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Medicaid

June 24, 2020 | Daily News

Democrats will vote Monday (June 29) on House Democrats’ bill to enhance the Affordable Care Act by boosting the law’s tax credits, reverse Trump administration rules seen as undermining the law and encourage states to take up the Medicaid expansion.

June 22, 2020 | Daily News

The American Hospital Association on Friday (June 19) called on HHS to extend the public health emergency declaration set to expire on July 25 until testing capacity increases and fewer people test positive for COVID-19.

June 19, 2020 | Daily News

Safety net hospital organizations said many of their members will not receive HHS' latest $10 billion in provider relief meant specifically for them.

June 18, 2020 | Daily News

CMS proposed a rule Wednesday (June 17) to make it easier for insurers to negotiate deals in which drug prices fluctuate based on how well they work, without forcing drug companies sell drugs to Medicaid at very low prices.

June 17, 2020 | Daily News

Senate health committee Chair Lamar Alexander (R-TN) recommended that Congress permanently eliminate the Medicare telehealth originating site requirement and allow Medicare and Medicaid to expand upon the types of providers that can be reimbursed for telehealth as the Senate health committee considered which relaxed requirements should be continued after the pandemic on Wednesday (June 17).

June 16, 2020 | Daily News

In a win for pharma, a federal appeals court on Tuesday (June 16) backed a lower court decision to throw out CMS’ rule requiring that drug makers disclose list prices in television ads.

June 12, 2020 | Daily News

HHS gave states less than a week to compile and send two years of state Medicaid provider data, including banking information, so the department could distribute provider relief funds to providers serving low-income communities, according to stakeholders.

June 11, 2020 | Daily News

CMS on Thursday (June 11) warned that any nursing homes taking patients’ economic stimulus checks could be kicked out of Medicare or Medicaid, but the agency also said it had not received any specific complaints about such a practice even though the Federal Trade Commission and some state attorneys general have said such complaints have filtered through to them.

June 10, 2020 | Daily News

Lawmakers joined providers Wednesday (June 10) in asking HHS to dedicate more COVID-19 relief funding on top of the $25 billion the department announced Tuesday for Medicaid providers and safety net hospitals.

June 10, 2020 | Daily News

Lawmakers are pressing the HHS Inspector General and CMS to warn nursing homes and assisted living facilities it is improper to take economic stimulus checks from Medicaid beneficiaries after the Federal Trade Commission and some states put out a warning that such a practice is occurring.

June 09, 2020 | Daily News

CMS on Tuesday (July 9) unveiled guidance for opening health care facilities in states that have moved into phase 2 of reopening that recommends patients receiving non-COVID-19 care undergo COVID-19 testing 24 hours before their procedure.

June 09, 2020 | Daily News

Missouri’s upcoming referendum on Medicaid expansion can remain on the state’s Aug. 4 ballot, a Missouri appeals court ruled Monday (June 8).

June 09, 2020 | Daily News

The health insurance industry Monday (June 8) released an updated analysis that finds the potential financial impact of COVID-19 to insurers in 2020 and 2021 could range from a $213 billion loss to a $76 billion gain if savings from delayed services continue to outweigh the costs of COVID-19 treatment, depending on infection rates.

June 08, 2020 | Daily News

States have flexibility to determine what method they will use to recoup money from Medicaid managed care plans that spend too much on administrative costs or take in profits that are too high, CMS said in guidance issued Friday (June 5).

June 05, 2020 | Daily News

Congress' investigative arm found that most states are struggling to carry out federal Medicaid requirements, including those restricting use of Medicaid money for inpatient stays at certain mental health facilities, requiring payments for expensive new FDA-approved drugs for outpatient care, aligning care for dually-eligible beneficiaries, and requiring prospective payments to community health centers and rural clinics.

June 03, 2020 | Daily News

CMS on Wednesday (June 3) said, due to the COVID-19 pandemic, it will extend some innovation center models, including the Next Generation Accountable Care Organizations, while delaying the start date for others.

June 03, 2020 | Daily News

Congressional leaders from both parties wrote to HHS Secretary Alex Azar on Wednesday (June 3) pressing him to immediately distribute emergency relief money from the CARES Act to Medicaid-dependent providers.

June 03, 2020 | Daily News

A federal appeals court is grappling with whether states are required to reimburse Medicaid managed care plans for a controversial Obamacare tax -- and, if they aren’t, whether the federal government must pay back nearly $500 million to six states that challenged the regulatory regime surrounding the tax.

June 02, 2020 | Daily News

Democrats continued to emphasize a need for the federal government to take the lead on the COVID-19 testing supply at a House Energy & Commerce subcommittee hearing where three governors, including two Democrats and one Republican, testified Tuesday (June 2) on their states’ responses to the pandemic.

June 01, 2020 | Daily News

CMS on Monday (June 1) said it will withhold some CARES Act funds from states that fail to follow oversight requirements on infection control after the agency released public data showing that almost 26,000 nursing home residents have died of COVID-19.

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