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Category Archives: Health Care Reform

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HPIO Resources on Medicaid Expansion in Ohio

Posted in Affordable Care Act, Health Care Reform, Medicaid

The Health Policy Institute of Ohio (HPIO) has recently added to its collection of Medicaid resources a brief focused on projected new employment and new local general sales tax revenues due to Medicaid expansion.  Governor Kasich’s budget proposal includes language expanding Medicaid eligibility up to 138% of the federal poverty level, or $32,499 for a… Continue Reading

Arkansas Proposes Coverage Definition of Habilitative Services

Posted in Affordable Care Act, Health Care Reform

Despite states’ struggles to define coverage of services under the habilitative services category of Essential Health Benefits as required by the Affordable Care Act (ACA), Arkansas recently proposed a coverage definition of habilitative services. Under the ACA, health plans sold inside a state’s Health Insurance Exchange, as well as all individual and small group plans,… Continue Reading

No Enhanced Federal Funds For Partial Medicaid Expansion

Posted in Affordable Care Act, Health Care Reform, Medicaid

Last week, 11 governors – including those in Ohio, Arizona, Louisiana, Florida, Virginia, Iowa, Maine, Mississippi, South Dakota, Utah, and Wyoming – submitted a letter to Health and Human Services Secretary Kathleen Sebelius asking whether states that expand Medicaid eligibility to a level less than that included in the Affordable Care Act (ACA) are eligible to… Continue Reading

Feds Extend Deadline for State Exchanges Again

Posted in Affordable Care Act, Health Care Reform

On Thursday, Health and Human Services Secretary Kathleen Sebelius extended the deadline to December 14 for states to submit letters of intent to build state-based health insurance exchanges. The original deadline had been today, Friday, November 16. Secretary Sebelius’ letter announcing the extension was in response to a request by the Republican Governors Association for… Continue Reading

HHS Extends Deadline for State-Based Exchanges

Posted in Health Care Reform

In a letter to governors on Friday, Secretary Kathleen Sebelius of the U. S. Department of Health and Human Services (HHS) announced that HHS is extending the deadline for State-based Exchange Blueprint application submissions to Friday, December 14,2012. Read the letter or Kaiser Health News’ breaking news bulletin for full details.

States Begin to Choose Essential Health Benefits for Their Citizens

Posted in Health Care Reform, Medicaid

Although not a “hard” deadline, states were encouraged to submit to the federal government by Monday, October 1, 2012, their lists of essential health benefits required by the Affordable Care Act (ACA).  Essential health benefits are a set of health care service categories that must be covered by certain plans beginning in 2014.  According to… Continue Reading

Vorys’ Labor and Employment Alert Offers Guidance on Full-Time Employee Status and Other Employee Benefits News

Posted in Health Care Reform

Vorys’ Labor and Employment Alert offers important information regarding shared responsibility penalties on large employers that fail to offer health coverage to all of their full-time employees (or offer health coverage to full-time employees that is deemed to be unaffordable or inadequate).  This piece offers a wealth of information for employers contemplating the effects of the… Continue Reading

ACA Teleseminar Recording Now Available

Posted in Health Care Reform, Medicaid

Now available: A recording of the July 2 teleseminar regarding the U. S. Supreme Court’s decision on the fate of the Affordable Care Act, provided by Vorys Health Care Advisors (VHCA) and Vorys, Sater, Seymour and Pease. You can also review VHCA’s PowerPoint presentation on which the Medicaid portion of the teleseminar was based.

VHCA Discusses Changing Health Care Landscape and Potential Future Opportunities for Assisted Living Providers

Posted in Health Care Reform, Medicaid

VHCA recently published an article in the Ohio Assisted Living Association’s quarterly newsletter.  The article is focused on the changing health care environment and potential future opportunities for assisted living providers.  Topics include: Medicare quality and payment reform provisions that could impact assisted living providers- Medicare Shared Savings Program Reducing avoidable hospitalizations in Medicare National… Continue Reading

Where States Stand on Implementing Health Care Law

Posted in Health Care Reform

Thanks to those of you who joined this afternoon’s teleseminar focused on analyzing the Supreme Court’s opinion on the Affordable Care Act (ACA).  The teleseminar was jointly hosted by Vorys Health Care Advisors and Vorys, Sater, Seymour and Pease. During the call, we referenced an Associated Press article entitled Where States Stand on Implementing Health Care Law. … Continue Reading

Webinar – The U.S. Supreme Court Decides on the Affordable Care Act: What Happens Now?

Posted in Health Care, Health Care Reform

The U.S. Supreme Court is expected to announce on Thursday, June 28th, its decision on the Affordable Care Act. Vorys Health Care Advisors and a panel of Vorys, Sater, Seymour, and Pease attorneys will be available Monday, July 2 at 2:30 p.m. (ET) for a complimentary webinar. To RSVP or for more information, please contact Cindy… Continue Reading

Health Care Reform: Count Down to Decision Day (Part II)

Posted in Health Care, Health Care Reform, Medicaid

In our last post, we discussed the practical impact on the American public of the Affordable Care Act’s Medicaid expansion.  There are also significant repercussions for states, as described below. What does the Medicaid expansion really mean for States?  For Ohio, specifically? • States will be responsible for up to 10% of the cost of the… Continue Reading

Health Care Reform: Count Down to Decision Day

Posted in Health Care, Health Care Reform, Medicaid

Conventional wisdom holds that the U. S. Supreme Court is likely to render a decision on the fate of the Affordable Care Act (ACA) near the end of its term concluding on June 30th.  Four separate issues are under review: 1. The so-called “individual mandate” that all Americans have health insurance 2. The Medicaid expansion to low-income… Continue Reading

Ohio Undertakes Locally Driven Initiatives to Improve Quality, Reduce Cost, and Expand Access to Health Care

Posted in Health Care, Health Care Reform, Medicaid

Ohio’s involvement in local projects focused on improving quality, reducing cost, and expanding access to health care exemplify dynamic partnerships that are fully engaged in the evolving health care environment.  These are some—but certainly not all—of the exciting, locally driven initiatives underway in Ohio: Ohio Children’s Hospitals’ Centers for Medicare and Medicaid Innovation Award The… Continue Reading

Webinar: Important Issues for Psychiatric Hospitals and Other Residential Providers of Behavioral Health Services

Posted in Behavioral Health, Health Care, Health Care Reform, Medicaid

Join Vorys Health Care Advisors for a complimentary webinar. Wednesday, April 25 from 12:00 – 1:00 p.m. (EDT) The Ohio Office of Health Transformation is working with the Ohio Department of Job and Family Services’ Office of Ohio Health Plans and the Ohio Department of Mental Health to implement several new Medicaid behavioral health policy… Continue Reading

What the Affordable Care Act’s DSH Reductions Really Mean to High-DSH Hospitals

Posted in Health Care Reform, Medicaid

In fiscal year 2009, Ohio hospitals received nearly $408 million in Federal disproportionate share hospital (DSH) payments.  One provision of the Patient Protection and Affordable Care Act (ACA)—coupled with Ohio’s methodology for determining how DSH payments are allocated—will reduce important funding for Ohio’s safety net hospitals. In the early 1980s, Federal legislation established a requirement… Continue Reading

Vorys Health Care Advisors’ Medicaid Teleseminar a Success

Posted in Health Care, Health Care Reform, Medicaid

Thanks to the many health care professionals and children’s advocates from around Ohio and beyond  who participated in our Medicaid teleseminar last week!  Participants from at least five states, including all regions of Ohio, took part in the learning opportunity.  Our focus on Ohio’s Office of Health Transformation initiatives and other states’ coordinated care delivery… Continue Reading

Simple Guide to Understanding the GOP Candidates’ Positions on Health Care

Posted in Health Care, Health Care Reform, Medicaid, Uncategorized

The Deloitte Center for Health Solutions recently published a piece highlighting the GOP presidential candidates’ positions on health care.  This helpful chart (located a third of the way down the page) illustrates their plans for the Affordable Care Act, Medicare and Medicaid, public health and wellness, and other insurance industry issues. Check it out to… Continue Reading

Medicaid Tools Added to VHCA Site

Posted in Behavioral Health, Health Care, Health Care Reform, Medicaid, Physical and Behavioral Health Integration

We have added several tools under the “Resources” tab that can be used to help navigate the complex Medicaid system.  We originally shared these tools at an ANCOR conference VHCA facilitated in January 2012.  Under the Resources tab, you can now find: A description of Medicaid case management/care coordination services and the federal authorities that underly… Continue Reading

U.S. Supreme Court set to review Affordable Care Act’s Medicaid eligibility expansion

Posted in Health Care Reform, Medicaid

Can Congress mandate an expansion of Medicaid to individuals not currently covered by most states’ Medicaid programs?  That’s one of the questions the U.S. Supreme Court has agreed to consider as part of its review of the constitutionality of the Affordable Care Act of  2010. The justices also have said they will answer a second question… Continue Reading