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Medicaid

March 13, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) is considering changing the Medicaid Disproportionate Share Hospital pay formula, and his office told Inside Health Policy another delay of the cuts would simply be a budget gimmick.

March 13, 2019 | Daily News

Lawyers for Medicaid beneficiaries and the federal government will square off Thursday (March 14) for round two of the high-profile litigation over the legality of Medicaid work requirements—and the arguments they make likely will sound familiar.

March 12, 2019 | Daily News

HHS Secretary Alex Azar defended President Donald Trump’s 2020 budget proposal to mandate uniform Medicaid work requirements nationwide, telling the House Energy & Commerce health subcommittee on Tuesday (March 12) that individuals who are employed are healthier, a claim rejected by House Democrats.

March 11, 2019 | Daily News

The Trump administration is doubling down on some of its most controversial Medicaid policies by proposing in its 2020 budget to impose mandatory work requirements, make it easier for states to eliminate non-emergency medical transportation, and allow higher copayments when beneficiaries seek non-emergency care at the emergency room.

March 11, 2019 | Daily News

The Trump administration’s 2020 budget includes more than two dozen recommendations for lowering prescription drug prices, including new ideas to punish drug makers for pay-for-delay settlements and to prohibit companies from using authorized generics to game Medicaid rebates.

March 11, 2019 | Daily News

President Donald Trump’s 2020 budget, released Monday (March 11), would cut $1.5 trillion from Medicaid over the next decade by proposing mandatory work requirements nationwide, repealing Medicaid expansion and proposing block grants or per-capita caps for states.

March 11, 2019 | Daily News

The White House’s proposed 2020 fiscal year includes a proposal to end no-cost subsidized exchange plans, requiring every individual on the federal exchanges to contribute to their health coverage, and also a proposal to replace the Affordable Care Act modeled after the Graham-Cassidy-Heller-Johnson bill that would turn over much of health care to the states.

March 08, 2019 | Daily News

Congressional Medicaid advisers agree that Congress should change the statutory definition of the so-called Medicaid shortfall in order to reinstate stricter limits on the amount of supplemental payments that disproportionate-share hospitals can receive, but the advisers have no consensus on precisely how the law should be changed.

March 08, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley (R-IA) and health subcommittee Chair Pat Toomey (R-PA) on Friday (March 8) lambasted CMA for failing to recoup improper Medicaid eligibility-related payments in excess of 3 percent made by states since 1992 and asked the agency to respond by March 15 on how they plan to fix the situation and whether they need Congress’ help to do so.

March 08, 2019 | Daily News

Congressional Medicaid advisers said Friday (March 8) that HHS’ proposal to ban rebates should not apply to Medicaid rebates because the proposed rule likely would increase net drug prices for states.

March 07, 2019 | Daily News

The director of the White House Office of National Drug Control Policy (ONDCP) agreed to provide more information to the chair of the House Oversight & Reform Committee on the office’s drug policy strategy after a Government Accountability Office report released Thursday (March 7) found that the strategy lacked required information, such as measurements of performance goals.

March 06, 2019 | Daily News

Specialists in the fields of addiction and mental health urged Congress on Wednesday (March 6) to give more federal money to providers on the front lines of the opioid crisis -- including by funding several programs that were authorized in last year’s major opioid bill.

March 06, 2019 | Daily News

Provider groups and insurance plans applauded a CMS proposal to increase access to the opioid overdose reversal drug naloxone included in the agency’s 2020 draft Medicare Advantage and Part D call letter, but some groups called for CMS to reconsider a proposal on co-prescribing the drug with opioid prescriptions, saying that decision should be left between a provider and patient.

February 28, 2019 | Daily News

Efforts to add Medicaid work requirements in Wyoming and West Virginia died in the legislatures of both states on Wednesday (Feb. 27).

February 28, 2019 | Daily News

Senate Finance Committee ranking Democrat Ron Wyden (OR) wants CMS to take action against 14 state Medicaid programs that, according to the Government Accountability Office, are violating federal law by failing to cover a drug used to induce medical abortions.

February 27, 2019 | Daily News

Georgia took a step closer on Tuesday (Feb. 27) to a limited expansion of its Medicaid program in the latest move by a conservative state seeking to partially expand Medicaid eligibility up to the federal poverty rather than the fully expanded eligibility envisioned by the Affordable Care Act.

February 27, 2019 | Daily News

The senior counselor to CMS Administrator Seema Verma on Tuesday (Feb. 26) touted the agency’s proposed changes to the Medicaid managed care rule and told stakeholders they can expect the final rule to be out this fall.

February 26, 2019 | Daily News

Drug company executives who testified Tuesday (Feb. 26) before the Senate Finance Committee expressed support for some legislation aimed at curbing drug prices, but they hedged that support, and many of the proposals they back don’t target drug makers.

February 26, 2019 | Daily News

CMS on Monday (Feb. 25) approved Colorado’s request to base Medicaid pay on drug performance, making it the third state to get permission to use so-called outcomes-based contracts.

February 25, 2019 | Daily News

Three more Republican-led states are inching toward new state laws that would seek CMS’ permission to enact Medicaid work requirements.

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