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GOP Health Reform

October 23, 2018 | Daily News

A White House official said the administration needs to make sure no regulations or policies get in the way of insurers shifting to a new value-based model where payments are made over time for new, expensive curative treatments and refunds are obtained if the treatments stop working.

October 23, 2018 | Daily News

A bipartisan bill aimed at making it easier for Medicare Advantage and Medicare drug plans to enter into so-called value-based pay contracts is expected to be introduced as early as next week, according to Council for Affordable Health Coverage President Joel White.

October 22, 2018 | Daily News

The Trump administration late Monday (Oct. 22) offered a preview of a proposed regulation that will  business to offer employees tax-preferred health reimbursement arrangements that can be used to purchase coverage on or off the exchanges.

October 22, 2018 | Daily News

Anthem Inc. Public Policy Director Doug Saunders implored state officials, advocates and stakeholders to consider other options to shore up their local health insurance markets before turning to Medicaid buy-in, cautioning that such a program could hurt both the commercial insurance markets and Medicaid enrollees.

October 22, 2018 | Daily News

The Trump Administration released new guidelines for the Affordable Care Act's state innovation waivers declaring that federal officials will prioritize access to coverage over the comprehensiveness and content of the coverage individuals purchase when evaluating waiver applications.

October 19, 2018 | Daily News

Senate Majority Leader Mitch McConnell (R-KY) is defending the administration's decision to ask a federal court to throw out the Affordable Care Act's protections for people with preexisting conditions if it finds the mandate is no longer valid, and suggested that a win would allow the GOP to “start over” on health care reforms.

October 17, 2018 | Daily News

Two rules that are expected to include major policies to curb drug prices are scheduled to be released this month, according to the fall regulatory agenda. However, the agenda’s timetable is often wrong.

October 16, 2018 | Daily News

In the weeks leading up to the midterm elections, the Trump administration has seized every opportunity to link the entire Democratic Party to Sen. Bernie Sanders’ (I-VT) Medicare for All proposal, even though the majority of Democratic candidates in the midterms do not support Sanders’ plan.

October 16, 2018 | Daily News

It's not clear how, or if, HHS' proposed drug-price disclosure requirement for TV ads will be enforced, consultants and lawyers say.

October 16, 2018 | Daily News

American Medical Association President Barbara McAneny on Tuesday (Oct. 16) raised concerns with a single-payer system based on Medicare, as well as a Medicaid buy-in being pursued in New Mexico, and said that moving people from commercial coverage to government-funded health care programs could cause practices to close, especially in rural areas, due to inadequate reimbursement.

October 16, 2018 | Daily News

One day after the launch of Medicare’s annual open enrollment period, CMS Administrator Seema Verma touted Medicare Advantage plans while saying traditional Medicare is slow to innovate and riddled with misaligned financial incentives.

October 16, 2018 | Daily News

CMS Administrator Seema Verma on Tuesday (Oct. 16) lamented CMS' lack of adequate legal authority to conduct Medicare prior authorization reviews that are routine in the private sector, coming as American Medical Association President Barbara McAneny told reporters that prior authorization can cause major disruptions to care and contributes to providers' administrative burden.

October 16, 2018 | Daily News

CMS recently announced it will continue pilot testing the exchange plan quality rating system for a third year, and will expand the program from two states to five for the 2019 plan year.

October 16, 2018 | Daily News

More than a dozen health care stakeholders recently filed briefs in support of groups that are asking a federal district court to immediately end implementation of the Trump administration’s rule expanding access to short-term health plans.

October 16, 2018 | Daily News

State politicians and advocacy groups in New Mexico expect the state to pass a Medicaid buy-in program during the 2019 legislative session and hope the plan will serve as a model for other states considering the option.

October 16, 2018 | Daily News

Michigan has asked CMS for permission to enter into outcomes-based contracts with drug manufacturers under its Medicaid program, Michigan Department of Health and Human Services spokesman Bob Wheaton confirmed Monday (Oct. 15).

October 15, 2018 | Daily News

HHS is relying on Medicare and Medicaid law to require brands to post drug prices in TV ads and is counting on drug companies to sue each other when they don’t, HHS officials said Monday (Oct. 15).

October 15, 2018 | Daily News

The Trump administration announced a new Medicaid chief Monday (Oct. 15): Mary Mayhew, a former Maine health official who has vociferously criticized Medicaid expansion and sought to tighten eligibility requirements in traditional Medicaid.

October 15, 2018 | Daily News

TV drug ads will direct consumers to company websites that include information on drug prices, including list prices and estimated out-of-pocket costs, as part of a voluntary program that all 33 companies in the Pharmaceutical Research and Manufacturers of America have agreed to.

October 15, 2018 | Daily News

Brand drug makers are warning against relying on 340B hospitals to execute Louisiana’s plan to pay a subscription for an unlimited supply of hepatitis C drugs over a fixed period.

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