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Medicaid

February 26, 2015 | Daily News

Contrary to GOP plans, commissioners on the Medicaid and CHIP Payment and Access Commission on Thursday (Feb. 26) urged Congress to renew the Children's Health Insurance Program quickly and without fundamental changes to the program.

February 24, 2015 | Daily News

House Ways and Means member Tom Price (R-GA) said Tuesday (Feb. 24) that lawmakers will likely attach a funding extension for the Children's Health Insurance Program to an upcoming permanent fix to the flawed Medicare physician payment formula, and hours later key House and Senate Republicans jointly released a draft CHIP funding bill with major program revisions that sparked concerns from some low-income and children's advocates.

February 24, 2015 | Daily News

The National Governors Association's Health and Human Services Committee met Sunday (Feb. 22) to discuss strategies for states to save money on Medicaid by moving toward value-based pay.

February 23, 2015 | Daily News

A recently released survey shows state Children's Health Insurance Program directors are counting on Congress to extend funding of the program, but timing is key as some directors say they may begin closing their programs if Congress doesn't act by spring.

February 17, 2015 | Daily News

As the country prepared to end the second open enrollment season under the Affordable Care Act this past weekend, states were trying to move past the failures of the first sign-up season and channel lessons learned into future best practices.

February 13, 2015 | Daily News

Hospitals in states that have expanded Medicaid are beginning to plan for the possibility that the state programs could easily unravel if future elections lessen support for the expansion efforts, an official with America's Essential Hospitals said Tuesday (Feb. 10).

February 09, 2015 | Daily News

Now approaching its second run through Congress, the ACE Kids Act seeks to expand treatment options for sick Medicaid and CHIP kids, but the bill sparked concern from some Medicaid directors who argue they are already doing much of what the bill seeks to promote.

February 06, 2015 | Daily News

As key Democrats and patient advocates blast the GOP's Obamacare alternative, a Democratic lobbyist and former Senate staffer who helped craft the health law says the Republican plan is so much like the ACA that Congress' time would be better spent figuring out substantive ways to improve the system rather than repealing and replacing it with similar policies.

February 05, 2015 | Daily News

Many brand drug makers still aren't giving 340B discounts on orphan drugs used for other indications even though last year the Health Resources and Services Administration directed drug makers to give those discounts, and a HRSA official said those drug companies likely will not discount their drugs while industry's lawsuit against the agency is pending.

January 29, 2015 | Daily News

Congressional Medicaid advisers still aren't convinced that lawmakers should extend the ACA's newly expired Medicaid primary care pay bump, with some commissioners suggesting at a meeting late last week (Jan. 22) that it might make sense to wait and see what transpires with the 14 states that have chosen to continue the pay increase on their own.

January 29, 2015 | Daily News

Congressional Medicaid and CHIP advisers late last week looked at a handful of potential alternatives to extending the Children's Health Insurance Program, which expires in 2016.

January 29, 2015 | Daily News

The Medicaid and CHIP Payment and Access Commission last week held extensive discussions about mental health services available to the Medicaid population, particularly as the program has expanded to include more adults.

January 27, 2015 | Daily News

CMS approved a non-traditional Medicaid expansion plan in Indiana that requires participants to contribute to a health savings account.

January 26, 2015 | Daily News

The Medicaid program had about 4.8 million beneficiaries enrolled in the new adult group created by the ACA's Medicaid expansion by the end of the first quarter of 2014, out of which 3.2 million (or two-thirds) were “newly eligible,” and another 1.5 million were not, according to numbers released by CMS on Friday (Jan. 23).

January 23, 2015 | Daily News

Non-Hispanic whites that live in the Southern states would be most impacted should the Supreme Court rule that the ACA's subsidies are not available to those enrolled in plans purchased through the federal exchange, according to a study by the Robert Wood Johnson Foundation and the Urban Institute.

January 21, 2015 | Daily News

Chief Justice John Roberts expressed concern during U.S. Supreme Court arguments Tuesday (Jan. 20) that if providers could sue for better Medicaid reimbursement, federal courts could end up overly involved in states' budgets, which he said would be “a prescription for budget-busting across the board.”

January 20, 2015 | Daily News

Senate Finance Committee Chairman Orrin Hatch (R-Utah) on Tuesday (Jan. 20) pegged as high priorities ACA changes, Medicare physician payment reform, CHIP extension and a handful of cost-saving changes to entitlement programs, while also saying he hopes Republicans will unite behind his ACA replacement bill as the Supreme Court prepares to rule on a pivotal ACA case.

January 16, 2015 | Daily News

Doctor lobbyists are quietly exploring ways CMS could administratively increase Medicaid pay for primary-care services because of concerns it is increasingly unlikely Congress will renew a newly expired ACA measure that temporarily paid Medicaid doctors at the higher Medicare primary care rates, sources tell Inside Health Policy.

January 16, 2015 | Daily News

CMS chief Marilyn Tavenner's announcement to her staff Friday that she will leave the agency next month and HHS' plan to hand the reins over to Deputy Administrator Andy Slavitt puts the former UnitedHealth Group official at the helm of the powerful agency just as the Supreme Court is poised to rule on a case that could unravel the ACA, and as the new GOP Congress gears up to aggressively revamp and oversee Obamacare -- the troubled launch of which occurred under Tavenner's watch.

January 15, 2015 | Daily News

CMS sent a letter to state Medicaid directors saying that schools may now be reimbursed for some health services that up to now have been offered to Medicaid-enrolled students free of charge.

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