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Health-Exchange-Alert

September 23, 2019 | Daily News

CMS on Monday (Sept. 23) released a final method for implementing annual Medicaid Disproportionate Share Hospital pay cuts from fiscal 2020 through fiscal 2025.

September 20, 2019 | Daily News

Several high-profile health experts were upset by CMS Administrator Seema Verma’s recent blog in which she denied the increase in uninsured Americans was due to a decline in Medicaid enrollees and instead blamed it on the Affordable Care Act, including Families USA Eliot Fishman who told Inside Health Policy he has been frustrated by the GOP’s narrow focus on the unsubsidized population even as affordability remains a challenge for lower-income people.

September 20, 2019 | Daily News

A group of Democratic attorneys general demand the administration immediately comply with federal injunctions that bar the government from implementing rules that loosen the Affordable Care Act’s contraceptive mandate, saying that information posted on, or omitted by, HHS and Department of Labor websites violates the orders.

September 20, 2019 | Daily News

The House Energy & Commerce Committee’s surprise billing fix would save $21.9 billion over the course of 10 years, according to the Congressional Budget Office.

September 19, 2019 | Daily News

Democratic presidential primary candidate Pete Buttigieg’s newly unveiled “Medicare for All who want it” proposal would create a public option with auto-enrollment, increase exchange subsidies and cap out-of-network costs at twice the Medicare rate.

September 19, 2019 | Daily News

Fifty-nine percent of Medicaid beneficiaries under the age of 21 received a well-child screening in fiscal 2017 -- a decrease of five percentage points from fiscal 2010 and well short of CMS’ target ratio of 80%, according to a new report from the Government Accountability Office.

September 18, 2019 | Daily News

House Education & Labor Committee Chairman Bobby Scott (D-VA) said that his committee is sorting out technical issues to ensure its surprise billing fix applies to ERISA as well as all other forms of health coverage, and that the committee is also stuck on whether to use a benchmark payment rate or arbitration as the policy fix.

September 17, 2019 | Daily News

HHS’ Office of Civil Rights (OCR) is looking into using its authority under HIPAA to tackle concerns over surprise billing and discussed the idea with a group of insurance industry stakeholders on Tuesday, according to a source who attended the meeting.

September 16, 2019 | Daily News

House Energy & Commerce Chairman Frank Pallone (D-NJ) and ranking Republican Greg Walden (OR) launched an investigation into private equity firms’ role in surprise medical billing, starting with three firms that own physician staffing companies and emergency transport companies.

September 13, 2019 | Daily News

A group of high-profile economists, the association representing state insurance commissioners, the U.S. Chamber of Commerce, key issuer lobbies and other stakeholders have submitted amicus briefs to the Supreme Court supporting health insurance companies who demand the government pay them the total $12 billion or so owed under the Affordable Care Act’s risk corridor program.

September 13, 2019 | Daily News

The Department of Transportation formed a task force to look into air ambulance billing, something Congress has been calling on the agency to do since passage of the 2018 Federal Aviation Association Act and made even more urgent by Capitol Hill’s recent focus on ending surprise billing.

September 12, 2019 | Daily News

Lawmakers and administration officials are slowly backing away from the White House’s promise to roll out a large-scale Affordable Care Act replacement plan and are instead saying the president is focusing on smaller-scale items such as drug pricing and surprise billing, and will take another look at protecting coverage for preexisting conditions if the courts overturn the health law.

September 12, 2019 | Daily News

The Nebraska Supreme Court has declined to hear a lawsuit -- at least for now -- that seeks to force state officials to speed up their implementation of the state’s voter-approved Medicaid expansion.

September 12, 2019 | Daily News

A Kaiser Family Foundation analysis of insurance data submitted to CMS finds that health insurance companies will likely distribute about $1.3 billion in rebates due to the Affordable Care Act’s medical loss ratio for the 2018 plan year, which is the largest amount since 2012.

September 12, 2019 | Daily News

Health care issues made up a large portion of the first two Democratic debates as candidates parried over their respective visions on universal health coverage, and some Democratic strategists say the candidates in tonight’s debate need to also make clear that the Trump administration has been working to undermine the existing law, both through regulatory moves and by backing a lawsuit that aims to scrap the Affordable Care Act.

September 11, 2019 | Daily News

The California legislature passed an amended version of controversial legislation that aims to remove any financial incentives for dialysis firms to donate to chartable premium assistance programs by limiting reimbursement for patients receiving financial help, and stakeholders on both sides of the issue are now taking their case to Democratic Gov. Gavin Newsom.

September 11, 2019 | Daily News

House Ways & Means Committee Democrats are finalizing their surprise medical billing legislation, and, although the committee hasn’t settled on a payment rate, Chairman Richard Neal (D-MA) told reporters the Democrats are not discussing an air ambulance fix.

September 10, 2019 | Daily News

Democratic advocates and lawmakers on Tuesday (Sept. 10) blasted the Trump administration’s health policy agenda after the U.S. Census found nearly 2 million people more were uninsured in 2018 than in 2017, and they warned that the Department of Justice’s stance against Obamacare in the Texas lawsuit could further destroy the health care system.

September 09, 2019 | Daily News

A group of 32 state insurance commissioners are pushing back against air ambulance providers who say the Senate health committee’s fix for air ambulance surprise medical bills would lead to the closure of rural air ambulance bases.

September 06, 2019 | Daily News

The National Governors Association is encouraging governors to craft policies to tackle surprise medical bills and is also pushing Congress to pass a federal fix to help the over 150 million Americans who receive employer-sponsored coverage, which is regulated under the Employee Retirement Income Security Act (ERISA) and not subject to current state surprise billing laws.

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