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Medicaid

January 08, 2019 | Daily News

CMS Administrator Seema Verma announced six new staff changes at CMS, including a new acting Medicaid director and two new senior medical advisers.

January 08, 2019 | Daily News

As 2019 opens with a divided Congress and a partially closed federal government, the debates about what Medicaid should cover and who it should be for show no signs of letting up.

January 07, 2019 | Daily News

As 2019 opens with a divided Congress and a partially closed federal government, the debates about what Medicaid should cover and who it should be for show no signs of letting up.

January 07, 2019 | Daily News

States have proven to be innovators on prescription drug pricing policy so far, and policy watchers expect aggressive action in 2019.

January 04, 2019 | Daily News

CMS’ Medicaid chief, an outspoken critic of Medicaid expansion, is leaving the agency after less than three months on the job.

January 03, 2019 | Daily News

New Republicans joined the Senate health, Finance and Aging committees for the 116th Congress, Senate Majority Leader Mitch McConnell (R-KY) announced on Thursday (Jan. 3).

January 03, 2019 | Daily News

Medicare beneficiaries start 2019 with a new Medicare Advantage open enrollment period, lobbyists and stakeholders continue to pore over the administration’s revamp of the Accountable Care Organization program unveiled late in December and others are waiting on interoperability and electronic health records rules that at the start the new year are still under White House Review.

January 03, 2019 | Daily News

The Trump administration is expected to keep drug pricing on center stage in 2019 following a flurry of action last year. In 2018, the administration released a 44-page blueprint with ideas and questions on potential ways to lower drug prices and reduce out-of-pocket costs, and HHS, FDA and CMS proposed a torrent of regulations and notices.

January 02, 2019 | Daily News

The judge overseeing a challenge to CMS’ approval of Medicaid work requirements in Arkansas agreed to give the federal government more time to respond to the challengers’ legal arguments due to the partial government shutdown.

December 28, 2018 | Daily News

CMS is automating the system that determines whether drugs are properly classified in the Medicaid Drug Rebate Program as Congress gets closer to giving CMS the power to force drug reclassifications to recoup Medicaid rebates, according to a letter CMS sent earlier this year to Sen. Chuck Grassley (R-IA), who wrote the Medicaid-rebate bill.

December 21, 2018 | Daily News

CMS Administrator Seema Verma said on Twitter that “Christmas came early” for Michigan and Maine as the agency announced Friday (Dec. 21) that it has approved Medicaid work requirements in those states.

December 20, 2018 | Daily News

Legislation to recoup unpaid Medicaid drug rebates has run into trouble in the Senate, even though observers had been optimistic just days ago that the upper chamber would pass the measure.

December 19, 2018 | Daily News

The White House Office of Management and Budget is reviewing a CMS request to rescind a rule, proposed in March, that would exempt states with at least 85 percent of their Medicaid population in managed care from certain fee-for-service access monitoring requirements and allow for certain “nominal” pay cuts to be exempt from access analyses requirements.

December 18, 2018 | Daily News

Odds are decent that the Senate will vote this year on a House package of Medicare and Medicaid bills that includes a measure aimed at stopping drug companies from gaming the Medicaid rebate system, but sources say first the upper chamber must deal with concerns from a couple of fiscal conservative GOP senators over a separate provision that would increase federal Medicaid funding to help states establish health homes for kids with complex needs.

December 18, 2018 | Daily News

Sen. Cory Booker (D-NJ) will introduce a bill this week that would require drug manufacturers to report perks given to pharmacists and others who serve on boards that determine which drugs end up on states’ Medicaid preferred drug lists, National Public Radio first reported Monday (Dec. 17).

December 17, 2018 | Daily News

Arkansas has terminated Medicaid coverage for another 4,655 beneficiaries who failed to show compliance with the state’s recently enacted work requirements, according to data released by the state on Monday (Dec. 17).

December 15, 2018 | Daily News

The White House cheered the Texas federal district court's decision late Friday to toss out the entire Affordable Care Act along with the individual mandate as Democrats and key healthcare stakeholders blasted the ruling, but all parties noted the law will remain in effect pending appeal. California Attorney General Xavier Becerra immediately announced he would appeal Judge Reed O'Conner's sweeping ruling.

December 14, 2018 | Daily News

The Medicaid and CHIP Payment and Access Commission is considering draft recommendations to alter two key areas of hospital payment policy in Medicaid: disproportionate share hospital payments and the upper payment limit for hospitals.

December 14, 2018 | Daily News

The Medicaid and CHIP Payment and Access Commission discussed recommending that Congress or CMS create “safe harbors” for the Medicaid best price rule to allow states to experiment with new payment models for high-cost prescription drugs.

December 14, 2018 | Daily News

Reducing the federal Medicaid match is one of the options laid out by the Congressional Budget Office in its latest report on ways to reduce the deficit, released Thursday (Dec. 13).

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