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June 03, 2015 | Daily News

Congressional Budget Office Director Keith Hall told House Budget Committee members Wednesday (June 3) that dynamic scoring, which predicts how policies change behaviors that in turn affect the economy, would likely reduce the cost of repealing the Affordable Care Act.

May 26, 2015 | Daily News

CMS proposed Tuesday (May 26) an overhaul of the rules for Medicaid managed care plans that applies a national medical loss ratio to Medicaid managed care plans, adds long-term services, creates a grading system similar to Medicare Advantage star ratings, establishes network adequacy standards and trues up the rules for managed care among Medicaid, Medicare and private exchange plans.

May 22, 2015 | Daily News

CMS proposed funding Florida's Low Income Pool program at around $1.6 billion in state and federal money through June 30, 2017, in a new show of flexibility as the agency faces a lawsuit over the uncompensated care money and Florida nears its budget deadline for next fiscal year.

May 20, 2015 | Daily News

House Energy & Commerce leaders are floating a list of $13 billion in proposed offsets to pay for their 21st Century Cures bill that span from policies affecting the Strategic Petroleum Reserve to Medicare and Medicaid, Inside Health Policy has learned.

May 20, 2015 | Daily News

The National Association of Medicaid directors on Monday (May 18) sent House Energy & Commerce detailed suggestions for changing Medicaid rebate policies, and the group told its members that the committee is “particularly interested” in Medicaid rebates to pay for 21st Century Cures legislation.

May 14, 2015 | Daily News

Pew Charitable Trusts has launched an initiative on specialty drugs that includes work on policies to manage the often high prices of those medicines, said Allan Coukell, Pew's director for health programs.

May 05, 2015 | Daily News

More than 60 patient groups and members of the Partnership to Improve Patient Care are asking HHS to make the Health Care Payment Learning and Action Network patient-centered by including patient groups in the network and using best practices from the FDA and Patient-Centered Outcomes Research Institute to solicit patient engagement with the initiative.

May 04, 2015 | Daily News

CMS announced Monday (April 4) that for the first time it is using authority under the Affordable Care Act to expand a demonstration, called the Pioneer Accountable Care Organization Model, even though many Pioneer ACOs dropped out of that demo.

May 04, 2015 | Daily News

House and Senate GOP committee leaders asked congressional Medicaid payment advisers to analyze a wide array of proposals to reform the program's financing, including a “capped allotment” structure, and to include Medicaid savings to offset the cost of any future recommendations.

May 01, 2015 | Daily News

Florida Gov. Rick Scott took legal and budgetary steps to free his state from federal health care funding pressures this week, as other states facing similar CMS demands watch closely to see whether Florida will succeed in charting an independent path.

April 29, 2015 | Daily News

After an amendment to restore Medicaid pay parity failed during the Sustainable Growth Rate debate, physician groups and other lobbyists are now pinning their hopes on CMS regulatory action to tie Medicaid primary care pay to higher Medicare rates.

April 27, 2015 | Daily News

House and Senate lawmakers from both parties are again urging CMS to give states at least a year to implement Medicaid drug reimbursement changes required by the Affordable Care Act after the agency finalizes a long-awaited Medicaid drug rule and the final Federal Upper Limit amounts.

April 24, 2015 | Daily News

Senator appropriators had much more on their minds than the Affordable Care Act as they questioned HHS Secretary Sylvia Burwell Thursday (April 23) in a budget hearing with little of the typical bickering over health insurance.

April 17, 2015 |

CMS named Vikki Wachino director of the Center for Medicaid and CHIP Services Friday (April 17), and the National Association of Medicaid Directors applauded the move.

April 17, 2015 | Daily News

CMS named Vikki Wachino director of the Center for Medicaid and CHIP Services Friday (April 17), and the National Association of Medicaid Directors applauded the move.

April 17, 2015 | Daily News

Acting CMS Administrator Andy Slavitt the “real action” in health care over the next five years will be extending delivery and payment reforms across the country.

April 16, 2015 | Daily News

Florida GOP Gov. Rick Scott will sue the Obama administration for pulling Low Income Pool funds as a way to coerce the state legislature into expanding Medicaid, the Republican announced Thursday (April 16).

April 15, 2015 | Daily News

A recently released proposed rule from CMS would extend the same mental health parity standards of private plans to the Children's Health Insurance Program and Medicaid beneficiaries covered through managed care organizations, but those covered under traditional, fee-for-service Medicaid remain reliant on the states to pursue equal coverage of mental and behavioral health services.

April 15, 2015 | Daily News

CMS proposed a rule Tuesday (April 14) that would maintain the 90 percent federal funding level for state Medicaid eligibility and enrollment (E&E) systems as well as make it easier for states to use standard, cheaper software.

April 14, 2015 | Daily News

The HHS Inspector General will investigate how sudden hikes in generic drug prices are driving up costs to public health care programs, according to Sen. Bernie Sanders (I-VT) and Rep. Elijah Cummings (D-MD), who requested the investigation.