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February 07, 2020 | Daily News

A leading telehealth company and health plans suggest closing the gap on access to mental and behavioral health services is a top priority for virtual care in 2020 as they continue to adjust telehealth services to consumers’ needs and push lawmakers to pass legislation expanding access to such services.

February 05, 2020 | Daily News

The House Oversight & Reform Committee is already probing the Trump administration’s national drug strategy that was released Monday (Feb. 4), continuing the work of the late Chair Elijah Cummings (D-MD) who last year questioned the White House Office of National Drug Control Policy (ONDCP) on what he called an inadequate strategy.

February 03, 2020 | Daily News

Governors, hospitals and nursing homes tell CMS to withdraw its proposed Medicaid Fiscal Accountability Regulation as it would hurt states’ ability to fund their programs and the agency hasn’t really looked at the proposal’s impact, while Medicaid directors ask CMS to talk with states and refine the regulatory provisions through multiple rules.

January 31, 2020 | Daily News

Democratic House leadership announced Friday (Jan. 31) that the House plans to vote on a resolution to disapprove of the Trump administration’s block grant guidance unveiled Thursday.

January 30, 2020 | Daily News

CMS’ plan to allow states to receive a capped amount of federal money for parts of their Medicaid programs is the latest instance of the agency aggressively pushing the boundaries of its legal authority -- and the likelihood of protracted court challenges over the policy may deter states from adopting it, according to health lawyers and regulatory experts.

January 30, 2020 | Daily News

Providers, beneficiary advocates and Democratic lawmakers quickly slammed as partisan politics the Trump administration’s Thursday (Jan. 30) decision to let states receive block grants for optional Medicaid populations, coming as the Republican governor of Oklahoma said he plans to take advantage of the opportunity.

January 30, 2020 | Daily News

CMS’ new policy that ties closed Medicaid drug formularies to block grants is a double whammy for the drug industry because sources say block grants amplify the negotiating power of closed formularies.

January 30, 2020 | Daily News

Advocates for non-opioid pain management alternatives are calling on policymakers to increase access to non-opioid pain management alternatives, including unbundling certain drugs in outpatient settings and increasing provider training.

January 30, 2020 | Daily News

Advocates for non-opioid pain management alternatives are calling on policymakers to increase access to non-opioid pain management alternatives, including unbundling certain drugs in outpatient settings and increasing provider training.

January 30, 2020 | Daily News

CMS Administrator Seema Verma on Thursday (Jan. 30) permanently installed Calder Lynch as CMS’ Medicaid chief, a role he has had on an acting basis since last summer.

January 30, 2020 | Daily News

CMS on Thursday (Jan. 29) unveiled guidance that would allow states to receive a block grant for optional Medicaid populations -- adults under the age of 65 who wouldn’t otherwise be eligible under the traditional Medicaid program.

January 29, 2020 | Daily News

The Government Accountability Office’s latest 340B report -- the second released this month -- calls on the Health Resources and Services Administration and CMS to take new steps to prevent drug makers from paying duplicate discounts under Medicaid and the 340B drug discount program, but HHS and 340B hospitals say HRSA can’t legally follow GAO’s call for it to scrutinize states policies or make hospitals work on repayment of duplicate discounts in Medicaid managed care.

January 28, 2020 | Daily News

Epic Systems, a major medical records vendor, hit back following remarks from HHS Secretary Alex Azar that slammed critics of the Office of National Coordinator for Health IT’s proposed interoperability rule, as the health IT developer called on HHS to create patient privacy protections before finishing the rule.

January 27, 2020 | Daily News

The Supreme Court on Monday (Jan. 27) allowed the Trump administration to begin enforcing its so-called public charge rule, a policy that will make it more difficult for immigrants to obtain permanent legal residency in the United States if they are deemed likely to use Medicaid or other forms of public assistance.

January 27, 2020 | Daily News

HHS Secretary Alex Azar took aim at critics of the interoperability rules proposed by the HHS Office of the National Coordinator on Health IT and CMS, warning them that “defending the status quo is a pretty unpopular place to be,” and asserting that the rules, once finalized, will preserve patient privacy.

January 23, 2020 | Daily News

Congress’ Medicaid advisors are carefully watching a Center for Medicare and Medicaid Innovation model to see how it improves maternal health for mothers with substance use disorders as it gets underway this year, and suggested they might weigh in to highlight the authority states already have to reshape their Medicaid programs to better serve mothers with substance use disorders.

January 22, 2020 | Daily News

CMS will allow Texas to use federal funding for its family planning services for women not previously eligible for Medicaid, although those funds cannot be used by any organization in the state that provides abortions.

January 22, 2020 | Daily News

House Education & Labor Committee Democrats are gathering information from the Department of Labor that could lay the foundation for legislative action to bolster the federal government’s enforcement of mental health parity law when it comes to employer-sponsored plans.

January 21, 2020 | Daily News

CMS on Tuesday (Jan. 21) called for public comments on coordinating care from out-of-state providers for Medicaid-eligible children with medically complex conditions.

January 17, 2020 | Daily News

Illinois has submitted a waiver to CMS asking to extend Medicaid coverage up to one year after a Medicaid beneficiary has had a baby, as opposed to the current 60-day limit.