Calling 2017’s failed efforts to repeal the Affordable Care Act “one of the greatest disappointments to conservative and libertarian activists in history,” conservative groups pushed for another attempt at getting rid of the law with a series of principles they want to see enacted in place of the ACA.
May 24, 2018 | Healthcare Economics
The Congressional Budget Office has scaled back its projections of coverage losses from the Affordable Care Act’s individual mandate being repealed, estimating 8.5 million people will be uninsured in 2027 due to the penalty being eliminated by Republicans’ tax legislation beginning next year.
May 24, 2018 | Policy
According to the State Journal-Register, the court case rests on whether the 2012 statute makes a clear requirement that the hospitals’ charitable services at least equal the value of what they would otherwise pay in taxes. The plaintiff, Constance Oswald, has argued the law replaces the standard charitable requirement and therefore violates the Illinois Constitution and previous court rulings.
May 23, 2018 | Policy
The House approved legislation to allow terminally ill the “right to try” experimental drugs not yet approved by the FDA on a largely partisan vote, sending the bill to a supportive President Donald Trump.
May 18, 2018 | Policy
Direct federal funding for abortions has been prohibited by Congress for decades, but conservative lawmakers have sought to deny all federal funding to groups like Planned Parenthood for having any involvement in abortion services.
May 18, 2018 | Leadership
Matt Eyles will take over on June 1 as the new CEO of the health insurance industry’s largest lobbying group, America’s Health Insurance Plans (AHIP). Ahead of assuming the top post, he spoke with Vox about several major legislative trends which could impact insurers.
May 18, 2018 | Policy
The American Hospital Association (AHA) is lending its support to a bill to change the merger review process at the Federal Trade Commission (FTC), eliminating the agency’s ability to challenge proposed combinations without going to court.
May 17, 2018 | Policy
Vermont has become the first state to pass a law to allow prescription drugs to be imported from Canada, but the plan still has to be approved by HHS—a tall order considering HHS Secretary Alex Azar’s comments that pharmaceutical imports are a “gimmick” and may be unsafe.
May 17, 2018 | Leadership
The top senators on the Committee on Homeland Security and Governmental Affairs had floated the idea of issuing a subpoena to CMS Administrator Seema Verma, MPH, after she repeatedly declined to testify before the panel on Medicaid fraud and overpayments. Sen. Ron Johnson, R-Wisconsin, later said Congress and the agency will "work cooperatively."
May 16, 2018 | Care Delivery
A judge in Riverside County, California, ruled the state legislature violated the law by passing the state’s aid-in-dying act during a special session limited to healthcare funding, giving the state’s attorney general five days to respond or else it would again be illegal for terminal patients to be given life-ending drugs by physicians.
May 16, 2018 | Policy
Lori Reilly, executive vice president of the Pharmaceutical Research and Manufacturers of America (PhRMA), spoke at a panel hosted by the Alliance for Health Policy on May 15, saying the group had “serious concerns” with the plan.
May 15, 2018 | Leadership
CMS Administrator Seema Verma, MPH, spoke at a May 15 Washington Post event focused on health policy, offering some hints on where her agency’s Medicaid and Affordable Care Act (ACA) regulations may be headed.
May 15, 2018 | Healthcare Economics
CMS has approved an extension of Maryland’s model of offering a fixed payment for most hospital services, allowing physician practices and nursing homes to voluntarily participate in a program that has saved Medicare hundreds of millions of dollars.
May 14, 2018 | Care Delivery
The “zero year” of the OneCare Vermont system, operated much like an accountable care organization (ACO) on a statewide level, saw the program come within 1 percent of its financial target. With the model now expanded to cover about 18 percent of the state’s residents, other states are watching closely to see if it could be implemented elsewhere in the U.S.
May 14, 2018 | Policy
Iowa’s “supplemental payment plan” for nursing homes was rejected by CMS over concerns about having county hospitals assume the licenses of for-profit nursing homes.
May 11, 2018 | Policy
As a candidate, President Donald Trump had criticized pharma companies for “getting away with murder.” In remarks on Friday, May 11, he did bash the industry’s lobbying power while also lumping in insurance companies, distributors and pharmacy benefit managers (PBMs) as part of the “broken system” that has sent drug prices soaring.
May 10, 2018 | Policy
Four states held primary elections on May 8, kicking off a busy election season that will see most Tuesdays from now until mid-September having one or more states’ voters casting ballots. Judging by the latest poll from the Kaiser Family Foundation, healthcare will be a major issue for many in the coming months.
May 09, 2018 | Policy
Sen. Lamar Alexander, R-Tennessee, has said he’s abandoning efforts to push a bipartisan bill meant to stabilize the Affordable Care Act (ACA) exchanges, putting the blame on Democrats’ resistance to making changes to the law. With no congressional action likely this far into an election year, exchange insurers are requesting some eye-popping hikes for 2019 premiums.
May 08, 2018 | Policy
“For the first time, CMS is organizing and focusing our efforts to apply a rural lens to the vision and work of the agency,” CMS Administrator Seema Verma, MPH, said in a statement.
May 08, 2018 | Leadership
In her remarks at the American Hospital Association’s annual meeting, CMS Administrator Seema Verma, MPH, offered some criticism of current accountable care organizations (ACOs) that haven’t taken on downside risk, hinting those payment models may be targeted by CMS regulations.
May 08, 2018 | Policy
President Donald Trump is looking to a rarely-utilized process called “rescission” to cut $15 billion in federal spending he already signed into law earlier this year—with much of the reductions coming from programs like the Centers for Medicare and Medicaid Innovation (CMMI) and the Children’s Health Insurance Program (CHIP).