A federal court hearing has been scheduled regarding the Trump administration’s decision to give states the power to enforce work requirements on Medicaid enrollees.
Jun 12, 2018 | Policy
Despite claims otherwise from President Donald Trump, the Affordable Care Act remains the law of the land—though federal actions have increased instability in the ACA’s marketplaces. Following last year’s repeal of the individual mandate, insurers are now offering short-term, non-ACA-compliant policies, which could leave a sicker, older population shopping on ACA marketplaces.
Jun 11, 2018 | Policy
Five months before the 2018 midterm elections, California Republicans see their opponents’ embrace of exploring single-payer healthcare as an opportunity.
Jun 11, 2018 | Policy
On Monday, June 11, CMS released guidance for states to leverage Medicaid in fighting opioid abuse and misuse—with the document making specific mention of efforts to reduce negative impact in infants and outlining potential benefits of health information technology.
Jun 08, 2018 | Policy
Nancy Pelosi didn’t endorse any single-payer proposals as other Democrats have in the Senate, though she did reiterate her support for a government-run insurance option.
Jun 08, 2018 | Policy
Attorney General Sessions doesn’t go as far as arguing the entire law would be invalid, but the provisions he deemed “inseverable” from the mandate include some of the ACA’s key protections, like not allowing insurers to charge more or deny coverage based on a consumer’s pre-existing conditions.
Jun 07, 2018 | Leadership
When President Donald Trump stopped payment of the Affordable Care Act (ACA)’s cost-sharing reduction subsidies, or CSRs, insurers found a way to limit the impact of the resulting premium hikes by putting the entire increase on the ACA exchanges’ silver-level plans. This “silver loading” technique will be allowed to continue in 2019, HHS Secretary Alex Azar told a House committee.
Jun 07, 2018 | Policy
A rumored White House Office of Management and Budget plan would move more of the federal government’s safety net programs, like food stamps, into HHS.
Jun 05, 2018 | Policy
Proponents of the Affordable Care Act (ACA) argued—and continue to argue—that it will reduce frequent use of the emergency department (ED) by the same people with expanded coverage, especially for those most likely to make repeated visits to the ED.
Jun 05, 2018 | Quality
CMS has released a new a “scorecard” tracking quality measures of states within Medicaid and the Children’s Health Insurance Program (CHIP), but the National Association of Medicaid Directors (NAMD) said it failed to offer a true apples-to-apples comparison of state performance.
Jun 05, 2018 | Policy
Fifty-nine percent of Maine voters approved a ballot referendum last year to expand Medicaid eligibility in the state. After Republican Gov. Paul LePage repeatedly refused to implement it, a judge ruled Monday LePage's administration has to obey voters’ wishes and submit its expansion plan to CMS.
Jun 04, 2018 | Policy
FDA Commissioner Scott Gottlieb, MD, delivered the opening remarks at the American Society of Clinical Oncology’s 2018 annual meeting at McCormick Place in Chicago, emphasizing his organization’s goal of reducing the time needed to connect cancer patients with treatment.
Jun 01, 2018 | Policy
Johnson said if FDA Commissioner Scott Gottlieb intends to limit the reach of the law through new FDA rules, that would go against his intent in writing the legislation.
May 31, 2018 | Policy
Sen. Bill Cassidy, MD, R-Louisiana, released a series of new healthcare proposals that would expand insurance which doesn’t comply with the Affordable Care Act, along with new ideas on requiring price transparency and incentivizing care settings that are less expensive than hospitals.
May 31, 2018 | Policy
The American Medical Association (AMA) released a report on May 31 detailing how “physician leadership” has led to progress fighting the epidemic of opioid abuse and addiction. Just two days earlier, however, a story published by the Daily Beast labeled the AMA as a main roadblock to Congress addressing the prescription of opioids.
May 31, 2018 | Policy
New Jersey will maintain the penalty on a statewide level in 2019. Vermont's law will take more time, with a working group tasked with figuring out how to enforce the mandate beginning in 2020.
May 31, 2018 | Leadership
The Medicare Payment Advisory Commission (MedPAC) has added five new members, including a former head of the Office of the National Coordinator for Health IT (ONC) and chief medical officers at HCA Healthcare and Geisinger Health System.
May 30, 2018 | Policy
“Basically, anybody who knows anything about healthcare is opposed to these proposals,” said Sandy Praeger, a former president of the National Association of Insurance Commissioners.
May 29, 2018 | Leadership
“It’s carrot and stick,” one person familiar with the strategy told Politico. “You’re with us or against us. It’s your call, but being against us is not going to stop us.”
The legislation, sponsored by California Assemblyman Ash Kalra, a Democrat from San Jose, would have created a state commission to set rates for many medical services currently covered by private insurers in the group and nongroup markets.
May 25, 2018 | Policy
CMS had requested comments on allowing direct provider contracting (DPC) with Medicare beneficiaries in the form of the alternative payment model. Among major healthcare groups, the response was decidedly mixed, ranging from cautious optimism to telling CMS to focus on other payment reforms.