

Telehealth Network Grant Program will award up to 20 grants for a maximum of $300,000 annually to expand services; applications are due April 8.

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policy

New members include six who will serve three-year terms and one who will serve the remaining two years of a vacant seat; GW health policy expert Sara Rosenbaum was named chair.

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policy

Congress debates omnibus appropriations measure, considers another stop-gap funding bill, as deadline for government shutdown looms.

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policy

National HIV/AIDS Strategy Federal Action Plan directs HHS to issue best practices for hospitals to ensure access to services for patients with HIV. CMS also will provide states with information on program flexibility to ensure access to testing, coordinated care.

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institute

Articles focus on innovative waivers that support states in transforming delivery systems to improve access and quality of care. Another focus is Medicaid coverage in areas of crucial need, such as mental health care.

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Essential Insights

As we mark 50 years of Medicaid and Medicare, we reflect on the experiences of others within and beyond the four walls of essential hospitals.

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policy

Six justices ruled in favor of the Obama administration, arguing that the overall structure and purpose of the ACA supports the interpretation that Congress intended subsidies to be available in both federally facilitated and state-based marketplaces.

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Decision maintains access to vital health care services for millions of Americans and supports the hospitals that care for our most vulnerable patients

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policy

These leaders from Henry Ford Health System and UCSF Medical Center are among five reappointed commissioners, one new commissioner, and new Chair Francis “Jay” Crosson, announced by GAO.

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policy

In an April 28 letter, the association urged CMS to adopt a holistic view of how payment mechanisms impact essential hospitals, including sustainable base payment rates, Medicaid waivers to address uncompensated care, and DSRIP waivers.

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Essential Insights

Today, the U.S. Supreme Court released its opinion on Armstrong v. Exceptional Child. The court ruled that Medicaid providers cannot sue states for low payment rates and advised on alternative actions.

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policy

The six new members will serve three-year appointments, effective Jan. 1.

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policy

America’s Essential Hospitals urged MACPAC to support a four-year CHIP funding extension and during that time, evaluate the marketplaces' network adequacy, affordability, and covered benefits.

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policy

The commission seeks input on which groups of children would be most affected if CHIP expires and potential policy options through the marketplaces.

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policy

The association advocates for a modification of the direct pay prohibition to allow states to pursue public policy goals while implementing Medicaid Managed Care

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policy

OIG finds state standards for access to care for Medicaid managed care beneficiaries vary widely. OIG recommends stronger CMS oversight and more state accountability.

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policy

America's Essential Hospitals asks CMS to finalize a 2011 proposed rule on equal access, with modifications to address the link between provider reimbursement and access.

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policy

The report summarizes a Roundtable on Health Literacy workshop that featured initiatives public health organizations are undertaking to increase health literacy and the implications of health literacy on public health.

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policy

Florida, New York, and Wisconsin consider options to allow hospitals to subsidize insurance premiums for individuals. Financial assistance would increase opportunities for coverage and continuous, coordinated care.

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policy

A recent study published in Health Affairs found that California essential hospitals were more likely to be penalized than other California hospitals under the Hospital Readmissions Reduction Program, despite lower 30-day risk-adjusted mortality rates.

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quality

Eskenazi's mobile office medical home and cost-efficient use of staff contribute to a 50 percent reduction in depressive symptoms among more than half of patients with high depression scores and a 50 percent reduction in behavioral and psychological symptoms of dementia for about half of patients.

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policy

Letters of nomination and resumes are currently being accepted for six MACPAC seats. Appointments will be effective Jan. 1, 2015. Nominations can be submitted through Sept. 5.

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institute

Recent articles from Health Affairs, the Joint Commission Journal on Quality and Patient Safety, the Journal for Healthcare Quality, and The New England Journal of Medicine explore efforts to reduce readmissions and infection rates, improve patient safety, and more.

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webinar

Guidance for those offering premium assistance to low-income marketplace populations

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White House report confirms the numerous benefits of Medicaid expansion and demonstrates that state decisions not to expand have far-reaching consequences for our nation's health and economy. Essential hospitals have driven enrollment and need continued financial support to serve their communities.

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policy

The association filed an amicus brief supporting the reversal of the District Court’s ruling to dissolve the affiliation between St. Luke’s Health System and Saltzer Medical Group. The association supports the integration of essential hospitals and providers to improve access to high-quality, cost-effective care for all patients.

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policy

The Labor/HHS appropriations bill vote was cancelled due to Republican threats to derail the process over ACA funding. House Majority Leader Cantor's loss has House Republicans vying for his seat. MedPAC shares its biannual report to Congress on Wednesday.

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policy

Congress should ensure Medicaid pays at least Medicare rates for primary care until at least 2016, said 22 groups in a June 10 letter to congressional leadership.

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policy

A nationwide survey of adult Medicaid enrollees will be conducted this fall. Results will identify state-specific and nationwide measures of health care access, barriers to care, satisfaction with providers, and patient experiences with Medicaid managed care and fee-for-service providers.

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policy

HHS announced up to $300 million for community health centers through the 2014 expanded services supplemental funding opportunity. Proposals by eligible health centers are due July 1.

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policy

Congress continues to address delays in care at VA medical centers. The Ways and Means Committee explores income verification for tax credit eligibility under the ACA, and the Energy and Commerce Health Subcommittee looks at incentives to develop new drugs and devices as well as health care access under the ACA.

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institute

Journal articles from the March and April editions of the New England Journal of Medicine explore issues including the usefulness of surgical safety checklists, the importance of promoting financial stewardship, and the impact of Medicaid cost sharing.

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policy

America’s Essential Hospitals released a policy brief June 2 announcing its support for provider-sponsored premium assistance, which the association believes is a logical extension of members' work and facilitates the availability of affordable health care for all.

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policy

America's Essential Hospitals describes how provider-supplemented premium assistance for enrollees in the health insurance marketplaces strengthens the marketplaces and furthers the goals of the Affordable Care Act.

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webinar

Government relations staff will share their experiences with Medicaid expansion, including challenges and best practices

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policy

The Ways and Means Committee reviewed hospital issues as part of the Medicare Program. Two Louisiana delegates urged CMS to accept nonprofit-provided premium assistance. The Senate Veterans Affairs Committee held a hearing featuring Secretary Shinseki.

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quality

Boston Medical Center physicians can now prescribe subsidized annual memberships to Hubway, Boston's bike-sharing program. Through the program, enrollees pay $5 for an annual membership compared to the normal cost of $85 and are allowed unlimited rides that last 60 minutes or less.

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policy

CMS has developed several resources to help hospitals implement presumptive eligibility, including model agreements between the state and hospitals, a model training template for states, a model application for hospitals, and FAQs.

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policy

Senate Finance Committee Chair Ron Wyden moves SGR bill to the floor under controversy, as there are still no agreed-upon ways to pay for the legislation. The Energy and Commerce Oversight subcommittee will look at the impact of psychiatric inpatient treatment capacity on resources and access.

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webinar

Government relations experts from essential hospitals shared strategies they have used to move their state toward Medicaid expansion

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policy

America’s Essential Hospitals submitted comments Nov. 25 on the Basic Health Program proposed rule.

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policy

Rule proposes standardized, transparent process for assured access to Medicaid services in states

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policy

Oct. 28 letter notes that hospitals have faced more than $95 billion in cuts over the past three years

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policy

Held nearly 100 meetings, educated Congress about work to ensure patient access to high quality care

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quality

The program also streamlined care by implementing electronic health records

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policy

Siegel, Gremminger highlighted the importance of delaying, reconsidering scheduled Medicaid DSH cuts

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policy

Highlighted essential hospitals’ work to address health disparities, improve quality of care for all patients

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policy

Documents provide answers on coverage and enrollment

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policy

Effort to include focus on care provided to vulnerable populations

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policy

Grants go to 105 organizations that will serve as navigators in states with federally facilitated exchanges

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policy

Get Covered America aims to raise awareness about plan choices under Affordable Care Act

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policy

Plans must meet standards for quality measures, improvement strategies, consumer information

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Says new name reflects members' common purpose to serve all people, communities with essential services

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Recognizes work to promote well-being in minority communities, reduce disparities in care, and ensure access to care for all

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Notes appreciation of one-year DSH cut delay, but says provision comes at expense of funding later

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Commends president for commitment to "stable leadership" for programs that provide access to essential care services

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Calls decision to keep Medicaid off table in budget negotiations "welcome news" for the millions

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Cautions against more cuts that will harm access to care and shift costs to states, local governments, and taxpayers

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policy

Association develops entitlement reform principles to guide possible future discussions around changes to the Medicare and Medicaid programs.

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