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Medicaid

October 25, 2019 | Daily News

Nebraska on Friday (Oct. 25) released its draft proposal to adopt a two-tiered version of Medicaid expansion in which beneficiaries will qualify for full Medicaid benefits only if they participate in wellness activities, refrain from missing doctor’s appointments and show they are working or doing community service.

October 25, 2019 | Daily News

Surgeon General Jerome Adams told the Senate Finance Committee Thursday (Oct. 24) that he supports making Medicaid “as effective and as easy to access as we possibly can” but went on to defend the Trump administration’s willingness to allow states to adopt work requirements and other policies that have added new restrictions to Medicaid.

October 23, 2019 | Daily News

Rep. Joe Kennedy (D-MA) on Wednesday (Oct. 23) castigated CMS Administrator Seema Verma on the Trump administration’s support of Medicaid work requirements as Verma, under Kennedy’s questioning, was unable to cite any studies backing the policy.

October 22, 2019 | Daily News

The head of Tennessee’s Medicaid program pledged that the state will not limit eligibility or cut benefits if CMS approves its plan to adopt a block-grant-style funding structure, but opponents of the plan say the unprecedented new freedom from regulatory oversight sought by the state would allow Tennessee to severely curtail coverage, despite its assurances to the contrary.

October 18, 2019 | Daily News

Arizona is suspending its planned Medicaid work requirements due to legal uncertainty caused by several court rulings that have blocked other states from implementing the policy.

October 18, 2019 | Daily News

Lawmakers are pushing to ensure people who are incarcerated retain access to Medicaid or re-enter the program close to release, a move that mental health advocates say is especially important as the opioid epidemic worsens.

October 17, 2019 | Daily News

The Trump administration is focusing on protecting and improving job-based coverage, Medicare and Medicaid that covers the vast majority of Americans and has no plans to draft an Affordable Care Act replacement until there’s a willing Congress or the court makes a final decision, HHS Secretary Alex Azar said during the TIME 100 Health Summit on Thursday (Oct16).

October 16, 2019 | Daily News

House Republicans called on Energy & Commerce Committee leaders to have another hearing on maternal mortality to consider a Republican-led maternal health bill and have HHS officials testify.

October 15, 2019 | Daily News

The Republican Study Committee (RSC) plans to release a lengthy, wide-ranging health policy proposal next Tuesday (Oct. 22) that House members can point to as a GOP health plan during the 2020 campaign.

October 11, 2019 | Daily News

A New York federal judge on Friday (Oct. 11) temporarily blocked the Trump administration’s so-called public charge rule to make it difficult for immigrants to become permanent U.S. residents if they briefly use Medicaid or other forms of public assistance.

October 11, 2019 | Daily News

Federal appellate judges grilled a lawyer for the Trump administration on Friday (Oct. 11) over the administration’s policy allowing states to add work requirements to their Medicaid programs, with all the members of a three-judge panel -- two Democratic appointees and one Republican appointee -- expressing skepticism that work requirements can promote the goals of Medicaid.

October 10, 2019 | Daily News

CMS is not conducting adequate oversight of hundreds of millions of dollars in administrative expenses tied to states’ implementation of Medicaid work requirements, the Government Accountability Office said Thursday (Oct. 10), and CMS rejected GAO’s recommendation to consider the administrative costs of such programs when looking at whether 1115 waivers are budget neutral.

October 09, 2019 | Daily News

HHS on Wednesday (Oct. 9) released long-awaited proposals to change the physician-self referral and anti-kickback statute regulations aimed at easing providers’ participation in value-based pay models, including new, permanent exceptions to the Stark Law for value-based pay arrangements within and outside Medicare and a new safe harbor under the anti-kickback statute for certain incentives beneficiaries can access through CMS demonstrations.

October 08, 2019 | Daily News

Pregnant women legally immigrating to the United States who would have otherwise been eligible for Medicaid in certain states will now be unable to get visas unless they get short-term health plans to enter the United States under a Trump administration proclamation issued on Friday (Oct. 4).

October 07, 2019 | Daily News

Amy Bassano, formerly the deputy director of the Center for Medicare and Medicaid Innovation, has been named acting director of the innovation center after the departure of former director Adam Boehler, who was confirmed by the Senate on Sept. 26 to lead the U.S. International Development Finance Corporation.

October 04, 2019 | Daily News

FDA approved the second HIV prevention drug, Descovy, Gilead said Thursday (Oct. 3), setting the stage for difficult coverage decisions as Gilead touts Descovy as safer than its other HIV prevention drug, Truvada, a year before Truvada goes generic.

October 03, 2019 | Daily News

CMS announced Thursday (Oct. 3) that it is exploring releasing program data on social determinants of health from its Accountable Health Communities model and asked stakeholders what type of data from the model would be the most useful.

October 02, 2019 | Daily News

An innovation center official told physicians that by 2025 the center aspires to move all Medicare fee-for-service beneficiaries into alternative pay models that include a significant amount of risk for providers.

October 01, 2019 | Daily News

More than 800,000 new beneficiaries would enroll in Medicaid within five years if Florida adopted Medicaid expansion, and the state’s costs would largely be offset by projected savings, according to a new report from Leavitt Partners.

September 30, 2019 | Daily News

The White House budget office has begun its review of a final CMS rule that aims to loosen various requirements in the landmark Medicaid managed care regulations adopted by the Obama administration in 2016.

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