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Medicaid

January 20, 2021 | Daily News

The Biden administration is expected to fortify existing policies and increase funding to deal with social determinants of health.

January 19, 2021 | Daily News

House Energy & Commerce Chair Frank Pallone (D-NJ) and Senate Finance ranking Democrat Ron Wyden (D-OR) say CMS Administrator Seema Verma is blatantly attempting to keep the incoming Biden administration from acting to repeal certain 1115 demonstrations through what they allege is an illegal last-minute maneuver.

January 15, 2021 | Daily News

CMS Administrator Seema Verma is resigning her post effective Jan. 20 – when President-elect Joe Biden assumes office, she announced in a tweet Friday (Jan. 15) that spurred comments from some Democrats and consumer advocates happy to see her go.

January 15, 2021 | Daily News

New Hampshire is failing to provide adequate home- and community-based services to Medicaid beneficiaries through the state’s Choices for Independence waiver, alleges a class-action lawsuit filed in the United States District Court for New Hampshire on Monday (Jan. 11).

January 08, 2021 | Daily News

CMS Administrator Seema Verma touted as a possible national model the agency’s Friday (Jan. 8) approval of a wide-ranging Medicaid 1115 demonstration that was panned by 21 patient groups and was expected to be rescinded by the incoming Biden administration -- with Verma stressing the Trump CMS changed the state’s proposed financing mechanism for the demo and the waiver shouldn’t be considered a block grant.

January 08, 2021 | Daily News

CMS for the first time will let a state exclude drugs from its Medicaid formulary and still keep automatic Medicaid rebates.

January 08, 2021 | Daily News

Less than two weeks before the new Biden CMS takes over, current Administrator Seema Verma is quietly instituting new procedures that could make it more difficult for the new team to revoke the Trump administration’s controversial Medicaid 1115 demonstrations, including a new requirement that existing demos continue for at least nine additional months before being axed.

January 07, 2021 | Daily News

CMS Administrator Seema Verma on Thursday (Jan. 7) again announced the agency is withdrawing the Medicaid Fiscal Accountability Regulation, this time saying the 2020 year-end legislation that included supplemental pay transparency provisions would help achieve the proposed rule’s goals.

December 29, 2020 | Daily News

The Biden administration should immediately work to lower health care costs by quickly implementing the surprise billing compromise in the year-end legislation, extending financial assistance to struggling providers and working with Congress to incentivize states to expand Medicaid, the National Coalition on Healthcare says in a letter to the Biden transition team outlining its priorities.

December 23, 2020 | Daily News

States have up to six months after the COVID-19 public health emergency ends to begin kicking ineligible enrollees off Medicaid and Children’s Health Insurance Program rolls, according to a CMS guidance released Tuesday (Dec. 22) that dictates how states should return to the normal redetermination process after the pandemic.

December 22, 2020 | Daily News

CMS will delay for two years a policy of subtracting copay coupons and other patient financial assistance from prices used to determine how much Medicaid pays for drugs, according to the final Medicaid best price rule out Monday (Dec. 21).

December 22, 2020 | Daily News

The year-end government funding and COVID-19 relief package passed Monday night (Dec. 21) funds many of the so-called health extenders through 2023, or Sept. 30, 2023, and also includes Medicaid policies that were not in previous packages, like Medicaid supplemental pay reporting requirements and non-emergency medical transportation coverage requirements.

December 22, 2020 | Daily News

Drug makers are largely unscathed by the year-end government spending bill because Congress instead used hospital surprise billing legislation to pay for coronavirus relief, but the legislative package does include proposals that were part of drug price transparency bills, including one to give congressional Medicare and Medicaid advisers data on closely guarded rebates.

December 11, 2020 | Daily News

Democratic states and consumer advocates are asking the Supreme Court not to take up a lower court ruling that paused the Trump administration’s controversial public charge policy that denies green cards for immigrants who could benefit from public programs including Medicaid, arguing in briefs filed Wednesday (Dec. 9) that the high court should sidestep the case because the incoming Biden administration is likely to overturn the public charge policy.

December 11, 2020 | Daily News

Health care policy experts and beneficiary advocates are circulating briefs and roadmaps laying out ideas on how President-elect Joe Biden could achieve his health policy agenda through regulatory actions if the Senate stays in GOP hands.

December 09, 2020 | Daily News

HHS’ latest application of the PREP Act allows doctors to provide certain COVID-19 pandemic-related services via telehealth across state lines -- effectively allowing the providers to avoid long-standing cross-state licensure requirements for a limited number of services.

December 09, 2020 | Daily News

Policymakers could help drive down Affordable Care Act premiums by letting smaller, mission-driven Medicaid managed care insurers sell exchange plans to a limited number of enrollees at first and then expand as capital allows, says the lobby that represents safety net plans.

December 04, 2020 | Daily News

The Supreme Court on Friday (Dec. 4) announced it will hear a suit over Medicaid work requirements after Arkansas and the Department of Justice asked the high court to reverse a federal appeals court ruling that blocked the state’s program, and the DOJ also asked the court to take another look at New Hampshire’s program.

December 04, 2020 | Daily News

The health insurance industry says that with COVID-19 surging and unemployment still twice as high as before the pandemic, the 116th Congress must act quickly with timely, targeted and temporary relief solutions, which include strengthening Medicaid and helping people to keep and afford their private coverage in addition to providing more funding for testing and vaccine distribution.

November 25, 2020 | Daily News

A new Commonwealth Fund report finds the share of income that middle-income families spend on employer-sponsored insurance (ESI) continues to rise, with premiums and deductibles accounting for about 11.5% of median household income in 2019, up from 9.1% of income a decade earlier.

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