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Medicaid

April 04, 2014 | Daily News

CMS could soon have a better idea about how many new Medicaid enrollees are newly eligible under the ACA, as the states determine how many newly eligible beneficiaries they have when they prepare to claim the law's higher matching funds for expanding their programs, a CMS spokesperson tells Inside Health Policy.

March 24, 2014 | Daily News

New Hampshire is lining up to be the next state to expand Medicaid, with the state House poised to pass a program expansion bill this week after the measure was approved by the New Hampshire Senate earlier this month.

March 03, 2014 | Daily News

The administration's 2015 budget will extend for another year the ACA's payment hike for Medicaid primary care providers, at a cost of $5.44 billion for a provision that will also extend to physician assistants and nurse practitioners, according to a White House summary of the budget to be unveiled Tuesday (March 4).

March 01, 2014 | Daily News

North Carolina hopes to begin moving its Medicaid population to accountable care organizations beginning in July 2015, and Gov. Pat McCrory (R) recommended to the Medicaid Reform Advisory Committee that North Carolina Medicaid be revamped using shared savings instead of capitated managed care focused on care coordination and budget predictability.

February 27, 2014 | Daily News

House Energy and Commerce Democrat Frank Pallone (NJ), who is gunning to succeed veteran lawmaker Henry Waxman (CA) as the top Democrat on the powerful committee, indicated he's not backing down in his battle against Rep. Anna Eshoo (D-CA) for the slot even though House Minority Leader Nancy Pelosi (D-CA) endorsed Eshoo on Thursday (Feb. 27).

February 25, 2014 | Daily News

The National Governors Association on Monday (Feb. 24) urged Congress to let states share in federal Medicare and Medicaid savings from state health care transformation initiatives, and offer states higher federal matches for health homes, Medicaid ACOs and other integrated care models that result in federal savings.

February 21, 2014 | Daily News

Medicaid managed care plans are pleased that state insurance regulators rejected a proposal that would have required insurers to account for the Affordable Care Act's health insurance tax in a way the plans say would have exacerbated the costs of the fee in state Medicaid programs.

February 18, 2014 | Daily News

Kentucky’s exchange is seriously considering establishing Medicaid “bridge” plans in part to help deal with consumers that churn back and forth between that program and exchange qualified health plans, the exchange’s executive director tells Inside Health Policy, and it’s possible those plans could be available at the start of the next exchange open enrollment period that’s set to begin Nov. 15.

February 12, 2014 | Daily News

The Affordable Care Act’s health insurance fee will cost states $13.6 billion over 10 years and the federal government another $24.1 billion under a moderate Medicaid expansion scenario that assumes six additional states will expand their programs, according to a new Milliman study commissioned by the association representing Medicaid managed care plans.

February 05, 2014 | Daily News

Although many GOP-led states have criticized the Affordable Care Act and touted what they view as the fiscally irresponsible costs of expanding Medicaid, a few Republican governors this week signaled that with some compromise from CMS, they may be willing to move forward.

February 04, 2014 | Daily News

The Congressional Budget Office on Tuesday (Feb. 4) lowered enrollment expectations for both Medicaid and qualified health plans in 2014, citing problems with the federal government's health insurance exchange website as the major factor.

February 03, 2014 | Daily News

Rep. Anna Eshoo (D-CA) is wrangling with Rep. Frank Pallone (D-NJ) to be the ranking Democrat on the House Energy & Commerce Committee days after veteran healthcare lawmaker Henry Waxman (D-CA) said he would not seek reelection -- a move several sources say signals a divide between followers of House Minority Leader Nancy Pelosi (D-CA) and Democratic Whip Steny Hoyer (MD).

February 03, 2014 | Daily News

A GOP aide tells Inside Health Policy that Senate Minority Leader Mitch McConnell's (R-KY) effort to glean health policy ideas from Republican governors to inform common-sense "step-by-step" reforms should not be seen as a rift in thinking between leadership and the trio of Republican senators that pitched a more comprehensive reform proposal last week.

January 31, 2014 | Daily News

Virginia state lawmakers are in the midst of debating whether to expand Medicaid to an estimated 400,000 beneficiaries, and a decision will come by Feb. 16 when the Senate and House budgets are due.

January 30, 2014 | Daily News

CMS announced early results from its initiatives on accountable care organizations: Nearly half of the 114 ACOs in the Medicare Shared Savings Program had lower expenditures than expected, 29 of which received bonuses (shared savings) totaling $126 million in the first year and generated $128 million in savings for Medicare; Pioneer ACOs, which are part of a separate initiative, generated gross savings of $147 million in their first year; and the participants of the Physician Group Practice Demonstration earned a total of $108 million in bonuses over five years for improving the quality of care and lowering costs.

January 30, 2014 | Daily News

Rep. Henry Waxman's (D-CA) decision not to seek reelection marks the imminent departure of a veteran lawmaker who has been pivotal on health care issues, spanning his authorship of the 1984 drug patent law that created the generic drug industry to his key role in passage of the Affordable Care Act.

January 30, 2014 | Daily News

A long menu of possible offsets for Medicare physician-pay reform is widely circulating on Capitol Hill and among health care lobbyists.

January 28, 2014 | Daily News

Roughly half of the states using the federally facilitated exchange can now successfully send and receive Medicaid applications between healthcare.gov and state Medicaid agencies, CMS told insurers on a Monday (Jan. 27) stakeholder call, indicating that while progress is being made about half of all FFE states still can't complete the process designed to smooth enrollment into Medicaid or qualified health plans.

January 27, 2014 | Daily News

The lobby representing Medicaid managed care plans tells Inside Health Policy that actuarial soundness principles dictate states must absorb the impact of the health law's insurance fee (including its non-deductibility), but CMS has not -- and sources suggest may never -- issued guidance on the subject, thus leaving plans and states to hash details out in negotiations.

January 24, 2014 | Daily News

The Medicaid and CHIP Payment and Access Commission on Thursday (Jan. 23) took on first for the first time the issue of short staffing of state Medicaid offices.

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