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New Tool Available to Fight Insurance Discrimination Against Persons Living with HIV Infection

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Discrimination against persons living with HIV (PLWH) can take many forms in health care. Issues that have been raised include health insurers’ charging higher premiums for those with pre-existing conditions and their use of structured prescription drug benefits that limit access to HIV medical care and antiretroviral medications. Recently, the Harvard University Law School’s Center…

Invest In Your “Healthy Self” (and Post a #HealthySelfie While You’re At It)

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Today, the Obama administration is launching the “Healthy Self” campaign to encourage healthy lifestyles and connect people to the coverage and care they need. But first let us tell you about Alicia. A wife and mother of two from Houston, Alicia knows how important her health is, not only for her, but for the people…

Raise. Your. Voice.

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Did you know that more than 43 million adults in our country struggled with mental illness in the past year? Half  of us will meet the criteria for a diagnosable mental health condition at some point in our lives; one quarter by the age of 14. And more than 20 million [PDF 932 KB] adults have an alcohol or drug…

CMS Seeks Input on Proposed Out-of-Pocket Comparison Tool

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The Centers for Medicare & Medicaid Services (CMS) is developing an Out-of-Pocket (OOP) Cost Comparison Tool to help consumers make more informed choices about their health insurance coverage and help them pick a plan that will best meet their needs. The proposed tool will allow shoppers in the Federally-facilitated Marketplaces (FFMs) to see estimates of…

CMS proposes rule to strengthen managed care for Medicaid and CHIP Enrollees

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Editor’s Note: This press release was issued by the Centers for Medicare and Medicaid Services (CMS) on May 25, 2015. CMS proposes rule to strengthen managed care for Medicaid and CHIP Enrollees Proposal will modernize and improve quality of care for Medicaid and CHIP managed care plans Today, the Centers for Medicare & Medicaid Services…

Coverage to Care: No Longer Fighting Depression Alone

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May 12, 2015: Andrea Jahen, 24, Austin, Texas I spent the last 10 years fighting depression, virtually on my own. As a part-time waitress and college student, I couldn’t afford health insurance to get the care I needed. Some days, I couldn’t get out of bed. I had a sense of despair–but I’m so glad I…

About 137 million individuals with private insurance are guaranteed access to free preventive services

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Nationwide, about 137 million individuals, including 55 million women and 28 million children, have private health insurance that covers recommended preventive services without cost sharing, according to a new ASPE Data Point from the Department of Health and Human Services. Under the Affordable Care Act, most health plans are required to provide coverage for recommended…

New ACA Guidance Addresses Preventive Services Coverage Requirements for Transgender Individuals

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The U.S. Departments of Health and Human Services, Labor, and the Treasury issued new guidance on May 11th, clarifying consumers’ rights to coverage of preventive services under the Affordable Care Act, including the rights of transgender individuals who have historically experienced inequities in access to health care services. The ACA requires that a set of…