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uninsured patients

The new document explains various provisions under part II surprise billing regulations, including that all financial assistance should be reflected in the good faith estimate regardless of the amount or type of discount. The new regulations take effect Jan. 1, 2022.

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uninsured patients

America’s Essential Hospitals commented on the second interim final rule implementing the No Surprises Act. The association urged HHS to revise good faith estimate requirements and create an IDR process that does not favor payers over providers.

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uninsured patients

Released on Oct. 7, part II of the No Surprises Act interim final rule outlines the independent dispute resolution process for out-of-network services and protections for uninsured and self-pay patients.

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uninsured patients

Hospitals can now register as participating providers to receive reimbursement for COVID-19 testing and treatment services furnished to uninsured patients on or after Feb. 4. Participating providers can begin submitting claims May 6.

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uninsured patients

HHS announced additional detail on how the agency intends to distribute the COVID-19 relief fund to hospitals and other providers. HHS will allocate funds through a general approach and use a targeted approach for certain hospitals, rural providers, and Indian Health Services.

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uninsured patients

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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uninsured patients

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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uninsured patients

The retrospective study used AHRQ Healthcare Cost and Utilization Project data from 2011 to 2015 to estimate the effects of Medicaid coverage expansion on hospital utilization rates, costs, and patient illness severity.

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uninsured patients

Researchers found a decline in uninsurance rates and an increase in medical service use, access, and diagnosis of certain chronic conditions among previously uninsured adults.

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uninsured patients

Communities rely on essential hospitals for trauma and other lifesaving care, physician training, emergency response, and other vital services. Essential hospitals, in turn, rely on policymakers for support to keep these services available to all. Learn more about this careful balance.

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uninsured patients

Proposed Medicaid managed care regulations effectively would end supplemental payments that have been in effect for at least a generation to many essential hospitals.

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uninsured patients

Fourth cycle of grants through the Connecting Kids to Coverage program supports work to link eligible children with Medicaid, CHIP coverage; proposals due Jan. 20, 2016.

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uninsured patients

Participants learned about HRSA's guidance on the 340B Drug Pricing Program and how it will affect their hospital.

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uninsured patients

CBO also found that if a full ACA repeal took effect on Jan. 1, 2016, the federal deficit would increase by $137 billion between 2016 and 2025.

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uninsured patients

Learn more about association and member efforts to defend the 340B Drug Pricing Program

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uninsured patients

Association filed Jan. 28 amicus brief in Supreme Court case supporting insurance subsidies through federally facilitated health insurance marketplace.

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uninsured patients

Agency reverts to position recommended by America's Essential Hospitals to define uninsured status at the service level for purposes of calculating DSH payments; sets Dec. 31 as start of new policy

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uninsured patients

CMS returns to a pre-2008 definition of uninsured that includes whether a patient is covered for a particular service, among other changes.

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uninsured patients

The survey aims to capture the impact of ACA coverage expansion and add to association advocacy efforts with timely information on members' uncompensated care.

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uninsured patients

Memorial Healthcare System's Health Intervention with Targeted Services Program used targeted education, preventive care, and eligibility assistance to enroll uninsured and underinsured patients, reduce uncompensated care costs, and increase revenue.

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uninsured patients

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

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uninsured patients

CBO estimated 2016 marketplace premiums will be 15 percent less than they were estimated to be in 2009. This should mean the ACA will cost $104 billion less to the federal government over the next decade than previously projected.

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uninsured patients

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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uninsured patients

The final rule establishes procedures for enrollment and certification. CMS also released its final methodology for determining federal payments to states establishing a BHP program in 2015.

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uninsured patients

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

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uninsured patients

Nearly 3.3 million people have selected plans through the marketplaces since they opened Oct. 1, 2013. This number represents 45 percent of the 7.3 million people who were eligible to enroll in a marketplace plan. In addition, 3.2 million people who submitted applications through the marketplaces were determined to be eligible for Medicaid or the Children’s Health Insurance Program (CHIP).

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uninsured patients

A Jan.23 Gallup survey found that the percentage of uninsured adults nationally dropped 1.2 percentage points in January, from 17.3 percent in December to 16.1 percent in January. Gallup said the percentage of uninsured adults for January is “slightly lower than what Gallup has measured in any month since December 2012.”

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uninsured patients
uninsured patients

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

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uninsured patients

HHS encouraged issuers to reject premium payments from third parties

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uninsured patients

Providers that fill a safety net role will be stretched thin in states that do not expand Medicaid

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uninsured patients
uninsured patients

Essential hospitals to play important role with experience caring for the uninsured

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uninsured patients

Proposed rule establishes framework for several program elements

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