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GOP Health Reform

November 16, 2018 | Daily News

Republican senators who introduced a bill to protect the Affordable Care Act’s coverage of preexisting conditions are waiting on a ruling in the controversial ACA case in Texas before charting their next steps, which could include adding a severability clause to the health law.

November 15, 2018 | Daily News

Another 3,815 Medicaid beneficiaries in Arkansas will be kicked off the program for failing to meet the state’s new work requirements, bringing the total to more than 12,000 people who have lost coverage since the work requirements kicked in this summer.

November 14, 2018 | Daily News

The new director of the Center for Medicaid and CHIP Services touted CMS’ commitment to work requirements in Medicaid in a speech Wednesday (Nov. 14), and said the agency is seeing “exciting results.”

November 14, 2018 | Daily News

CMS Administrator Seema Verma said Wednesday (Nov. 14) the administration is committed to giving drug plans more leverage to negotiate lower prices for drugs in protected classes.

November 14, 2018 | Daily News

A federal district court in Maryland is moving quickly in a high-profile Affordable Care Act case that challenges the legitimacy of President Donald Trump's decision to replace former Attorney General Jeff Sessions with Sessions' unconfirmed chief of staff Matthew Whitaker, and has set oral arguments for Dec. 19.

November 14, 2018 | Daily News

In the wake of leadership elections, newly re-elected Senate Minority Leader Chuck Schumer (D-NY) told reporters that his caucus plans to continue its focus on healthcare in the 116th Congress by using the Democratic majority in the House to press Senate Republicans to take up Democratic health legislation.

November 14, 2018 | Daily News

Radiation oncologists are concerned about the possibility of mandatory participation in a radiation oncology demonstration after HHS Secretary Alex Azar indicated such a model was on the way.

November 13, 2018 | Daily News

House Republicans may not have time during the lame-duck period to revisit a package of bills that would provide employers retroactive relief from a series of Affordable Care Act taxes, but Republicans still hope an end-of-year package in the House could offer relief from some employer taxes, outgoing Ways & Means Committee Chairman Kevin Brady (R-TX) said.

November 13, 2018 | Daily News

Maryland Attorney General Brian Frosh on Tuesday (Nov. 13) asked a federal district court to issue an injunction to stop Matthew Whitaker from participating in a case over the Affordable Care Act and to declare Deputy Attorney General Rod Rosenstein as the rightful acting Attorney General of the United States.

November 13, 2018 | Daily News

Express Scripts is introducing an optional formulary for drugs with alternative drug codes, which starts the move from so-called spread pricing based on rebates to a system that shares those rebates at the pharmacy counter, the pharmacy benefit manager announced Tuesday (Nov. 13).

November 12, 2018 | Daily News

A coalition of GOP attorneys general threw their support behind the Trump administration’s controversial association health plans, telling a federal court they back the administration’s call to dismiss a Democratic-led lawsuit challenging a rule that expanded the scope of the plans.

November 12, 2018 | Daily News

Dozens of academics in public health and health law told a federal judge that CMS misrepresented studies on the relationship between work and health when the agency approved Arkansas’ controversial program of Medicaid work requirements.

November 09, 2018 | Daily News

Rep. Anna Eshoo announced Friday (Nov. 9) her bid to chair the House Energy & Commerce health subcommittee, which is expected to be a key position given Democrats’ campaign promises to work on health care policies and control drug prices.

November 09, 2018 | Daily News

While stakeholders expect lawmakers to focus less on Medicare than other health policy in the new Congress, strengthening Medicare is still part of Rep. Frank Pallone's (D-NJ) agenda for the House Energy & Commerce Committee, advocates hope Democrats will look at coverage gaps in the program, and lobbyists say lawmakers could take another look at the site-neutral cuts included in CMS’ recent hospital pay rule.

November 08, 2018 | Daily News

CMS is seeking to give states more freedom to define network adequacy in Medicaid managed care and to set the capitation rates paid to Medicaid plans.

November 08, 2018 | Daily News

A federal judge has temporarily shut down a Florida-based operation that the Federal Trade Commission charged with misleading consumers into thinking they were purchasing comprehensive, ACA-compliant coverage, rather than skimpy products that left them with unpaid medical claims and thousands in bills.

November 08, 2018 | Daily News

CMS proposed a rule that aims to better ensure consumers are not dually enrolled in exchange and other public coverage, including Medicare, Medicaid, CHIP and the Basic Health Plan.

November 08, 2018 | Daily News

HHS Secretary Alex Azar on Thursday (Nov. 8) said CMS plans to both bring back the mandatory bundled-pay models the agency canceled last year and look at new models, including for radiation oncology.

November 08, 2018 | Daily News

CMS says about 93 percent of eligible providers in the Merit-based Incentive Payment System received a bonus for their 2017 performance and the vast majority avoided a pay cut -- though CMS Administrator Seema Verma says in a blog post that she expects performance in the program will change as the thresholds are harder to meet.

November 08, 2018 | Daily News

The Trump administration released two final rules on Wednesday (Nov. 7) that offer exemptions to the Affordable Care Act’s contraceptive mandate for entities that have either religious or moral objections to contraceptive services.

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