When people apply for health insurance coverage, there are a variety of possible health plans. AAHD is a member of the National Health Council (NHC). On July 17, Avalere Health delivered a webinar for NHC members and provided two one-page graphics:Options for Enrollment and the Metal Plans Options available in marketplaces/exchanges.
AAHD has commented on the National Committee on Quality Assurance (NCQA) proposed draft revised standards accrediting “patient-centered medical homes.” or health homes. The AAHD comments are here: PDF.
Available here are the AAHD July 19 comments to CMS (Centers for Medicare and Medicaid Services) on proposed Affordable Care Act (ACA) “program integrity” rules. The comments are organized around the issues raised by the National Health Council (NHC). AAHD’s comments are more detailed on the issues of medical necessity and grievance and appeals. AAHD… Read More »»
Available here is the July 10 letter from U.S. Senators Patty Murray (D-WA) and Kirsten Gillibrand (D-NY) expressing dismay over recent Department of Defense (DOD) Tri Care restrictions on applied behavior analysis (ABA) for the treatment of autism.
A day after final navigator rules were published (previously posted by AAHD), Health Affairs published Dr. Tim Jost summary analysis is available here: PDF.
Suggested guidelines by the National Health Law Program (NHeLP) are available: PDF.
On July 12, CMS (Centers for Medicare and Medicaid Services) released final regulations governing “navigators” and other assisters – persons to help citizens make health plan enrollment decisions. The rules are available for download: PDF.
Essential Health Benefits in Affordable Care Act Medicaid “Alternative Benefit Plans” – Health Affairs Analysis
The July 5 HHS final rules were previously posted. Available here are July 7 Health Affairs analysis by Dr. Timothy Jost. On page one of the part one analysis, Dr. Jost writes: “To my disappointment, the rule fails to finalize provisions with respect to accessibility for the disabled.” Dr. Jost’s analysis of the Medicaid Alternative… Read More »»
On July 5, final Affordable Care Act rules were published regulating the Medicaid expansion opportunity and required “essential health benefits” in the Medicaid “alternative benefit plans.” The Department of Health and Human Services (HHS) final rules are available here: PDF.
AAHD has joined a number of aging, disability, and mental health organizations supporting legislative to broaden mental health services for aging folks. The June 20 letter: PDF.