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New York Lifts Prosthetic Coverage Limitation

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For those of you who have followed the NDNRC and participated in our “Jeopardy” webinars, you know that we highlight the fact that some qualified health plans only cover 1 prosthetic limb per lifetime for consumers. Such a limitation can obviously cause major problems for someone who loses one or more limbs, especially if it’s […] Read More »

New Policy Brief on Plan Availability in Rural Areas

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A new policy brief from the Rural Policy Research Institute looks at the availability of plans in rural states and compares the changes in plans offered and premiums from year one to year two. It provides a thorough analysis of the number of plans offered and how that impacts premium rates. Perhaps more importantly is […] Read More »

HHS Releases Guidance on Coverage of Preventive Services

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Last week, the Department of Health and Human Services (HHS) along with the Labor and Treasury Departments issued some guidance on what preventive services qualified health plans are required to cover. The guidance was done in the form of Frequently Asked Questions (FAQs) and covers topics such as genetic testing and counseling for breast cancer, […] Read More »

NHeLP Publishes Briefs on EHBs and Prescription Drugs

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The National Health Law Program (NHeLP) has published two fact sheets aimed at explaining some of the new HHS requirements for essential health benefits (EHBs). These two fact sheets focus on those new rules as they relate to prescription drugs. The first is entitled “Essential Health Benefits Prescription Drug Standard: Issue No.1 – Formulary Transparency” and addresses […] Read More »

Commonwealth Fund Issues Report on Medicaid Benefit Design

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The Commonwealth Fund has issued a report on Medicaid benefit design. The brief entitled “Medicaid Benefit Designs for Newly Eligible Adults: State Approaches” looks at the Medicaid benefit designs in all 27 states that have expanded Medicaid plus DC to determine how they have used the flexibility within the ACA to create a benefit design in that […] Read More »

Enroll America Releases Brief on Health Insurance Literacy

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Enroll America has released an issue brief on health insurance literacy entitled “A Framework on Health Insurance Literacy for the Outreach and Enrollment Community.” It explains the importance of health insurance literacy and the lack of it among consumers. This makes for an effective case for the role that consumer assistance programs can fill in bridging this knowledge gap. […] Read More »

Commonwealth Fund Releases Report on Provider Network Regulations

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The Commonwealth Fund has released a report on what states are doing to regulate some of the narrow provider networks that are being offered on the healthcare marketplace. The report is entitled “Implementing the Affordable Care Act: State Regulation of Marketplace Plan Provider Networks.” Some states have left the terms more vague indicating that carriers […] Read More »

Families USA Brief Contrasts Medicaid Expansion in Two States

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Earlier this week, Families USA released an issue brief that examines the effect of Medicaid expansion on two people who live in neighboring but different states. The brief entitled “A Tale of Two States: Decisions about Extending Medicaid Can Drastically Affect Residents’ Lives” looks at two women who have very different experiences as one lives […] Read More »

Health Affairs Examines Difference in Enrollment by State

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Yesterday, Health Affairs posted a blog article yesterday which examines the difference in marketplace enrollment from state to state. While not providing a clear answer, this article does raise some interesting things to think about, especially the positive role that navigators have had in states like Maine. To read this blog post, click here. Read More »