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GOP Health Reform

October 12, 2018 | Daily News

The Trump administration’s final rule providing conscience protections and religious exemptions to the Affordable Care Act’s contraceptive mandate is pending at the White House Office of Management and Budget.

October 12, 2018 | Daily News

A second health plan that sued the government for ending reimbursements for cost-sharing reductions in October 2017 has been awarded money from the U.S. Federal Court of Claims: Sanford Health Plans is set to receive just over $360,000 that the government determined the plan would have been owed for the fourth quarter of that year.

October 12, 2018 | Daily News

A federal trial on delays in Tennessee’s processing of Medicaid applications wrapped up after two days of testimony, but a ruling from the judge is not expected for several months.

October 11, 2018 | Daily News

The average premium for Affordable Care Act benchmark plans will drop 1.5 percent for 2019, making 2019 the first year that premiums have fallen since Obamacare took effect in 2014.

October 11, 2018 | Daily News

Patient advocates plan to meet with HHS officials in the coming weeks to make their case against what they say is an increasingly common insurance industry practice of preventing drug company financial assistance from counting toward consumers’ deductibles and out-of-pocket spending limits.

October 10, 2018 | Daily News

A Democratic resolution to overturn the Trump administration’s rule expanding the duration of short-term health plans failed in the Senate on Wednesday (Oct. 10), despite Sen. Susan Collins’ (R-ME) vote to support the effort.

October 10, 2018 | Daily News

The cost and frequency of surprise out-of-network medical bills have risen dramatically in the individual market over the past few years, causing federal lawmakers from both parties to propose legislation that would prevent insurers from overcharging individuals for treatment by out-of-network providers in emergency care situations.

October 09, 2018 | Daily News

The Senate is expected to vote this week on Sen. Tammy Baldwin's (D-WI) resolution to overturn the Trump administration's rule expanding short-term health plans, forcing senators on both sides of the aisle to go on record about their support of the controversial plans which do not include mandatory coverage for preexisting conditions.

October 09, 2018 | Daily News

The Senate is expected to vote this week on Sen. Tammy Baldwin's (D-WI) resolution to overturn the Trump administration's rule expanding short-term health plans, forcing senators on both sides of the aisle to go on record about their support of the controversial plans which do not include mandatory coverage for preexisting conditions.

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.

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