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GOP Health Reform

October 09, 2018 | Daily News

The U.S. Federal Claims Court has ordered the federal government to pay a Montana co-op health plan more than $1.2 million in cost-sharing reductions that would have gone to the co-op for the fourth quarter of 2017 had the administration had not cut off the funding.

October 09, 2018 | Daily News

CMS says about 1,300 entities have agreed to participate in the Trump administration's first advanced alternative pay model, the Bundled Payments for Care Improvement Advanced, and Christina Smith Ritter, the director of the Patient Care Models Group at CMS' innovation center said that participation reflects an understanding that value-based pay is where the health care system is heading.

October 09, 2018 | Daily News

Republicans within the Trump administration are clamoring to show support for the Affordable Care Act’s coverage of preexisting conditions before the midterm elections hit, but several health care experts say the declarations are mainly empty promises and lack substance.

October 06, 2018 | Daily News

The Senate’s Saturday confirmation of Judge Brett Kavanaugh fills the lone vacancy on the Supreme Court and adds an expected conservative vote to the high court’s term that could include several pressing health policy cases.

October 05, 2018 | Daily News

Sens. Susan Collins (R-ME) and Joe Manchin (D-WV) both suggested on Friday that Supreme Court nominee Brett Kavanaugh's view on the severability doctrine allayed their fears that he would move to undermine the Affordable Care Act's protections for those with preexisting conditions.

October 05, 2018 | Daily News

GOP senators on the Budget Committee want the Congressional Budget Office to do a real-world test of its updated health insurance simulation model -- which estimates coverage and premiums for the under-65 population -- by redoing the initial Affordable Care Act coverage and spending estimates to see if they would match more closely to what has transpired.

October 05, 2018 | Daily News

CVS next year will offer a Part D plan that shares drug rebates at the point of sale, and the monthly premium for the plan is $80 in the Washington area, compared to the $32.50 national average Part D premium, though the CVS plan offers more generous benefits than basic drug plans.

October 05, 2018 | Daily News

A nonpartisan forum of state policy advisers will hire a consultant next month to help a handful of states create drug price transparency programs, and in turn hopes to develop a plan that other states could use to require price transparency -- an issue likewise central in the national drug-pricing debate.

October 05, 2018 | Daily News

At least two organizations that previously received federal navigator grants to help consumers enroll in health insurance plans declined to apply for the significantly reduced 2019 funding but will continue to assist residents by becoming licensed insurance brokers.

October 05, 2018 | Daily News

A Dallas-based community organization that had previously received the largest amount of grant funding of all navigators in Texas to help people seeking to enroll in coverage through the health insurance exchanges will get zero dollars for the upcoming open enrollment season, but still seeks to provide services to area residents.

October 03, 2018 | Daily News

Minnesota officials announced there will be significant Affordable Care Act premium decreases in the state's individual market for 2019, with premiums drops ranging from 7.4 percent to 27.7 percent for the upcoming plan year.

October 03, 2018 | Daily News

A federal judge in DC on Tuesday (Oct. 2) scheduled a hearing for Oct. 26 on stakeholders' motion to immediately suspend the administration's short-term health plan rule.

October 03, 2018 | Daily News

House Rules Chair Pete Sessions (R-TX) and dozens of other GOP lawmakers on Tuesday proposed a resolution stating that any Affordable Care Act replacement must give states more flexibility to run their own markets and must encourage policies that keep plans affordable for people with preexisting conditions, yet the resolution does not directly state that GOP health plans would require guaranteed issue or community-rating in all circumstances.

October 02, 2018 | Daily News

CMS Administrator Seema Verma on Tuesday (Oct. 2) again defended the Trump administration’s backing of Medicaid work requirements and criticized Medicare for All proposals for endangering the program at the expense of vulnerable seniors at the Atlantic’s annual ideas festival in Washington.

October 02, 2018 | Daily News

The Nebraska Farm Bureau recently announced the formation of a new, large group association health plan for its farmer, rancher and agribusiness members, with coverage sponsored by Medica.

October 01, 2018 | Daily News

The North Dakota Insurance Department is developing a legislative proposal that would create state-based insurance plans, similar to Idaho's, that would allow issuers to offer products not fully compliant with the Affordable Care Act.

October 01, 2018 | Daily News

A group of stakeholders is urging the DC federal district court to immediately block new federal regulations on short-term health plans set to go into effect Oct. 2, arguing the rule undermines the clear purpose of the Affordable Care Act and that allowing short-term plans to proliferate during the forthcoming open enrollment would cause irreparable harm to the individual market.

October 01, 2018 | Daily News

In a win for the dialysis industry, California Gov. Jerry Brown (D) on Sunday (Sept. 30) vetoed legislation (SB 1156) that would have limited dialysis pay in commercial insurance to Medicare levels for patients who receive premium assistance from industry-funded charities.

September 28, 2018 | Daily News

CMS announced Friday (Sept. 28) that it will extend for one year the ability of Medicare-eligible seniors who were enrolled in exchange coverage to switch to Part B coverage without a penalty.

September 28, 2018 | Daily News

An already tense Supreme Court confirmation took another twist late Friday after President Donald Trump agreed to ask the FBI to further investigate allegations against nominee Brett Kavanaugh, who could potentially be the deciding vote on a number of health-related cases should he eke through the process.

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