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Medicaid

December 14, 2018 | Daily News

CMS on Friday (Dec. 14) approved New Mexico’s request to add premiums and copayments and waive retroactive coverage for some beneficiaries in its Medicaid program, including drug copayments in some situations.

December 14, 2018 | Daily News

Janssen Pharmaceuticals, which is a subsidiary of Johnson & Johnson, announced Thursday (Dec. 13) that it entered into an outcome-based contract with Oklahoma’s Medicaid program for a long-acting injectable drug used to treat schizophrenia.

December 13, 2018 | Daily News

Doctors, hospitals, insurers and others across the health care industry are urging the Department of Homeland Security to withdraw its proposed rule that would make it more difficult for legal immigrants who receive Medicaid and other public benefits to become permanent residents.

December 11, 2018 | Daily News

Senate health committee Chairman Lamar Alexander (R-TN) called on think tank leaders to help craft legislation to lower health care costs, saying the federal government will not be able to cut health insurance costs until it can lower the overarching costs of healthcare.

December 11, 2018 | Daily News

Senate health committee Chairman Lamar Alexander (R-TN) called on think tank leaders to help craft legislation to lower health care costs, saying the federal government will not be able to cut health insurance costs until it can lower the overarching costs of healthcare.

December 11, 2018 | Daily News

The Republican and Democratic senators who recently introduced a Medicaid-rebate bill support the House Medicare/Medicaid legislative package that their bill is being used to help pay for.

December 11, 2018 | Daily News

Oklahoma is seeking CMS’ permission to add work requirements to its traditional Medicaid program -- a request expected to be closely watched because CMS Administrator Seema Verma has said the agency will be cautious about approving work requirements in non-expansion states.

December 11, 2018 | Daily News

Pennsylvania Auditor General Eugene DePasquale recommends state lawmakers let Pennsylvania directly manage its prescription drug benefit and no longer rely on pharmacy benefit managers, which DePasquale says are raking in huge profits at the expense of taxpayers.

December 10, 2018 | Daily News

The Supreme Court declined Monday (Dec. 10) to hear a pair of cases about whether states can block Medicaid money from going to clinics that provide abortions. The court’s decision not to take the cases leaves in place two lower-court rulings that said states violate federal law if they try to exclude Planned Parenthood from their Medicaid programs.

December 07, 2018 | Daily News

The House is using Medicaid-rebate legislation, introduced Dec. 4 in the Senate, to pay for a bill that combines a handful of Medicaid and Medicare bills from the past two years, according to legislation on the House floor schedule for the week of Dec. 10.

December 06, 2018 | Daily News

A Maine judge on Thursday (Dec. 6) set a new deadline of Feb. 1 for the state to adopt regulations to begin enrolling people in Medicaid expansion, essentially guaranteeing that outgoing Gov. Paul LePage (R) will not have to take any further steps to implement the voter-approved expansion law he has blocked for more than a year.

December 06, 2018 | Daily News

Spending on health care grew at a slower rate in 2017 than in 2016 in part because Medicaid spending slowed due to the lull in Medicaid expansions and drug spending growth slacked off following the spike in spending to treat hepatitis C, according to the CMS actuary’s office.

December 05, 2018 | Daily News

The Republican-controlled Wisconsin legislature, in an unusual all-night session, hurriedly passed legislation designed to prevent the incoming Democratic governor and attorney general from changing the state’s position on two controversial health care issues.

December 05, 2018 | Daily News

The Trump administration is pushing ideas that could improve health care price transparency but says those steps will be futile without changes that put consumers in direct control of their health spending.

December 05, 2018 | Daily News

The incoming Senate Finance Committee chair and ranking Democrat introduced Tuesday (Dec. 4) a bill to recoup Medicaid rebates from drug companies that misclassify drugs.

December 05, 2018 | Daily News

The incoming Senate Finance Committee chair and ranking Democrat introduced Tuesday (Dec. 4) a bill to recoup Medicaid rebates from drug companies that misclassify drugs.

December 04, 2018 | Daily News

The Idaho Supreme Court agreed on Monday (Dec. 3) to quickly hear a case seeking to block the implementation of the state’s Nov. 6 ballot initiative in which 61 percent of the state’s voters chose to expand Medicaid.

December 03, 2018 | Daily News

HHS is pushing Congress to consider more site-neutral pay policies in Medicare, repeal the Affordable Care Act’s limit on physician-owned hospitals, relax telehealth restrictions and give Medicare beneficiaries more access to health savings accounts, as part of a new Trump administration report on ways to increase health care choice and competition.

December 03, 2018 | Daily News

CMS on Friday (Nov. 30) gave a green light to New Hampshire to move forward with a stringent program of Medicaid work requirements, as well as a transition of the state’s expansion population from the exchanges to Medicaid managed care and the elimination of retroactive coverage for beneficiaries in the expansion population.

November 30, 2018 | Daily News

CMS, worried about potential nursing home staff inadequacies after looking at payroll-based staffing data, will send state survey agencies a list of nursing homes with reduced staffing so surveyors can follow up.

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