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GOP Health Reform

December 10, 2018 | Daily News

CMS posted the estimated pass-through funding amounts that four additional state-based reinsurance programs can expect for the 2019 plan year, leaving Wisconsin and New Jersey as the only states for which figures are not yet publicly available.

December 10, 2018 | Daily News

Outgoing House Ways & Means Committee Chairman Rep. Kevin Brady (R-TX) introduced a year-end tax package on Monday (Dec. 10) that delays the Affordable Care Act’s medical device tax, health insurance tax and “Cadillac tax,” and he told reporters he hopes the bill will pass with bipartisan support before Christmas.

December 07, 2018 | Daily News

CMS issued a final rule on 2018 risk adjustment methodology that explains the agency’s reasoning for running the program in a budget-neutral manner and responds to an ongoing court case that challenges the agency’s decision-making.

December 07, 2018 | Daily News

The top Democrats on key House committees are demanding HHS produce by Dec. 31 documents and communications related to the department’s involvement in the administration’s decision not to defend the Affordable Care Act in the pending Texas case.

December 07, 2018 | Daily News

House Democratic leaders are telling the federal DC district court that the Trump administration’s final rule that changed the definition of an employer in order to promote the creation of more association health plans (AHPs) conflicts with text, structure and history of the Affordable Care Act and should be thrown out.

December 06, 2018 | Daily News

An online broker is now marketing a short-term health plan package in at least 20 states that includes automatic renewals and allows consumers to lock-in rates for 36-months through a renewability guarantee rider that protects them from premium hikes or coverage denials should they fall ill.

December 06, 2018 | Daily News

Spending on health care grew at a slower rate in 2017 than in 2016 in part because Medicaid spending slowed due to the lull in Medicaid expansions and drug spending growth slacked off following the spike in spending to treat hepatitis C, according to the CMS actuary’s office.

December 05, 2018 | Daily News

Minnesota’s insurance department says the state will receive about $100 million less in federal “pass through” funding to support its reinsurance program for the 2019 plan year due to lower-than-expected premiums, but a department spokesperson says the updated federal funding estimate will not affect program operations.

December 05, 2018 | Daily News

The Republican-controlled Wisconsin legislature, in an unusual all-night session, hurriedly passed legislation designed to prevent the incoming Democratic governor and attorney general from changing the state’s position on two controversial health care issues.

December 05, 2018 | Daily News

The Trump administration is pushing ideas that could improve health care price transparency but says those steps will be futile without changes that put consumers in direct control of their health spending.

December 04, 2018 | Daily News

Arkansas told a federal judge evaluating the legality of the state’s Medicaid work requirements to ignore early data showing substantial coverage losses in the early months of the program.

December 04, 2018 | Daily News

Technology firm HealthSherpa on Tuesday (Dec. 4) announced it is the first private sector partner approved by CMS to use the new enhanced direct enrollment pathway to sign up consumers for exchange plans, confirming news first reported by Inside Health Policy last week.

December 04, 2018 | Daily News

Technology firm HealthSherpa on Tuesday (Dec. 4) announced it is the first private sector partner approved by CMS to use the new enhanced direct enrollment pathway to sign up consumers for exchange plans, confirming news first reported by Inside Health Policy last week.

December 04, 2018 | Daily News

Technology firm HealthSherpa on Tuesday (Dec. 4) announced it is the first private sector partner approved by CMS to use the new enhanced direct enrollment pathway to sign up consumers for exchange plans, confirming news first reported by Inside Health Policy last week.

December 03, 2018 | Daily News

HHS is pushing Congress to consider more site-neutral pay policies in Medicare, repeal the Affordable Care Act’s limit on physician-owned hospitals, relax telehealth restrictions and give Medicare beneficiaries more access to health savings accounts, as part of a new Trump administration report on ways to increase health care choice and competition.

December 03, 2018 | Daily News

The Trump administration released a series of health policy recommendations Monday (Dec. 3) that officials say would reduce barriers to competition in the individual and other markets, including loosening network adequacy restrictions, expanding access to health savings accounts, eliminating the employer mandate and altering the Affordable Care Act’s non-discrimination provisions.

December 03, 2018 | Daily News

The Trump administration released a series of health policy recommendations Monday (Dec. 3) that officials say would reduce barriers to competition in the individual and other markets, including loosening network adequacy restrictions, expanding access to health savings accounts, eliminating the employer mandate and altering the Affordable Care Act’s non-discrimination provisions.

December 03, 2018 | Daily News

Commercial entities that could serve as vendors between manufacturers and providers are a key part of the Trump administration’s proposed Medicare Part B demo, but it is still unclear which, if any, will decide to participate in CMS’ competitive selection process.

December 03, 2018 | Daily News

Sen. Bill Cassidy (R-LA) told Inside Health Policy that he is in the early stages of developing a bill that would address payment models for high-cost prescription drugs such as gene therapies.

December 03, 2018 | Daily News

CMS on Friday (Nov. 30) gave a green light to New Hampshire to move forward with a stringent program of Medicaid work requirements, as well as a transition of the state’s expansion population from the exchanges to Medicaid managed care and the elimination of retroactive coverage for beneficiaries in the expansion population.

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