Social Determinants of Health
The Final Public Charge Rule Is Out. Here’s How It Affects Immigrants.
By Billy Wynne and Dawn Joyce
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August 16, 2019
The US Department of Homeland Security (DHS) has finalized significant new restrictions to reduce immigration by creating a preference for wealthy, English-speaking, insured, and educated immigrants and putting up new hurdles for impoverished immigrants and their families....
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These Four Federal Proposals Would Have Major Health Implications for Immigrants
By Billy Wynne and Dawn Joyce
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July 11, 2019
The Trump administration is seeking to modify federal regulations with harmful changes that could dramatically affect immigrants’ access to health care and other public benefits and weaken the health and social safety net. These policies affect access to health coverage, food assistance, housing, protections against discrimination, and more. These proposed changes could have major consequences for the health and well-being of immigrants across the country and especially in California, which has more immigrants than any other state....
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Immigrants and the New Proposed “Public Charge” Rule
By Billy Wynne & Dawn Joyce
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October 2, 2018
On September 22, the Department of Homeland Security (DHS) released the text of highly anticipated proposed changes to “public charge” rules that could disqualify many immigrants from gaining permanent residency in the US.
Public charge is the determination that evaluates whether someone is likely to become reliant on public benefits, and consequently whether he or she may enter the country or modify his or her immigration status to become a permanent resident (a “green card” holder). ...
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“Public Charge” Rule Would Disrupt Safety-Net Access for Some Immigrants
By Billy Wynne & Dawn Joyce
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June 5, 2018
The Trump administration has signaled its plans to significantly alter the rule on eligibility of applicants for permanent residency and applicants intending to immigrate to the US by redefining “public charge” determinations related to the use of public benefits. This would make it harder to enter the country and reduce access to a broad range of health and human service safety-net programs for immigrants already living here, including US citizen children.
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With Great Power Comes Great Responsibility: Medicare Advantage’s Newfound Supplemental Benefit Flexibility
By Billy Wynne & Max Horowitz
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June 7, 2018
The Centers for Medicare and Medicaid Services (CMS) recently made a series of interrelated policy changes to give Medicare Advantage (MA) plans more flexibility than ever to offer additional services outside of traditional Medicare. Known as supplemental benefits, these services have historically included items like dental, vision, and hearing. By allowing plans to offer an even wider and more tailored array of services, CMS expects that plans will be better positioned to attract members and meet beneficiary needs.
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The Health Implications of Tax Reform
By Billy Wynne, Dawn Joyce, Max Horowitz
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December 18, 2017
This post breaks down the key components of 2017 Federal tax reform and its impact on the health care sector....
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State Waivers As A National Policy Lever: The Trump Administration, Work Requirements, And Other Potential Reforms In Medicaid
By Billy Wynne, Taylor Cowey
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February 6, 2018
As states line up to avail themselves of new flexibilities in the section 1115 Medicaid wavier process, we thought it important to examine exactly what was approved in Kentucky and Indiana, and to survey the current landscape of pending proposals in search of what other reforms may be on the horizon....
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Washington Wakes Up To Socioeconomic Status
By Billy Wynne
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August 19, 2014
John Mathewson, executive vice president of Health Care Services for Children with Special Needs (HSC) – a Medicaid managed care plan in D.C. for children on Supplemental Security Income (SSI) – recently spoke at the Association for Community Affiliated Plans (ACAP) CEO Summit before the July 4 Recess. Mathewson described what he has dubbed The Kitten Paradox: When HSC examined environmental factors for children with asthma, it found that the presence of pets in the house was a common thread, not too far behind having a smoker around....
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