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Medicaid

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.

February 22, 2019 | Daily News

Utah Governor Gary Herbert (R) called the limited Medicaid expansion plan that significantly scales back the state’s voter-approved initiative “cutting edge” and said at Politico’s State Solutions conference on Friday (Feb. 22) that he anticipates other states will adopt similar proposals.

February 22, 2019 | Daily News

Soon after the Trump administration finalized a rule that would prevent federal funds under Title X from going to clinics that provide abortions or refer patients for abortions, Planned Parenthood and attorneys general from two states said they would file lawsuits and Democratic lawmakers also vowed to fight the rule.

February 22, 2019 | Daily News

The Senate Finance Committee launched Friday (Feb. 22) a bipartisan investigation into rising insulin prices.

February 21, 2019 | Daily News

West Virginia’s senators are asking lawmakers to support them in pushing HHS to align the strict privacy scheme for substance abuse treatment records with the looser Health Insurance Portability and Accountability Act (HIPAA), echoing the calls of physician and hospital groups.

February 21, 2019 | Daily News

Physician and hospital groups called for aligning the strict privacy scheme that requires explicit patient consent to share substance abuse treatment records with the more lax Health Insurance Portability and Accountability Act (HIPAA) standards, as well as for fewer regulations, in response to the HHS Office of Civil Rights’ (OCR) request for feedback on how HIPAA might be getting in the way of value-based care.

February 21, 2019 | Daily News

Senate Finance Committee ranking Democrat Ron Wyden (OR), and House Energy & Commerce Committee Chair Frank Pallone (D-NJ) sent another letter Thursday (Feb. 21) to HHS Secretary Alex Azar calling for an end to Medicaid work requirement waivers, shortly after CMS Administrator Seema Verma told the Medicaid and CHIP Payment and Access Commission (MACPAC) that CMS would continue to approve such waivers.

February 20, 2019 | Daily News

Health care spending is set to rise an average of 5.5 percent annually over the next decade and will reach 19.4 percent of gross domestic product in 2027, CMS’ Office of the Actuary estimated in a report released Wednesday (Feb. 20).

February 20, 2019 | Daily News

Rural hospital groups in Pennsylvania are cautiously optimistic about an all-payer demonstration for rural hospitals that began in January, modeled after a similar demo in Maryland that prevented rural hospitals in the state from closing.

February 20, 2019 | Daily News

Providers groups are praising the inclusion of primary care physicians in Maryland’s expansion of an all-payer model run through the CMS’ Center for Medicare and Medicaid Innovation (CMMI).

February 19, 2019 | Daily News

Eight major hospital associations are asking House and Senate leadership to again delay Medicaid Disproportionate Share Hospital payments, as they say the coverage rates envisioned by the Affordable Care Act haven’t materialized and Medicaid already underpays providers.

February 19, 2019 | Daily News

CMS intends to release an extensive guidance document within the next several weeks that will counsel states on how to implement and evaluate 1115 waivers in Medicaid, with a focus on work-requirement programs.

February 19, 2019 | Daily News

The Trump administration is rejecting a recommendation from the federal Medicaid advisory commission to pause Arkansas’ controversial program of Medicaid work requirements, CMS Administrator Seema Verma told the commission’s chairwoman in a letter obtained by Inside Health Policy.

February 15, 2019 | Daily News

The federal judge overseeing two lawsuits challenging Medicaid work requirements scheduled back-to-back hearings in the cases for March 14.

February 14, 2019 | Daily News

Two new Democratic governors told CMS in recent days that they intend to resist conservative Medicaid waivers that the agency approved late last year while both states were under Republican leadership, joining other newly tapped Democratic governors in bucking the Trump administration’s policy shifts under Medicaid.

February 14, 2019 | Daily News

Sen. Brian Schatz (D-HI) and Rep. Ben Ray Lujan (D-NM), along with 61 Democratic co-sponsors, reintroduced legislation to let anyone not currently eligible for Medicaid to buy into the program or leverage it to enhance their coverage in the individual market.

February 13, 2019 | Daily News

Democratic leaders of the House Energy & Commerce Committee want to know what CMS plans to do about states that are not fully complying with federal requirements to provide Medicaid coverage of abortions in cases of rape, incest or danger to the pregnant person’s life.

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