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Home Healthcare Reform E-News Healthcare Reform News Archive: Healthcare Reform e-news vol.4

Healthcare Reform e-news vol.4

August/September 2011 e-news 

Study shows increase in health insurance mandates covered by states in 2010  

States have increased the number of health insurance mandates covered from 2,133 in 2009 to 2,156 in 2010, per the Council for Affordable Health Insurance (CAHI) study.  Under the study, a health insurance mandate requires an insurance company or health plan cover (or offer coverage for) specific health care providers, benefits, or patient populations.  The study also found that mandated benefits can increase the cost of basic health coverage.  Rhode Island had the most mandated benefits at 69, Michigan at 25, and Ohio at 29, to name a few states. 

Some of the mandates required to be covered in Michigan and Ohio are:

  • Benefits for Alcoholism/Substance Abuse, Emergency Room Service, Off-Label Drug Use
  • Providers - Chiropractor, Dentist, Nurse Midwife, Optometrist
  • Covered Persons - Conversion to Non-Group Coverage, Disabled Dependent Adult, Newborn

More Preventive Services being used under Healthcare Reform - October 2011

The Centers for Medicare and Medicaid Services (CMS) has reported this month that nearly 20.5 million people with Medicare reviewed their health status at a free Annual Wellness Visit or received other preventive services with no deductible or cost sharing this year. 

Some of the free preventive services available to people with Medicare include:

  • Mammograms and cervical cancer screenings
  • Annual Wellness Visit
  • Cholesterol and other cardiovascular screenings
  • Colorectal and prostate cancer screenings

Preventive Services Additional Preventive Services for Women - August 2011                                                       

The Department of Health and Human Services (HHS) adopted eight (8) recommendations for preventive health services for women that health plans will cover at no cost sharing to patients under Healthcare Reform (HCR) for plan years beginning on or after August 1, 2012.

The preventive services added were for more common or more serious areas for women than men or where women experience different outcomes or benefit from different interventions.

Some of the additional services added to women's preventive health services are: (a) screening for gestational diabetes; (b) lactation counseling and equipment to promote breast-feeding; (c) screening and counseling to detect and prevent interpersonal and domestic violence; and (d) yearly well-women preventive care visits to obtain recommended preventive services.



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