Section 1557 of the Affordable Care Act


Book Description

Section 1557 is the nondiscrimination provision of the Affordable Care Act (ACA). This brief guide explains Section 1557 in more detail and what your practice needs to do to meet the requirements of this federal law. Includes sample notices of nondiscrimination, as well as taglines translated for the top 15 languages by state.







Federalism and Health Policy


Book Description

The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.




The Legal Impact of Medicare and Medicaid


Book Description

The Legal Impact of Medicare and Medicaid is an authoritative, insiders perspective on key strategies for helping clients to understand and comply with these government programs. Featuring partners from some of the nations leading law firms, these experts guide the reader through some of the key laws and regulations, focusing on those that tend to be triggers for fraud and abuse investigations. These top lawyers reveal their advice on understanding compliance risks and enforcement trends, developing an effective system for compliance, and addressing common client mistakes and misconceptions. Additionally, these leaders discuss the interactions of federal and state health care programs, including overlapping coverage as well as the applicability of state law to certain aspects of Medicare managed care operations. The different niches represented and the breadth of perspectives presented enable readers to get inside some of the great legal minds of today, as these experienced lawyers offer up their thoughts around the keys to navigating this complex and ever-evolving area of law.




Medicare and Medicaid Programs - Revisions to Deeming Authority Survey, Certification, and Enforcement Procedures (Us Centers for Medicare and Medicaid Services Regulation) (Cms) (2018 Edition)


Book Description

Medicare and Medicaid Programs - Revisions to Deeming Authority Survey, Certification, and Enforcement Procedures (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicare and Medicaid Programs - Revisions to Deeming Authority Survey, Certification, and Enforcement Procedures (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule revises the survey, certification, and enforcement procedures related to CMS oversight of national accrediting organizations (AOs). The revisions implement certain provisions under the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA). The revisions also clarify and strengthen our oversight of AOs that apply for, and are granted, recognition and approval of an accreditation program in accordance with the statute. The rule also extends some provisions, which are applicable to Medicare-participating providers, to Medicare-participating suppliers subject to certification requirements, and clarifies the definition of "immediate jeopardy." This book contains: - The complete text of the Medicare and Medicaid Programs - Revisions to Deeming Authority Survey, Certification, and Enforcement Procedures (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section