NSCLC: Preparing Advocates to Shape HCBS Transition Plans

From our colleagues from NSCLC: The new federal regulations on community-based settings mean states must bring their Medicaid HCBS systems into compliance. NSCLC’s Four Tips for Consumer Advocates produced with the National Disability Rights Network offers advice for assessing their state’s compliance progress. We’ve produced several webinars on the topic throughout the summer and fall … Continue reading

NSCLC: Just Like Home: An Advocate’s Guide for State Transitions Under the New Medicaid HCBS Rules

California Healthline: Standards Release a ‘Milestone’ for Exchange

WASHINGTON, DC - DECEMBER 19: U.S. Secretary of Health and Human Services Kathleen Sebelius listens during a news conference December 19, 2011 at the Department of Health and Human Services in Washington, DC. Sebelius announced that thirty-two health care organizations from across the country will participate in a new Accountable Care Organization (ACOs) initiative which encourage primary care doctors, specialists, hospitals and other caregivers to provide better, more coordinated care for people with Medicare and could save up to $1.1 billion over five years.

by David Gorn Covered California, the state’s health benefit exchange, yesterday released its benefit standards outlining the basis for choosing qualified health plans that will participate in the exchange. “This is another milestone for the exchange,” said Diana Dooley, secretary of the state Health and Human Services Agency. “We have a lot of hurdles to … Continue reading

The Hill: Bipartisan ‘doc fix’ bill introduced

By Sam Baker – 02/06/13 11:44 AM ET Reps. Allyson Schwartz (D-Pa.) and Joe Heck (R-Nev.) will take another stab at permanently repealing the Medicare payment rate that constantly threatens doctors with substantial payment cuts. The bipartisan duo introduced a bill Wednesday to repeal the Sustainable Growth Rate (SGR) formula. The bill aims to replace the … Continue reading

California Healthline: KFF: Federal Subsidies To Help Offset Premium Hikes Caused by ACA

Cecilia Hernandez(L) and Esperanza Morazan sit together for lunch in the main room at the Adult Day Health Care Center in San Francisco CA Thursday June 28th, 2012. Photo: Michael Short, Special To The Chronicle / SF

Though the Affordable Care Act likely will contribute to higher premiums for people who purchase coverage in the individual market, federal subsidies issued through the ACA to low- and middle-income families will offset the additional costs, according to a Kaiser Family Foundation report, Kaiser Health News‘ “Capsules” reports. The report predicted that premiums for coverage purchased on … Continue reading

Washington Post: For insurance exchanges, states need ‘navigators’ — and hiring them is a huge task

Benjamin Norman for The New York Times Patients at the Peekskill center, which may or may not get to keep a $4.5 million federal grant.

By N.C. Aizenman, Published: February 4 Signing up an estimated 30 million uninsured Americans for coverage under the health-care law is shaping up to be, if not a bureaucratic nightmare, at the very least a daunting task.While some people will find registering for health insurance as easy as booking a flight online, vast numbers who are confused by the … Continue reading

California Healthline: Insuring a Better Future for the State?

by David Gorn State officials and health care experts yesterday said the governor’s decision to sign on to optional expansion of Medi-Cal could be a huge step forward for California’s health system — and a huge challenge, as well, they said. More than 700 stakeholders gathered in downtown Sacramento for the  annual conference of the … Continue reading

California Healthline: Most States Updating, Digitizing Medicaid Enrollment Systems

Most states are modernizing their Medicaid enrollment systems as required by the Affordable Care Act, according to a survey released Wednesday by the Kaiser Family Foundation, The Hill‘s “Healthwatch” reports (Viebeck, “Healthwatch,” The Hill, 1/23). Background The ACA requires all state Medicaid programs to shift to Web-based enrollment systems by January 2014 (Galewitz, “Capsules,” Kaiser Health News, 1/23). The requirement … Continue reading

California Healthline: Brown’s FY 2013-2014 Budget Plan Includes Several Wild Cards

Several items included in Gov. Jerry Brown’s (D) fiscal year 2013-2014 budget proposal could be disrupted by state operations, lawsuits or actions by the Legislature, U-T San Diego reports (Gardner, U-T San Diego, 1/15). Details of Brown’s Budget Proposal Upon releasing his budget plan, Brown said that — if implemented — it would leave the state with a budget surplus … Continue reading

LA Times: State sued over Medi-Cal patients’ switch to managed care

The lawsuit says the recipients’ rights were violated and they lost access to their doctors in the transition. December 23, 2012|By Anna Gorman, Los Angeles Times Legal aid organizations filed a lawsuit Friday against the California Department of Health Care Services, alleging that the state violated patients’ rights by forcing them into managed care. The … Continue reading

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