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state-action

The state’s policy allows ride-sharing companies to provide non-emergency transportation services for beneficiaries to attend medical appointments.

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state-action

A Commonwealth Fund report reviews 36 state Medicaid quality strategies for advancing primary care, a key factor in achieving a high-performing health system.

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policy

MACPAC's report to Congress touts potential of DSRIP programs to transform Medicaid reimbursement and improve health outcomes, also addresses the challenge and calls for clear and consistent federal guidance.

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policy

The study found that 5 percent of Medicaid-only enrollees consistently accounted for almost half of the total expenditures.

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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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policy

The Supreme Court released its 5-4 decision in Armstrong v. Exceptional Child.

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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

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

Thirteen states received letters stating that enrollment and eligibility issues must be addressed.

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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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webinar

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

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policy

CMS is allowing consumers to enroll in the federally facilitated marketplace under a special enrollment period if they experienced life changes, exceptional circumstances, or technical problems with healthcare.gov. Coverage will be effective for 2014. HHS reported that 7.1 million people enrolled in health insurance through the marketplaces before the March 31 open enrollment deadline.

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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

On Jan. 24, the Centers for Medicare & Medicaid Services (CMS) released new resources for implementing hospital presumptive eligibility (PE), including frequently asked questions (FAQs). In the FAQs, CMS clarified that hospitals “may implement PE with the support of third party contractors.”

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Calls action "important step toward protecting access to vital health care and community services for millions"

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webinar
policy

Fluctuating income can cause churn between Medicaid and marketplace coverage

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policy

Health Affairs article questions availability of certain services to existing Medicaid enrollees

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policy

House Energy and Commerce health subcommittee hearing intended to identify weaknesses, possible reforms

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Calls issue a particular focus for association in context of the vulnerable populations its members serve

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policy

Agency accepts applications for Model 1 bundled payment initiative

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policy

Plan outlines options for states to adopt delivery system reforms

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

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policy

Report concludes that slowing Medicaid enrollment in 2012 reflected economic recovery

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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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Says agreement averts severe economic hardships for nation, but puts essential health care for millions at risk

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Says agency guidance follows "letter and spirit of the law" and takes step toward significantly reducing uninsured

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One-year, federally supported project to study evidence-based best practices for improving maternal, infant health

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