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Medicaid

August 12, 2019 | Daily News

John O’Brien, HHS’ top drug-pricing official, is stepping down after nine months and will be replaced by John Brooks, the principal deputy director of the Center for Medicare and formerly a White House Domestic Policy Council official, HHS announced Monday (Aug. 12). The departure comes after several of President Donald Trump’s marquee drug-pricing policies were blocked or pulled in recent months.

August 09, 2019 | Daily News

The House Energy & Commerce Committee wants CMS Administrator Seema Verma to testify this fall as part of the committee’s oversight of Medicare and Medicaid, a committee source told Inside Health Policy.

August 09, 2019 | Daily News

CMS encouraged state Medicaid agencies on Thursday (Aug. 8) to alter state operational policies or state plans as needed to participate in a new model and allow emergency medical services (EMS) providers to administer on-scene treatment or transport a Medicaid beneficiary to a location other than a hospital and still receive Medicaid reimbursement.

August 08, 2019 | Daily News

State Medicaid programs soon will be required to implement stricter controls around opioid prescriptions and will also gain the option to more easily access federal money to care for beneficiaries with substance use disorders in large inpatient treatment centers.

August 08, 2019 | Daily News

An expected proposal from the Substance Abuse and Mental Health Services Administration to change 42 CFR Part 2 could be released this month, according to stakeholders who want to see the stringent privacy scheme aligned with Health Insurance Portability and Accountability Act (HIPAA).

August 07, 2019 | Daily News

HHS recently withdrew rules proposed decades ago that would have codified the HHS Office of Inspector General’s ability to penalize hospitals that offer doctors incentives to reduce care for Medicare and Medicaid beneficiaries and would have expanded an existing safe harbor to include waivers of beneficiary cost sharing for those with certain Medigap plans.

August 06, 2019 | Daily News

The National Association of Attorneys General called on House and Senate leaders to vote on bills that would loosen the strict privacy scheme known as 42 CFR Part 2, pass legislation to remove barriers to accessing buprenorphine, and fully eliminate the Institutions for Mental Diseases (IMD) exclusion in order to expand access to medication-assisted treatment (MAT).

August 02, 2019 | Daily News

Centene CEO Michael Neidorff last week touted the company’s exchange business and pointed to the administration’s final health reimbursement arrangement proposed rule as well as Georgia and Utah’s efforts to leverage the private sector for their Medicaid expansion as potential growth opportunities.

August 02, 2019 | Daily News

Sen. Marsha Blackburn (R-TN) introduced a rural health agenda on Thursday (Aug. 1) that bundles three bills she introduced this week, one with support from Democratic Whip Dick Durbin (D-IL), that would incentivize more physicians to work in rural areas, expand access to federally qualified health centers (FQHC) and increase use of telehealth in rural areas.

July 31, 2019 | Daily News

A federal appeals court has scheduled an oral argument for Oct. 11 on the legality of Medicaid work requirements.

July 31, 2019 | Daily News

A new report from the Government Accountability Office highlights wide disparities in how Medicaid payments are distributed to disproportionate share hospitals as Congress grapples with whether to again postpone cuts to Medicaid DSH payments that are scheduled to take effect Oct. 1.

July 30, 2019 | Daily News

House Ways & Means Committee leaders asked CMS to detail how it plans to improve its oversight of hospices, including by collecting better quality information, as recommended by the HHS Office of Inspector General.

July 30, 2019 | Daily News

The leaders of the Senate Finance and health committees met Tuesday (July 30) to begin cross-committee talks on drug pricing, the chairmen said.

July 29, 2019 | Daily News

A federal judge on Monday (July 29) again ruled against Medicaid work requirements -- this time by striking down New Hampshire’s plan to adopt the controversial policy.

July 29, 2019 | Daily News

The Trump administration will not allow states to receive enhanced federal Medicaid funding under the Affordable Care Act if they only partially expand Medicaid, a CMS spokesperson confirmed Saturday (July 27), dealing a blow to Utah and other red states that were hoping to adopt limited versions of expansion and still receive the ACA’s full 90% federal match rate.

July 29, 2019 | Daily News

Freshman Democratic Rep. Katie Porter (CA) last week dived straight into an ongoing controversary over industry-funded premium assistance programs by asking HHS’ Office of Inspector General to investigate the American Kidney Fund and suspend the advisory opinion that lets AKF take contributions from dialysis firms without facing anti-kickback penalties.

July 26, 2019 | Daily News

A bipartisan introduced in the House Thursday (July 25) would authorize up to 25 grants to state and local entities seeking to tackle social determinants of health by offering new services to Medicaid enrollees, such as food and housing. The bill was introduced by Reps. Cheri Bustos (D-IL), Jim McGovern (D-MA), Tom Cole (R-OK) and Cathy McMorris Rogers (R-WA).

July 26, 2019 | Daily News

The Senate on Thursday (July 25) approved another short-term funding extension for a pilot program that provides enhanced Medicaid reimbursements to community-based clinics that treat mental illness and substance use disorders.

July 26, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) on Thursday (July 25) warned fellow GOP senators that the drug pricing bill he negotiated with ranking Democrat Ron Wyden (OR) is moderate compared to policies being considered by the Trump administration and House Democrats.

July 24, 2019 | Daily News

The Senate will not vote on drug pricing legislation before the August recess, key committee chairs said Wednesday (July 23).

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