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Medicaid

January 15, 2015 | Daily News

HHS Secretary Sylvia Burwell said at the New America Foundation Thursday (Jan. 15) that she believes Congress and the administration can find bipartisan agreement on the Children's Health Insurance Program and Medicare's sustainable growth rate formula used to pay physicians, signaling an effort to move on to priorities other than the Affordable Care Act.

January 13, 2015 | Daily News

The National Governors Association is encouraging states to consider amending laws and regulations to give pharmacists a bigger role in delivering care.

January 13, 2015 | Daily News

The White House's Office of Management and Review is reviewing a proposed rule to require parity of medical and behavioral benefits in Medicaid managed care plans, CHIP plans and plans that cover Medicaid-expansion populations.

January 12, 2015 | Daily News

California Gov. Jerry Brown (D) is proposing to renew for another five years the “Bridge to Reform” Medicaid 1115 waiver that the state used to expand coverage prior to implementation of the Affordable Care Act, and also wants to set aside $300 million to help offset the cost of hepatitis C drugs, such as Sovaldi and Harvoni, due to the large number of patients in state programs.

January 12, 2015 | Daily News

Despite losing a similar battle last year, Sen. Patty Murray (D-WA) intends to reintroduce a bill that would extend for two years the ACA's Medicaid primary care pay bump that expired Jan. 1.

January 09, 2015 | Daily News

A federal district court of D.C. last week (Dec. 29) blocked CMS from recouping Medicaid Disproportionate Share Hospital payments from two children's hospitals that sued the agency because of changes to Medicaid DSH reimbursement rules as the case proceeds.

January 02, 2015 | Daily News

Medicare-Medicaid Coordination Office chief Melanie Bella will leave CMS at the end of January, marking the second high-level departure from the agency in early 2015 alongside CMS Medicaid chief Cindy Mann.

December 23, 2014 | Daily News

Nearly 6.4 million Americans enrolled in an insurance plan through the federal health care exchange between the beginning of open enrollment and Dec. 19, HHS Secretary Sylvia Burwell said at a press conference Tuesday (Dec. 23), meaning the administration is two-thirds of the way to its goal of enrolling 9.1 million people in the FFM by the final Feb. 15 deadline.

December 22, 2014 | Daily News

Express Scripts will only include AbbVie's hepatitis C drug Viekira Pak on its National Preferred Pharmacy formulary in exchange for a “significant” discount on the drug, an Express Scripts spokesman said, and there will be no restrictions to access for the 25 million people on that formulary.

December 22, 2014 | Daily News

CMS Medicaid Chief Cindy Mann will leave the agency in late January after serving as the head of CMS' Medicaid and Children's Health Insurance Program for five years, the agency announced Friday (Dec. 19).

December 22, 2014 | Daily News

CMS added about 68,000 payment records to the Sunshine Act and Affordable Care Act's Open Payments database on Friday (Dec. 19).

December 22, 2014 | Daily News

Preliminary CMS data show that 9.7 million more people were enrolled Medicaid and CHIP at October's end than the average monthly enrollment from July to September 2013, although Connecticut and Maine were not included in that count.

December 19, 2014 | Daily News

FDA approved the second hepatitis C drug for use without interferon, called Viekira Pak, and AbbVie is charging $83,319 for a 12-week course of the drug, a company spokesperson said, compared to the $94,500 12-week price of Gilead Science's Harvoni and the $84,000 price of Harvoni's predecessor Sovaldi.

December 19, 2014 | Daily News

FDA approved the second hepatitis C drug for use without interferon, called Viekira Pak -- an approval that Medicaid directors and health plans anxiously awaited in the hopes that the drug's maker, AbbVie, would significantly undercut the price of Gilead Sciences' hepatitis C drugs.

December 15, 2014 | Daily News

Congress' massive spending deal includes two provisions related to the debate over drug prices -- one on the 340B drug discount program and one on hepatitis C drug prices.

December 15, 2014 | Daily News

America's Health Insurance Plans CEO Karen Ignagni on Friday (Dec. 12) made another plea for drug makers to work with payers and providers to make pricing of specialty drugs more competitive and transparent, saying that absent such a a move changes in the health care landscape designed to increase quality and access while lowering costs may not be be sustainable in the long term.

December 12, 2014 | Daily News

CMS sent mixed messages in a proposal unveiled Thursday (Dec. 11) to revise patient rights to comport with the Supreme Court’s ruling on same sex marriage in United States v. Windsor, according to Bruce Levinson, senior vice president for regulatory intervention at the regulatory watchdog group Center for Regulatory Effectiveness.

December 12, 2014 | Daily News

A Health Resources and Services Administration spokesperson says several brand drug makers plan to retroactively discount certain orphan drugs after HRSA told them to refund hospitals for drugs that didn't receive the 340B price break, but most companies have yet to follow the agency's demands and HRSA is working with those drug makers individually.

December 09, 2014 | Daily News

A key House chairman asked Tuesday (Dec. 9) whether scaling back the 340B drug discount program could help pay for speeding drug and medical device development.

December 03, 2014 | Daily News

Rep. Frank Pallone (D-NJ) on Wednesday (Dec. 3) urged lawmakers to pass his legislation funding the Children's Health Insurance Program (CHIP) through 2019 in the waning days of the lame-duck session, but Republicans, while expressing support for CHIP, said they hope to tweak the program after the new Congress begins in January and their party controls both chambers.

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