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Medicaid

May 07, 2019 | Daily News

The cost of implementing a new system to administer payments from drug makers to pharmacies under the Trump administration’s point-of-sale rebate proposal would increase premiums by about 1 percent of the amount of the chargebacks, the Congressional Budget Office estimates.

May 07, 2019 | Daily News

The Trump administration’s point-of-sale rebate proposal would drastically alter the way rebates are delivered, and pharmacy benefit managers are angling for responsibility to distribute the rebates under the new model.

May 06, 2019 | Daily News

Molina President and CEO Joe Zubretsky dodged questions about the Washington state legislature's public option and called the plan “political rhetoric” and “conceptual” when asked how it could impact the exchanges in which Molina participates.

May 06, 2019 | Daily News

The effort to expand Medicaid in Kansas failed over the weekend after the Republican-controlled state legislature overcame a two-day standoff with expansion supporters, passed a state budget and adjourned in the middle of the night.

May 03, 2019 | Daily News

Tennessee will seek to convert its Medicaid program into one financed by a federal block grant under a bill passed by state lawmakers during a dramatic final day of the state’s legislative session -- the latest example of a Republican-controlled state eager to work with CMS to enact what some health law experts see as legally questionable Medicaid block grants.

May 02, 2019 | Daily News

CMS on Thursday (May 2) finalized its repeal of an Obama-era regulation that allowed union dues to be deducted from Medicaid payments made to independent home health workers.

May 02, 2019 | Daily News

The Trump administration late Wednesday (May 1) told a federal appeals court it agrees with a district judge’s ruling that the entire health care law is invalid, yet also asked the court to retain certain ACA provisions the administration claims would not harm the plaintiffs, including updates to Medicare fraud laws – a move that left key legal experts scratching their heads.

May 01, 2019 | Daily News

Senate health committee members Tina Smith (D-MN) and Bill Cassidy (R-LA) reintroduced a bipartisan bill on Wednesday (May 1) to lower health care spending costs by 50% over 10 years after committee Chair Lamar Alexander (R-TN) said last month he would soon bring a legislative package together on lowering health costs.

May 01, 2019 | Daily News

Congressional Medicaid advisers are seeking information from stakeholders about how states regulate large inpatient psychiatric facilities, what types of services those facilities provide, and the availability of outpatient services for patients after being discharged.

May 01, 2019 | Daily News

President Donald Trump will meet soon with Democrats to discuss policies aimed at lowering drug costs, according to a White House press statement following a meeting on infrastructure that Trump held with democrats Tuesday (April 30) and Senate Minority Leader Chuck Schumer (D-NY).

April 29, 2019 | Daily News

Progressives and Medicare for All advocates warn that proposals allowing people to opt into Medicare or Medicaid could end up attracting primarily sick and older Americans, thus skewing the risk pools and raising costs for everyone.

April 26, 2019 | Daily News

Billionaire couple Laura and John Arnold have changed up their political spending game to strengthen their position as a counterforce to pharma’s deep-pocketed efforts to kill state bills to lower drug prices.

April 26, 2019 | Daily News

A federal judge granted a request from New Hampshire to intervene on the side of CMS in defending the state’s plan to enact Medicaid work requirements.

April 26, 2019 | Daily News

Nationwide enrollment in Medicaid and the Children’s Health Insurance Program declined by 2.2 million in 2018, according to new data released Thursday (April 25) by CMS, and a further analysis by Georgetown University concludes that 861,000 fewer children were covered by Medicaid and CHIP.

April 25, 2019 | Daily News

New Hampshire wants a federal judge to let the state help defend CMS’ approval of its plan to implement Medicaid work requirements.

April 25, 2019 | Daily News

CMS Administrator Seema Verma said stakeholders can expect more Center for Medicare and Medicaid Innovation (CMMI) models to be mandatory and for all upcoming payment models to include resources for state Medicaid adoption as she teased new rural health models and a long-awaited radiation oncology model in a speech to the National Association of Accountable Care Organizations (NAACOS) on Thursday (April 25).

April 25, 2019 | Daily News

CMS Administrator Seema Verma said the agency is working to get a final rule updating the Program of All-Inclusive Care for the Elderly published as part of CMS’ commitment to improving care for those dually eligible for Medicare and Medicaid.

April 24, 2019 | Daily News

Members of Congress from both parties are intervening on opposite sides of a hot-button lawsuit that will help determine whether Medicaid beneficiaries can sue their state government if the state removes certain medical providers -- such as those that perform abortions -- from the state’s Medicaid program.

April 24, 2019 | Daily News

CMS Administrator Seema Verma on Wednesday (April 24) invited states that aren’t currently participating in the duals demonstration to talk with the agency about starting their own version, whether through the capitated financial alignment model, the managed fee-for-service model or some other state-specific model worked out with the agency.

April 23, 2019 | Daily News

The advocacy arm of the American Cancer Society launched a major education campaign on Tuesday (April 23) to promote Medicaid in red states at a time when efforts to pass Medicaid expansion in some of those states appear to be gaining traction.

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