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December 06, 2019 | Daily News

Senate Finance Committee leaders will release an updated drug pricing bill on Friday (Dec. 5) less than 24 hours after House Speaker Nancy Pelosi (D-CA) announced the lower chamber will vote on her more-aggressive drug pricing bill next week.

December 05, 2019 | Daily News

Virginia will no longer pursue an 1115 waiver to impose work requirements on Medicaid beneficiaries in the state’s new expansion population, Gov. Ralph Northam (D) said Wednesday (Dec. 4).

December 04, 2019 | Daily News

The Energy & Commerce health subcommittee will hold a hearing next Tuesday (Dec. 10) to review a slate of bills that aim to achieve universal coverage either through a public option, Medicare or Medicaid buy-ins, or providing Medicare for all residents with or without maintaining private alternatives.

December 03, 2019 | Daily News

The Republican leaders of Michigan’s legislature on Tuesday (Dec. 3) rejected a call from the Democratic governor to suspend the state’s Medicaid work requirements in light of a new lawsuit challenging their legality.

December 03, 2019 | Daily News

Democratic presidential candidate Pete Buttigieg proposed giving the Center for Medicare and Medicaid Innovation authority to pilot new payment models that would tackle social determinants of health and requiring Medicare and Medicaid develop and meet health equity standards as well as collect and protect demographic health data to reduce inequity in health care.

December 03, 2019 | Daily News

The Center for Medicare and Medicaid Innovation is working on a new payment model to improve maternal health outcomes following calls for such a demo from maternal health advocates, according to one stakeholder group engaged in the process.

December 02, 2019 | Daily News

CMS on Wednesday (Nov. 27) opened the federal public comment period on Tennessee’s controversial 1115 waiver proposal to convert some of its federal Medicaid funding into a block grant.

November 27, 2019 | Daily News

Global Blood Therapeutics said it is working with public and commercial payers to get broad coverage for its newly approved sickle cell drug Oxbryta (voxelotor) by the end of 2020.

November 22, 2019 | Daily News

Advocates for Medicaid beneficiaries on Friday (Nov. 22) filed the fifth in a series of lawsuits contesting the legality of Medicaid work requirements and related policies.

November 22, 2019 | Daily News

CMS is planning an overhaul of Medicaid eligibility regulations after the national improper pay estimates for the program hit 14.9% for fiscal 2019, and the agency is developing a proposed rule focused on insufficient recordkeeping, eligibility verification, redeterminations and compliance with eligibility requirements when beneficiaries’ circumstances change.

November 21, 2019 | Daily News

Democratic presidential primary candidate Elizabeth Warren says that during the first 100 days of her presidency she would lower brand drug prices and tackle drug shortages with strict antitrust enforcement, and compulsory licensing and march-in authorities.

November 20, 2019 | Daily News

The House and the Senate are negotiating how to handle federal funding for Medicaid programs in U.S. territories, including Puerto Rico, with the Senate pushing for two years of funding with an increased federal match rate after the House Energy & Commerce Committee passed a bill offering four years of funding, according to Rep. Darren Soto (D-FL).

November 19, 2019 | Daily News

The House Energy & Commerce committee unanimously approved a bill Tuesday (Nov. 19) that would create new maternal health programs focused on quality measures, rural areas, and tackling racial and ethnic disparities.

November 19, 2019 | Daily News

The House voted Tuesday (Nov. 19) to fund the government through Dec. 20 with a package that includes so-called heath extenders that are set to expire on Nov. 21.

November 18, 2019 | Daily News

CMS on Friday (Nov. 15) withdrew a proposed guidance letter on Medicaid block grants that had been under review at the White House budget office since June, but the agency on Monday (Nov. 18) reiterated recent comments from Administrator Seema Verma promising that it will soon issue guidance on new ways for states to finance Medicaid.

November 18, 2019 | Daily News

The latest House continuing resolution to fund the government, unveiled Monday (Nov. 18), extends through Dec. 20 the same package of so-called health extenders included in the short-term CR that is set to expire Nov. 21, including an extended delay of the Medicaid Disproportionate Share Hospital pay cuts.

November 18, 2019 | Daily News

Ten Democratic lawmakers, including two Democratic presidential candidates, are calling on the Center for Medicare and Medicaid Innovation to assess the potential of alternative payment models to lower rates of maternal mortality, but to be wary of models that might exacerbate health inequities.

November 18, 2019 | Daily News

Advocates for Medicaid expansion are claiming another electoral victory after Louisiana Gov. John Bel Edwards (D) narrowly won re-election on Saturday (Nov. 16).

November 15, 2019 | Daily News

Academics and beneficiary advocates are continuing to raise concerns with the Medicare Plan Finder tool as open enrollment continues -- namely that the updated website puts too much emphasis on the least expensive Medicare premium, rather than the smallest overall cost, and has missing or inaccurate cost information.

November 15, 2019 | Daily News

CMS has approved state plan amendments formally allowing Idaho to implement Medicaid expansion as scheduled on Jan. 1, the state said.