Tag: essential health benefits

PACHA sends letter to the president on matters concerning HCV

PACHA sends letter to the president on matters concerning HCV

| July 15, 2015

On June 9, the Presidential Advisory Council on HIV/AIDS (PACHA) sent a letter to President Barack Obama on issues concerning the diagnosis and treatment of hepatitis C virus (HCV). Due to high HIV and HCV co-infection rates, the issue of current public and private insurance practices regarding HCV treatment is an urgent matter that needs […]

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New designs for Medicaid benefit for newly eligible adults

New designs for Medicaid benefit for newly eligible adults

| June 17, 2015

One of the main benefits of Affordable Care Act (ACA) is the ability of states to expand eligibility for Medicaid to adults aged 19-64, whose income is at or below 138% of federal poverty level (less than $16,000 or $33,000 for family of four). Under the ACA, states also have the flexibility to choose the […]

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New fact sheets explore Essential Health Benefits for prescription drug coverage

New fact sheets explore Essential Health Benefits for prescription drug coverage

| June 15, 2015

The National Health Law Program (NHeLP) has produced two fact sheets examining the new Essential Health Benefits (EHB) for prescription drug coverage. EHB are a set of ten healthcare service categories that plans offered through the Affordable Care Act must provide. On Feb. 20, 2015, the Department of Health and Human Services (HHS) issued the […]

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Marketplace Health Plan Assessment Tool

Marketplace Health Plan Assessment Tool

| November 11, 2014

The second round of open enrollment for marketplace health insurance plans will commence on Nov. 15. In order to assist advocates in evaluating the insurance plans in their own state, an assessment tool has been designed by the Center for Health Law and Policy Innovation (CHLPI) of Harvard Law School consisting of a workbook and […]

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NASTAD Calls for Consistent Case Management

NASTAD Calls for Consistent Case Management

| July 23, 2014

The National Alliance of State & Territorial AIDS Directors (NASTAD) recently released results of an assessment on HIV case management coverage across three categories of payers: the Ryan White program, traditional fee-for-service Medicaid, and Essential Health Benefits (EHB) benchmark Marketplace plans. As most people in the HIV/AIDS community are aware case management is a vital […]

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Do you Qualify for a Special Enrollment Period?

Do you Qualify for a Special Enrollment Period?

| July 15, 2014

The next Marketplace open enrollment period is not until November, 15, 2014, but you may be eligible to sign up for Marketplace health insurance today through a special enrollment period (SEP). (Remember though, you can apply for Medicaid at any time, regardless of whether there’s an open enrollment period). Special enrollment periods (SEP) are a […]

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The Need Continues for Drug Formulary Transparency

The Need Continues for Drug Formulary Transparency

| June 5, 2014

One of the greatest hurdles people living with HIV/AIDS face with the Affordable Care Act is the inability to access preferred medications such as single tablet regimes (STR’s). The Hill article ‘Details on drug coverage missing from Obamacare websites’, discusses the lack of drug formulary transparency consumers’ face while trying to enroll in plans on […]

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New Updates on HIV Medication Access Concerns Make the National News

New Updates on HIV Medication Access Concerns Make the National News

| February 10, 2014

Concerns about discrimination in the marketplace health care plans drug coverage have been attracting a tremendous amount of media attention. The Wall Street Journal, Washington Post, and Time Magazine have all posted articles featuring HIVHealthReform.org leaders in the past weeks concerning this pertinent HIV topic. Although the Affordable Care Act (ACA) eliminated pre-existing conditions, the […]

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HIV Advocates Continue to Push Feds for Effective Implementation of the ACA

HIV Advocates Continue to Push Feds for Effective Implementation of the ACA

| December 9, 2013

On December 2, the steering committee of HIV Health Care Access Working Group (HHCAWG) sent a letter to Secretary Kathleen Sebelius, Department of Health and Human Services (HHS) expressing concerns about health insurance marketplace policies impacting people with HIV. Following up on previous correspondence, HHCAWG’s latest letter alerted Secretary Sebelius on several issues that are presenting […]

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Stay up to Date on HIV and Health Reform with These National Media Articles

Stay up to Date on HIV and Health Reform with These National Media Articles

| November 14, 2013

Below we have highlighted three recent articles from national media outlets about HIV and health reform: How the ACA Will Affect People with HIV and AIDS, was featured in Stateline, provides information on how Affordable Care Act (ACA), Ryan White, and people living with HIV are all connected. The article features answers to common queries […]

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