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June 13, 2019 | Daily News

CMS is auditing California, Kentucky and New York — and will soon begin an audit of Louisiana — following reports that those states incorrectly determined Medicaid eligibility for some beneficiaries who received coverage through the Affordable Care Act’s Medicaid expansion, CMS Administrator Seema Verma said in a letter to Senate Finance Committee leaders.

June 12, 2019 | Daily News

CMS Administrator Seema Verma and senior advisor to the president Kellyanne Conway touted efforts by CMS and the Trump administration to improve maternal health in rural areas by extending Medicaid coverage for postpartum women with substance use disorders, but advocates said Medicaid coverage should be extended for all postpartum women and more states should expand Medicaid, speaking at a Kaiser Family Foundation event Wednesday (June 12).

June 10, 2019 | Daily News

CMS on Monday (June 10) opened a federal public comment period on South Carolina’s request to join other conservative states in adding work requirements to their Medicaid programs.

June 07, 2019 | Daily News

New Hampshire told a federal judge Thursday (June 6) that imposing Medicaid work requirements and rolling back retroactive eligibility are “common-sense measures designed to provide medical assistance to eligible populations in a fiscally responsible and sustainable manner.”

June 06, 2019 | Daily News

The White House Office of Management and Budget has begun its review of a planned CMS guidance letter that stakeholders expect will allow states to convert their federal Medicaid funding into some form of a block grant.

June 06, 2019 | Daily News

A proposed ballot measure to expand Medicaid in Florida has cleared an early hurdle on the path to be added to next year’s ballot.

June 06, 2019 | Daily News

Members of the House Energy & Commerce health subcommittee agreed that extending funding for community health centers, the National Health Services Corps, and the Teaching Health Center Graduate Medical Education program for more than two years is a priority, but some House Republicans at a hearing on Tuesday (June 4) expressed concern about paying for the programs.

June 05, 2019 | Daily News

The bipartisan National Governors Association wants the federal government to let states import drugs and exclude Medicaid coverage of fast-tracked, first-in-class drugs while additional tests are done on them.

June 05, 2019 | Daily News

A key racial disparity in timely cancer treatment virtually disappeared in states that expanded Medicaid, according to a new study from Yale University.

June 05, 2019 | Daily News

Senate Finance Chair Chuck Grassley (R-IA) said Wednesday (June 5) that he wants drug makers to take on a share of costs in the catastrophic phase of Medicare Part D, and health insurance plans to also pay more.

June 04, 2019 | Daily News

House Republicans on Tuesday (June 4) warned against repealing the Medicaid disproportionate share hospital (DSH) cuts that are scheduled to take effect in September, instead calling for another delay of the cuts or a restructuring of the formula that is used to calculate Medicaid DSH payments.

June 04, 2019 | Daily News

A Georgetown University Center for Children and Families study released on Thursday (May 30) says federal and state policies, not a strong economy, contributed to a 2.2% drop in children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) in 2018 compared to the year before.

June 03, 2019 | Daily News

As a House Energy & Commerce geared up for a Tuesday (June 4) hearing on legislation to repeal the Medicaid Disproportionate Share Hospital cuts that are set to kick in Oct. 1, Senate Finance Committee Chair Chuck Grassley’s (R-IA) office said repealing the cuts would be a giveaway to hospitals and is not grounded in reality.

May 31, 2019 | Daily News

Utah on Friday (May 31) unveiled its proposal to overhaul its Medicaid program by establishing per-person spending caps while at the same time seeking the enhanced federal funding rate for Medicaid expansion even though the state has only partially expanded the program.

May 31, 2019 | Daily News

The Idaho Insurance Department on Friday unveiled and opened public comments on a draft 1332 waiver application that would let residents earning between 100% and 138% of the federal poverty level (FPL) purchase subsidized coverage from the state exchange or enroll in Medicaid under the expansion recently approved by voters.

May 30, 2019 | Daily News

The Mississippi hospital industry is leading an aggressive public push for a version of Medicaid expansion after behind-the-scenes negotiations with the state’s Republican governor failed to garner political support for expansion.

May 30, 2019 | Daily News

Medicaid beneficiaries who are potentially subject to work requirements are far more likely than privately insured individuals to face obstacles to steady employment, such as a lack of a high school degree, limited English proficiency, limited home internet access, physical or mental health issues and residence in high-unemployment areas, according to a study from the Urban Institute released Thursday (May 30).

May 29, 2019 | Daily News

A new CMS bulletin on spread pricing could pave the way for getting Medicaid managed care plans and pharmacy benefit managers to disclose spread-pricing amounts, according to Alex Shekhdar, founder of Sycamore Creek Healthcare Advisors.

May 28, 2019 | Daily News

CMS on Tuesday (May 28) finalized long-awaited updates to the Programs of All-Inclusive Care for the Elderly, including a reduction in PACE organization audits, a tweaked compliance oversight program and a decision to let some non-physician primary care providers be part of interdisciplinary teams.

May 24, 2019 | Daily News

The Oklahoma Supreme Court is preparing to weigh in on the validity of a proposed ballot measure that seeks to expand Medicaid in Oklahoma, and the legal fight turns on a question raised by a well-known bit of mathematical minutia in the Affordable Care Act: whether the Medicaid expansion eligibility ceiling is best understood as 133% of the federal poverty level or 138% of the federal poverty level.