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Health-Exchange-Alert

February 19, 2020 | Daily News

Covered California saw a 41% jump in new enrollees during the open enrollment period, although renewals fell by about 8 percent, the exchange reported this week as it also announced special enrollment periods for residents who were not aware of the state's new coverage mandate or the additional subsidies.

February 18, 2020 | Daily News

A group of Democratic senators sent a letter to President Donald Trump Friday (Feb. 14) urging him to direct the Department of Justice to drop its support of the high-profile Texas v. United States case challenging the Affordable Care Act after he failed to offer up alternative policies protecting people with preexisting conditions in his $4.8 trillion budget released Feb. 10.

February 18, 2020 | Daily News

Health insurers are pressing the Trump administration to scrap the crux of its proposed negotiated price transparency rule and work with stakeholders and Congress on alternatives -- a request that has led to visceral reactions from HHS Secretary Alex Azar and CMS Administrator Seema Verma.

February 14, 2020 | Daily News

A federal appeals court on Friday (Feb. 14) ruled that work requirements do not advance the purpose of Medicaid, dealing another serious blow to one of the Trump administration’s signature health care policies.

February 14, 2020 | Daily News

Indiana is asking CMS to let the state extend its Medicaid program, called the Healthy Indiana Plan, for an additional 10 years, to 2030, after closing the door on the possibility of using the agency’s newly unveiled guidance to block grant its program.

February 13, 2020 | Daily News

The Government Accountability Office released a report on Wednesday (Feb. 12) suggesting that CMS should be able use state audits to more accurately measure Medicaid improper eligibility rates -- payments tied to ineligible beneficiaries -- to allow the agency to better recoup those payments.

February 13, 2020 | Daily News

Senate Finance Democrats pushed HHS Secretary Alex Azar to present the administration’s Affordable Care Act replacement plan on Thursday (Feb. 13), but Azar said the high-profile litigation over the constitutionality of the health law is a long way from being finished and at this point an ACA replacement is a hypothetical situation.

February 12, 2020 | Daily News

Similar surprise billing legislation from two House committees would each save $24 billion over a decade, the Congressional Budget Office estimates, which is roughly $6 billion more than the savings from surprise billing legislation passed Wednesday (Feb. 12) by the Ways & Means Committee.

February 12, 2020 | Daily News

CMS Administrator Seema Verma said those alleging the agency’s proposed Medicaid Fiscal Accountability Regulation will cut billions of dollars from Medicaid are alarmists without credibility, and she tried to assure stakeholders in a blog post Wednesday that the rule is not intended to scale back Medicaid pay.

February 12, 2020 | Daily News

The House Ways & Means Committee unanimously passed legislation to prevent surprise medical bills on Wednesday (Feb 12), a day after the White House criticized the bill for its strong reliance on arbitration.

February 12, 2020 | Daily News

A senior policy advisor for FDA told Inside Health Policy the agency hopes its newly developed method for collecting and analyzing data on genetic alteration in animals intended for human consumption will allow the agency to eventually scale back its regulation of genetically modified animals.

February 11, 2020 | Daily News

The House Education & Labor Committee passed its surprise billing legislation and sent it to the House floor, but not without heated debate.

February 11, 2020 | Daily News

The Congressional Budget Office estimates the House Ways & Means Committee's surprise billing proposal, which relies heavily on mediation and arbitration, would save roughly $17.8 billion over the course of 10 years.

February 11, 2020 | Daily News

The White House on Tuesday raised concerns that a surprise billing fix relying heavily on arbitration could increase health care costs and said air ambulances should be part of Congress' solution, signaling the Trump administration opposes the provider-friendly bill from the House Ways & Means Committee.

February 10, 2020 | Daily News

The Trump administration again proposed making it easier for states to extend Medicaid coverage for up to one year after a beneficiary with a history of substance use disorders has a baby, despite repeated calls by maternal health advocates to allow states to extend coverage for all postpartum beneficiaries.

February 10, 2020 | Daily News

The president’s fiscal 2021 budget proposes to rework Medicare Advantage quality bonus pay, eliminating both caps on what plans can receive and the so-called double bonuses certain plans can get, and to confirm beneficiaries’ diagnoses before CMS makes risk-adjusted payments to a plan.

February 10, 2020 | Daily News

President Donald Trump’s fiscal 2021 budget would cut nearly a trillion dollars from Medicaid over 10 years, impose mandatory work requirements in the program and give CMS more leeway to recoup improper payments.

February 10, 2020 | Daily News

President Donald Trump omitted his prior calls to repeal and replace the Affordable Care Act in his $4.8 trillion budget released Monday (Feb. 10), signaling the president may be hesitant to push a policy not popular with voters while he is up for re-election, according to health experts.

February 07, 2020 | Daily News

Industry stakeholders and large employers who recently celebrated the full repeal of the Affordable Care Act’s so-called Cadillac tax urge the Bipartisan Policy Center to rethink its proposal to limit the open-ended tax exclusion for employer-sponsored benefits.

February 07, 2020 | Daily News

The moderate New Democrat Coalition has endorsed a slate of bills that aim to improve the Affordable Care Act and hope the measures, along with a number of others the group previously endorsed, will be included in a health reform package that Democratic leadership hopes to unveil around the 10th anniversary of the ACA this March.

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