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1. Share of Cost, Secretaries of HHS, Labor and Treasury Send Letter Updating Congress on Affordable Care Act Implementation Share of Cost, Secretaries of HHS, Labor and Treasury Send Letter Updating Congress on Affordable Care Act Implementation...
2. Analyzing Shifts In Economic Risks To Providers In Proposed Payment And Delivery System Reforms [Payment & Delivery] A key consideration in implementing the Patient Protection and Affordable Care Act of 2010 will be changing Medicare payments to providers to slow the growth in costs and spur improvements in health care delivery. In addition to the technical feasibility of new payment models, a crucial issue will be the capacity of the health care […]...
3. New Rule Proposed to Improve Employment of Veterans – Comment Deadline July 11 The U.S. Department of Labor has proposed a new rule to strengthen affirmative action requirements of federal contractors and subcontractors for Veterans protected under the Vietnam Era Veterans’ Readjustment Assistance Act of 1974 (VEVRAA). Comment deadline is July 11, 2011. Get Your Share of Cost Threshold with Dental Insurance Compare share of cost with dental insurance in the […]...
4. Olmstead – Community Integration for Everyone Information about the Supreme Court’s decision in Olmstead v. L.C., a ruling that requires states to eliminate unnecessary segregation of persons with disabilities and make sure that they receive services in the most integrated setting possible. Includes information about the “Year of Community Living” and enforcement of title II of the Americans with Disabilities Act. […]...
5. Recession Contributes To Slowest Annual Rate Of Increase In Health Spending In Five Decades In 2009, US health care spending grew 4.0 percent—a historically low rate of annual increase—to $2.5 trillion, or $8,086 per person. Despite the slower growth, the share of the gross domestic product devoted to health spending increased to 17.6 percent in 2009 from 16.6 percent in 2008. The growth rate of health spending continued to outpace the growth of the […]...
6. Building Regulatory And Operational Flexibility Into Accountable Care Organizations And ‘Shared Savings’ The Affordable Care Act created accountable care organizations (ACOs), which will be a new part of Medicare as of January 2012, together with a “shared savings program” that will modify how these organizations will be paid to care for patients. Accountable care organizations have the potential to lower costs, improve the quality of care, facilitate delivery […]...
7. DOJ to Intervene in Texas Case to Enforce Supreme Court’s Olmstead Decision On the 13th Anniversary of the Olmstead Decision, the U.S. Department of Justice (DOJ) is seeking to intervene in Steward, et al. v. Perry, et al., a case filed on behalf of thousands of Texans with developmental disabilities, to enforce their right under the Americans with Disabilities Act (ADA) to receive services provided by the state in […]...
8. Roundup: In Oregon, New Gov. Kitzhaber Vows To Change State’s Health Care Delivery System; In Ariz., 2nd Person Denied Transplant Coverage Dies Roundup: In Oregon, New Gov. Kitzhaber Vows To Change State’s Health Care Delivery System; In Ariz., 2nd Person Denied Transplant Coverage Dies...
9. Rearranging the waiting room chairs Monique Garcia of the Chicago Tribune reports that the Illinois Senate voted 58-0 to enact a series of reforms to the state Medicaid system. As the vote indicates, the reforms are hard to argue with. Unfortunately, as I’ve reported, they do very little to resolve the state’s Medicaid financing crisis — a crisis that can […]...
10. Why is it important to buy a Medigap policy when I am first eligible? The best time to buy a Medigap policy is during your Medigap open enrollment period. This period lasts for 6 months and begins on the first day of the month in which you’re both 65 or older and enrolled in Medicare Part B. Some states have additional open enrollment periods including those for people under 65. During this period, an insurance company can’t use medical underwriting. This means the insurance company can’t do any of the following because of your health problems: • Refuse to sell you any Medigap policy it sells • Make you wait for coverage to start (except as explained below) • Charge you more for a Medigap policy While the insurance company can’t make you wait for your coverage to start, it may be able to make you wait for coverage if you have a pre-existing condition. A preexisting condition is a health problem you have before the date a new insurance policy starts. In some cases, the Medigap insurance company can refuse to cover your out-of-pocket costs for these pre-existing health problems for up to 6 months. This is called a “pre-existing condition waiting period.” After 6 months, the Medigap policy will cover the pre-existing...
11. Share of Cost, Self-Esteem Rated By Youth To Be More Important Than Sex, Paychecks Share of Cost, elf-Esteem Rated By Youth To Be More Important Than Sex, Paychecks...
12. Projecting The Impact Of The Affordable Care Act On California The Affordable Care Act is the most fundamental legislative transformation of the US health care system in forty years. This analysis estimates that the act will provide health insurance for an additional 3.4 million people in California in 2016. This will mean that nearly 96 percent of documented residents of California under age sixty-five will be insured. […]...
13. EEOC Sues Tideland EMC for Disability Discrimination The U.S. Equal Employment Opportunity Commission (EEOC) filed a disability discrimination lawsuit against the Tideland Electric Membership Corporation for not accommodating an employee and then firing him because of his disability. The employee takes a legally prescribed narcotic medication to manage a chronic pain condition. After learning about this, Tideland EMC terminated the employee without giving him time to change his medication […]...
14. Employers Still Excluding Large Groups of People from Jobs Based on Race, Sex, Age & Disability Experts testified at a U.S. Equal Employment Opportunity Commission (EEOC) meeting that employers nationwide continue to discriminate against job seekers based on their race, sex, age, national origin, disability or other prohibited bases. An EEOC trial attorney described the case of two deaf applicants who were denied employment by Walmart because they were deaf. The public can submit written comments by mail […]...
15. How to find out if a subscriber must pay a SOC Providers access the Medi-Cal eligibility verification system to determine if a subscriber must pay an SOC.  The message returned by the eligibility verification system includes the SOC dollar amount the subscriber must pay.  The eligibility verification system is accessed through the Point of Service (POS) device, Automated Eligibility Verification System (AEVS), state-approved vendor software and […]...