Human Arc Blog

  • SCOTUS Marriage Decisions’ Medicaid Impact

    Shanna Hanson - July 22, 2015

    A 2013 decision by the Supreme Court of the United States (SCOTUS), United States v. Windsor, permitted states to recognize same-sex couples,who were legally married under the law of the jurisdiction in which the marriage was celebrated, as spouses for purposes of Medicaid and the Children’s Health Insurance Program (CHIP). Although states were permitted, they were [...]

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  • The “State” of Exchanges

    Shanna Hanson - June 24, 2015

    A Supreme Court decision is expected this month on the King vs Burwell case in which four simple words, “established by the state,” in the Affordable Care Act language will determine the fate of insurance subsidies for millions of Americans. I laid out the issue in the October 15, 2014 posting titled Legal Challenges to [...]

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  • Michigan No-Fault Auto Insurance Reform

    Shanna Hanson - May 15, 2015

    Health Care providers and the insured pushed back on Michigan Senate Bill 248 (SB 248), created to reform Michigan’s automotive no-fault law. It was being fast-tracked through the legislative process, has been approved by the Senate, and stalled in the House. In addition to being fast-tracked, a $150,000 bill appropriation eliminates the opportunity for a [...]

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  • ICD-10 Readiness: What Providers Can Do Now

    Shanna Hanson - May 7, 2015

    In 2014 hospitals and health systems were preparing for the conversion to the 10th revision of the International Classification of Diseases, Clinical Modification (ICD-10) but the conversion was ultimately delayed until October 2015. Delays are getting costly because most hospitals have been ready to go with ICD-10 systems, training and processes, but the delays forced [...]

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  • Dual/LIS Plans Penalized

    Shanna Hanson - April 16, 2015

    The 2016 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter that was issued April 6, 2015 did not implement the changes proposed by the Centers for Medicare and Medicaid Services (CMS) which would have mitigated the impact of Star Ratings for Medicare Advantage (MA) plans that enroll [...]

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  • Why Convert to ICD-10?

    Shanna Hanson - April 8, 2015

    Will 2015 be the year that the 10th revision of the International Classification of Diseases, Clinical Modification (ICD-10) is finally implemented in the US? The United States is the last major industrialized nation in the world to convert. We have been working on it since 2008, but the World Health Organization (WHO) adopted it in [...]

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  • Reconciliation of Premium Tax Credits

    Shanna Hanson - March 26, 2015

    It’s tax time and a “first” for the reconciliation of premium tax credits received to supplement a tax filer’s or dependent’s purchase of a qualified health plan through the Marketplace. This means new terminology, new forms, new requirements and new questions from tax filers before April 15, 2015. It also includes a glitch. Frustrations could [...]

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  • Medicare Advantage Payment Changes

    Shanna Hanson - March 4, 2015

    Medicare Advantage (MA) health plan leaders are likely to have finances on their mind after the Centers for Medicare and Medicaid Services (CMS) released the Advance Notice and draft Call Letter on February 20, 2015 proposing a 0.95% average payment cut for 2016. CMS, however, is promoting the payment cut as an “increase” by adding [...]

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  • Enrollment Extension Can Benefit Providers

    Shanna Hanson - March 3, 2015

    Shocking statistics Urban Institute’s December 2014 Health Reform Monitoring Survey (HRMS) of uninsured adults ages 18-64 with family income exceeding 100% of the Federal Poverty Level (FPL) revealed the following: 19.3% had heard a little about the penalty for not having coverage in 2014, 24.8% had heard nothing, and 53.5% had heard some or a [...]

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  • Hardship Exemptions for ACA’s Individual Mandate

    Shanna Hanson - February 17, 2015

    This is part 2 of 2 in a series on the health coverage mandate, penalties and exemptions. This posting takes a deeper look at the hardship exemption. lists 14 circumstances that entitle an individual to a hardship exemption: Homelessness Eviction in the past six months, facing eviction or foreclosure Receipt of a shut-off notice from [...]

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