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Medicaid

Wednesday, 23 August 2017

Stakeholders are pushing the Creating and Restoring Equal Access to Equivalent Samples (CREATES) Act as an offset for renewing CHIP funding, multiple industry stakeholders tell Inside Health Policy.

Wednesday, 23 August 2017

Governors Charlie Baker (R-MA), Steve Bullock (D-MT), Bill Haslam (R-TN), Gary Herbert (R-UT) and John Hickenlooper (D-CO) will testify at the second of two planned Senate health committee hearings on stabilizing the individual insurance market slated for early September, the committee announced Wednesday (Aug. 24).

Tuesday, 22 August 2017

CMS officials have been working on a Request For Information on the direction of the Center for Medicare and Medicaid Innovation, according to sources familiar with the RFI.

Tuesday, 22 August 2017

Republican health reform efforts may have stalled but Democrats are moving forward on a number of proposals that aim to build on the existing infrastructure in a move toward universal coverage and Independent Sen. Bernie Sanders (VT) will soon introduce legislation that would expand Medicare to all Americans.

Thursday, 17 August 2017

The Department of Justice announced Thursday (Oct. 17) an EpiPen settlement of $465 million, which is the same amount DOJ denied having settled on last October when EpiPen maker Mylan announced the deal.

Thursday, 17 August 2017

States will freeze enrollment in the Children's Health Insurance Program before they run out of money, First Focus President Bruce Lesley warns. Most states could manage to keep CHIP running briefly past the Oct. 1 expiration of federal funding, but Lesley says there will be disruptions to the program before states exhaust that funding.

Tuesday, 15 August 2017

Centene will cover the 14 rural Nevada counties that were projected to be bare in 2018 once Anthem pulled out, Gov. Brian Sandoval (R-NV) announced Tuesday (Aug. 15) at a press conference where he was joined by officials with SilverSummit, Centene's Nevada plan.

Tuesday, 15 August 2017

The American Hospital Association placed the extension of the moratorium on Medicaid disproportionate share hospital payment cuts on the list of what it considers must-pass legislation this year, but a spokesperson for the House Energy & Commerce Committee told Inside Health Policy there have not been discussions about the DSH cuts beyond what was included in the House-passed American Health Care Act.

Friday, 11 August 2017

Indiana has filed for an extension of an 1115 waiver for its Healthy Indiana Plan (HIP) 2.0, with changes that include both a work requirement and moving premium payments from a fee based on income to a flat fee -- two waiver provisions that CMS has never previously approved for a state Medicaid program.

Monday, 07 August 2017

States have started preparing in case federal funds for the Children's Health Insurance Program run out, the National Academy for State Health Policy said, and CMS recently discussed CHIP contingency plans with state officials, though states received assurances of bipartisan support for CHIP by Senate Finance Chair Orrin Hatch (R-UT) and ranking Democrat Ron Wyden (OR).

Friday, 04 August 2017

Aetna is ratcheting back its business in Affordable Care Act-compliant small group plans and instead is pushing self-insured small group plans that are not ACA-compliant or subject to the law’s regulations.

Friday, 04 August 2017

Texas' pending Medicaid family planning demonstration waiver application that would exempt the state from Medicaid's “freedom of choice” provision has so far drawn close to 19,000 public comments on CMS' website and letters to CMS Administrator Seema Verma from leading House and Senate Democrats that urge her to deny the waiver.

Thursday, 03 August 2017

CMS approved a five-year extension of Florida’s Managed Medical Assistance Section 1115 waiver on Thursday (Aug. 3) that would allow the state to operate a capitated Medicaid managed care program and funded the state's low-income pool, but some Medicaid advocates were disappointed the state opted to fund the low-income pool rather than look for ways to provide more people with insurance.

Thursday, 03 August 2017

Molina Health interim CEO Joe White told investors that a failure to invest in new business capabilities and to absorb Affordable Care Act growth as well as non-competitive provider contracts led to its disappointing second quarter performance as he announced exits from two exchanges amid a company restructuring.

Thursday, 03 August 2017

Senate Finance Committee Chair Orrin Hatch (R-UT) said Thursday (Aug. 3) that the committee will hold hearings to fund the Children’s Health Insurance Program in September once the Senate returns from recess.

Monday, 31 July 2017

Sen. Bill Cassidy (R-LA) went to the White House Monday (July 31) to discuss with HHS Secretary Tom Price and a group of governors legislation he wrote with Sen. Lindsey Graham (R-SC) that would block grant funding for all ACA spending based on a new approach that moves towards equal funding across the states.

Monday, 31 July 2017

A new bipartisan House Problem Solvers caucus formally unveiled a proposal that aims to immediately stabilize the insurance market by funding the cost-sharing reductions, creating a stability fund, axing the device tax, weakening the employer mandate, redefining “workweek,” giving states more flexibility and allowing insurance to be sold across state lines.

Thursday, 27 July 2017

House Speaker Paul Ryan (R-WI) Thursday night pledged his chamber would go to conference on health reform legislation if the Senate passes a skinny ACA repeal bill, but attached a major caveat: Whatever agreement is hammered out by the two chambers must be voted on first by the Senate.

Thursday, 27 July 2017

Nonpartisan provider and patient groups have come out against Senate Republicans’ so-called “skinny” Affordable Care Act repeal bill that is envisioned as a vehicle to reach a conference with the House and get to a deal on health care reform.

Wednesday, 26 July 2017

A bipartisan group of 11 governors is asking Senate Republicans to set aside both the House-passed health reform bill and Senate leaders’ envisioned “skinny” ACA repeal bill, and instead work with Democratic and Republican governors on a bill that embraces a policy goal everyone can agree on: “fixing our unstable insurance markets.”

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