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One Price for Denver, Another Price for Colorado Springs, and So On… - by...
Hat tip to the Denver Post Daily Dose blog for this chart comparing the cost of Affordable Care Act silver-level individual policies by insurer and market. I have a few thoughts about this. First,...
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Yet Another Lawsuit Filed in Colorado Attacking the Affordable Care Act’s...
This lawsuit was filed yesterday. It is yet another action claiming that the Affordable Care Act’s contraception mandate is unconstitutional and violates the Religious Freedom Restoration Act. This...
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More on the ACA’s Contraceptive Coverage Mandate – Exempt vs. Eligible or...
This story from last week about the U.S. Supreme Court’s temporary stay of the Affordable Care Act contraceptive coverage mandate reminded me about an opinion issued by a federal judge in the Northern...
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A Butterfly Flaps Its Wings in Central Park and the Risk Corridors Need an...
I saw this story a few days ago. It involves the Centers for Medicare & Medicaid Services’ risk corridors program, which, as the article states, essentially is a regulatory mechanism designed to...
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Medicare Advantage Risk-Adjustment Fraud – Where’s the False Claim? (Part I)...
I recently saw this article discussing a False Claims Act (FCA) case pending in federal district court in Florida. The theory is an interesting one involving the Medicare Advantage program. The full...
View ArticleA Lot of Home Health Business? That’s a Lot of Home Health Claims for...
I’ve been thinking a good bit about home health care lately. A lot of that is the concerted effort in the Affordable Care Act to promote home health in lieu of placement in a skilled nursing facility....
View ArticleCMS Announces Electronic Staffing Data Submission System for Nursing Homes -...
The Centers for Medicare and Medicaid Services (CMS) announced the development of a reporting system, known as the Payroll-Based Journal or PBJ, that nursing homes must use to submit staffing and...
View ArticleWell, This Changes Things: King v. Burwell and the New(?) Chevron Doctrine -...
I first flagged this all the way back in 2013. As everyone reading this probably knows, the Supreme Court had its final say on the matter earlier today. Long story short: The administration won....
View ArticleNew York Federal Court Issues First Interpretation of “Identified” Under the...
In Kane v. Healthfirst, Inc. et al., a New York federal court became the first court to interpret when the clock starts running on the 60 days allowed to report and return an overpayment of Medicare...
View ArticleThe Effects of Medicaid Expansion under the ACA: Findings from a Literature...
Research on the effects of Medicaid expansions under the Affordable Care Act (ACA) can help increase understanding of how the ACA has impacted coverage; access to care, utilization, and health...
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