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Trump Administration Releases Final Rule Requiring Insurers to Disclose Prices
October 29th, 2020
On October 29, 2020, the Department of Health and Human Services, the Department of Labor and the Department of Treasury issued a final rule that requires group health plans and health insurers to disclose cost-sharing information to participants and…
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9th Circuit of Appeals Rules that Anthem Must Cover ER Visits
October 28th, 2020
The U.S. Court of Appeals for the 9th Circuit recently ruled in the case Martin Luther King, Jr., Community Hospital v. Community Insurance Company, d/b/a Anthem Blue Cross and Blue Shield, et al. The District Court previously granted summary judgeme…
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CMS Approves Georgia and Nebraska Medicaid Expansion with Work Requirements
October 27th, 2020
On October 15, 2020, CMS approved an 1115 Waiver for Georgia called the Georgia Pathways to Coverage demonstration, which will partially expand Medicaid and impose premiums and work requirements on beneficiaries. The demonstration expands Medicaid co…
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Trump Signs Healthcare Executive Orders
October 1st, 2020
On September 24, 2020 President Trump signed an executive order implementing his “America First Healthcare Plan.” Through the Order, Trump addressed his intent for individuals with pre-existing conditions to maintain insurance coverage, even if t…
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Missouri to Expand Medicaid
August 11th, 2020
On August 4, 2020, Missouri voters approved expanding Medicaid coverage in the state through an amendment to the state constitution, making Missouri the 38th to expand. The vote narrowly passed, receiving support from 53% of voters. It provides cover…
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AHA Seeking Overturn Regarding Reduced Outpatient Payments
July 25th, 2020
The American Hospital Association and the Association of American Medical Colleges have announced that they will seek a rehearing of their lawsuit against the U.S. Department of Health in the U.S. Court of Appeals for the District of Columbia Circuit…
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North Carolina to Delay Medicaid Expansion
July 9th, 2020
North Carolina’s legislature has chosen to delay implementing Medicaid expansion for at least another year. Instead, the legislature passed NC Senate Bill 808, which was signed by Governor Roy Cooper on July 2, 2020. The bill provides funding for t…
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Oklahoma Approves Medicaid Expansion
July 7th, 2020
On June 30, 2020, the citizens of Oklahoma narrowly approved a state question to expand Medicaid in the state. State Question 802 passed with 50.5% of voters’ support and is predicted to allow at least 200,000 Oklahoma adults to become eligible for…
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Georgia Supreme Court Lien Decision
July 6th, 2020
On June 29, 2020, the Georgia Supreme Court unanimously issued an opinion in a class action addressing claims that a hospital was committing fraud by filing liens for full charges when the negotiated amount paid may be significantly less. In the deci…
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Price Transparency Ruling
June 30th, 2020
On June 23, 2020, Judge Carl Nichols of the U.S. District Court for the District of Columbia issued a ruling in The American Hospital Association, et al., v. Azar case. The case, filed by a coalition of hospital groups, challenged the federal rule st…
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