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Medicaid

January 11, 2019 | Daily News

A Utah lawmaker is pushing to attach work requirements to the state’s newly approved Medicaid expansion, and if the full legislature agrees, the proposal could delay the implementation of that expansion.

January 10, 2019 | Daily News

As two new states prepare to implement Medicaid work requirements this spring, opponents of the policy issued a report Thursday (Jan. 10) arguing that there is no way for any state to integrate work requirements into Medicaid without causing serious unintended consequences.

January 09, 2019 | Daily News

Senate Finance Committee Chair Chuck Grassley (R-IA) on Wednesday (Jan. 9) said he expects to spend time looking at Medicare and Medicaid waste, fraud and abuse now that he has resumed the chairmanship, along with health care anti-trust issues.

January 09, 2019 | Daily News

Newly elected governors in states across the country are using their first days in office to push forward with Medicaid expansion and other significant changes to their states’ Medicaid programs.

January 09, 2019 | Daily News

CMS says in recently released guidance that states do not need to obtain a Medicare denial for certain durable medical equipment coverage before Medicaid, which acts as a secondary payer for those dually eligible for Medicare and Medicaid, can pay for the equipment.

January 09, 2019 | Daily News

The House on Tuesday (Jan. 8) approved three-month funding extensions for two Medicaid programs aimed at helping people receive care in their homes and communities: the Money Follows the Person demonstration, and spousal-impoverishment protections for people receiving home- and community-based services.

January 09, 2019 | Daily News

As one of his first actions as governor, California Gov. Gavin Newsom (D) ordered the state health department to consolidate purchasing power for prescription drugs under its Medicaid program.

January 08, 2019 | Daily News

CMS Administrator Seema Verma announced six new staff changes at CMS, including a new acting Medicaid director and two new senior medical advisers.

January 08, 2019 | Daily News

As 2019 opens with a divided Congress and a partially closed federal government, the debates about what Medicaid should cover and who it should be for show no signs of letting up.

January 07, 2019 | Daily News

As 2019 opens with a divided Congress and a partially closed federal government, the debates about what Medicaid should cover and who it should be for show no signs of letting up.

January 07, 2019 | Daily News

States have proven to be innovators on prescription drug pricing policy so far, and policy watchers expect aggressive action in 2019.

January 04, 2019 | Daily News

CMS’ Medicaid chief, an outspoken critic of Medicaid expansion, is leaving the agency after less than three months on the job.

January 03, 2019 | Daily News

New Republicans joined the Senate health, Finance and Aging committees for the 116th Congress, Senate Majority Leader Mitch McConnell (R-KY) announced on Thursday (Jan. 3).

January 03, 2019 | Daily News

Medicare beneficiaries start 2019 with a new Medicare Advantage open enrollment period, lobbyists and stakeholders continue to pore over the administration’s revamp of the Accountable Care Organization program unveiled late in December and others are waiting on interoperability and electronic health records rules that at the start the new year are still under White House Review.

January 03, 2019 | Daily News

The Trump administration is expected to keep drug pricing on center stage in 2019 following a flurry of action last year. In 2018, the administration released a 44-page blueprint with ideas and questions on potential ways to lower drug prices and reduce out-of-pocket costs, and HHS, FDA and CMS proposed a torrent of regulations and notices.

January 02, 2019 | Daily News

The judge overseeing a challenge to CMS’ approval of Medicaid work requirements in Arkansas agreed to give the federal government more time to respond to the challengers’ legal arguments due to the partial government shutdown.

December 28, 2018 | Daily News

CMS is automating the system that determines whether drugs are properly classified in the Medicaid Drug Rebate Program as Congress gets closer to giving CMS the power to force drug reclassifications to recoup Medicaid rebates, according to a letter CMS sent earlier this year to Sen. Chuck Grassley (R-IA), who wrote the Medicaid-rebate bill.

December 21, 2018 | Daily News

CMS Administrator Seema Verma said on Twitter that “Christmas came early” for Michigan and Maine as the agency announced Friday (Dec. 21) that it has approved Medicaid work requirements in those states.

December 20, 2018 | Daily News

Legislation to recoup unpaid Medicaid drug rebates has run into trouble in the Senate, even though observers had been optimistic just days ago that the upper chamber would pass the measure.

December 19, 2018 | Daily News

The White House Office of Management and Budget is reviewing a CMS request to rescind a rule, proposed in March, that would exempt states with at least 85 percent of their Medicaid population in managed care from certain fee-for-service access monitoring requirements and allow for certain “nominal” pay cuts to be exempt from access analyses requirements.

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