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June 06, 2018 | Daily News

The Government Accountability Office says in a Wednesday (June 6) report that CMS isn't looking closely enough at Medicaid managed care plans, including whether those plans overpay providers or have so-called unallowable costs, and the office recommended that CMS take steps to make sure it is accurately looking at Medicaid plans' improper pay rate.

June 05, 2018 | Daily News

Work requirements for Medicaid beneficiaries in states that have not expanded Medicaid may soon become a reality, as CMS Administrator Seema Verma said the agency is working with some of those states on ways to add work requirements without creating what she previously described as a subsidy cliff for low-income beneficiaries.

June 05, 2018 | Daily News

Senate Democrats will use the month of August to work on legislation to lower health care costs, including drug prices, according to Minority Leader Charles Schumer (D-NY), who says that Majority Leader Mitch McConnell (R-KY) handed Democrats a "wonderful, great opportunity" with his decision to scrap the recess period that parties typically use to campaign for the mid-term elections.

June 05, 2018 | Daily News

Maine officials have one week to submit paperwork to CMS that will start the process for the state to expand Medicaid in accordance with the ballot initiative that voters approved in November, a state judge said Monday (June 4) in a ruling that could embolden efforts in other red states to expand Medicaid via referendum.

June 04, 2018 | Daily News

CMS launched a new website Monday (June 4) that allows members of the public to compare how state Medicaid programs are performing on various health measures, such as immunization rates, the rate of children receiving regular check-ups, the rate of beneficiaries diagnosed with substance-abuse problems receiving treatment and the rate of beneficiaries with hypertension whose blood pressure is under control.

June 01, 2018 | Daily News

Arkansas is rolling out work requirements in Medicaid starting Friday (June 1), marking the first time in the 53-year history of Medicaid that some beneficiaries must prove they are employed or engaged in other qualifying activities as a condition of maintaining coverage.

May 31, 2018 | Daily News

Attorneys general from 17 states on Wednesday (May 30) blasted a series of steps by the Trump administration to reduce federal oversight of nursing homes, telling HHS the moves could harm Medicare and Medicaid beneficiaries and also make it harder for states to investigate and prosecute grievances, violations and crimes in nursing homes.

May 30, 2018 | Daily News

Virginia would become the 33rd state to expand Medicaid under a budget plan approved Wednesday (May 30) by the Virginia senate, with four Republicans crossing party lines and joining all 19 Democrats amid contentious debate.

May 30, 2018 | Daily News

Virginia will become the 33rd state to expand Medicaid under a budget plan approved Wednesday (May 30) by the Virginia General Assembly, with several Republicans crossing party lines and joining Democrats in favor of expansion amid a day of contentious debate in Richmond.

May 29, 2018 | Daily News

Sen. Bill Cassidy's (R-LA) health reform white paper says HHS should cut back on regulation and targets health monopolies, which he says are incentivized in part by the Medicare Wage Index in rural areas.

May 29, 2018 | Daily News

Republican lawmakers in Virginia indicated Tuesday (May 29) that they expect the state senate to approve Medicaid expansion in a key vote Wednesday morning, putting Virginia on the verge of becoming the 33rd state to expand Medicaid eligibility under the Affordable Care Act.

May 29, 2018 | Daily News

Sen. Bill Cassidy (R-LA) released a white paper on ways to lower health care costs that includes a series of potential reforms to the Affordable Care Act, including passing the stalled bipartisan market stabilization legislation, codifying short-term plans and making them guaranteed renewable, providing states funding to encourage younger consumers to enroll in the ACA, and giving states the option to combine the Medicaid expansion and individual market risk pools.

May 25, 2018 | Daily News

Kentucky told a federal judge Thursday (May 24) that the lawsuit brought by beneficiaries challenging the state's planned Medicaid work requirements should be thrown out because the judge is unable to issue a ruling that will prevent the beneficiaries from losing Medicaid coverage.

May 24, 2018 | Daily News

A state judge in Maine said Thursday (May 24) she plans to rule as quickly as possible on whether the state is breaking the law by failing to enact voter-approved Medicaid expansion.

May 23, 2018 | Daily News

South Dakota plans to ask CMS for permission to add work requirements to its Medicaid program in the state’s two most populous counties but nowhere else in the state, even as other states face criticism over efforts to exempt certain geographic areas from their Medicaid work-requirement proposals.

May 23, 2018 | Daily News

State lawmakers on Tuesday (May 22) appeared on the verge of a bargain that would make Virginia the 33rd state to expand Medicaid, but after an afternoon of procedural wrangling and a fiery floor debate, the Virginia Senate delayed action on the deal until next week.

May 16, 2018 | Daily News

Industry insiders and Medicaid experts are unsure how significantly the President Donald Trump's drug-pricing plan will affect Medicaid drug prices, because it is not clear which of the Medicaid-related proposals CMS or Congress will seriously pursue.

May 11, 2018 | Daily News

Many of the policies in the president’s drug price plan put the onus on patients to get cheaper drugs: such as including prices in drug ads, giving patients information on competing drug prices during office visits, posting drug prices on Medicare’s “dashboard” website and banning gag orders that stop pharmacists from telling customers when it is cheaper to buy drugs without insurance.

May 11, 2018 | Daily News

Louisiana is warning 37,000 Medicaid beneficiaries -- most of them in nursing homes or group homes -- that they may lose their benefits on July 1 if state lawmakers cannot resolve a budget shortfall.

May 10, 2018 | Daily News

Kentucky Gov. Matt Bevin (R) is urging a federal judge in Kentucky to issue an expedited ruling in the lawsuit Bevin brought against 16 Medicaid beneficiaries on the validity of the state's planned work requirements and other coverage restrictions.