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Medicaid

December 03, 2014 | Daily News

Medicaid directors want CMS to pay states a greater share of Medicare savings in duals demonstrations and to make it easier for states to place dually eligible beneficiaries in duals-special needs plans (D-SNPs), according to a National Association of Medicaid Directors' letter to CMS.

December 01, 2014 | Daily News

CMS recently indicated it is considering developing star ratings for health plans participating in states' duals demonstrations, and Medicaid managed care plans will ask agency officials this week whether a similar approach is envisioned for Medicaid.

November 26, 2014 | Daily News

The way that Arkansas' incoming GOP governor handles the state's Medicaid “private option” is a test case of the tough political choices that GOP-led states will face if the U.S Supreme Court rules that ACA subsidies aren't available in federally run exchanges, a health care sector analyst said.

November 26, 2014 |

The House Energy & Commerce Committee scheduled a hearing next Wednesday (Dec. 3) to examine the future of the Children's Health Insurance Program (CHIP), which is set to run out of funding in September 2015 unless Congress authorizes additional money, and also made clear that it would be tackling the issue next year.

November 26, 2014 | Daily News

The House Energy & Commerce Committee scheduled a hearing next Wednesday (Dec. 3) to examine the future of the Children's Health Insurance Program (CHIP), which is set to run out of funding in September 2015 unless Congress authorizes additional money, and also made clear that it would be tackling the issue next year.

November 21, 2014 | Daily News

Key brand and generic drug industry associations are throwing their support behind FDA's drug compounding enforcement activities, writing to the agency that it shouldn't be swayed by drug compounders' press to allow some compounding without patient-specific prescriptions.

November 20, 2014 | Daily News

Sen. Bernard Sanders (I-VT) and Rep. Elijah Cummings (D-MD) on Thursday (Nov. 20) introduced companion bills that would require generic drug companies pay Medicaid rebates when drug prices rises faster than inflation.

November 20, 2014 | Daily News

Sen. Bernard Sanders (I-VT) and Rep. Elijah Cummings (D-MD) on Thursday (Nov. 20) introduced companion bills that would require generic drug companies pay Medicaid rebates when drug prices rises faster than inflation.

November 19, 2014 | Daily News

Congressional Medicaid advisers reiterate calls to extend Children's Health Insurance Program funding for two more years, and urges CMS to more closely monitor transfers between Medicaid, CHIP and exchange coverage in letters to HHS, Senate Finance and House Energy & Commerce committees on three HHS reports that were released earlier this year.

November 19, 2014 | Daily News

New Jersey Rep. Frank Pallone eked out a surprise 100-90 victory in battle against Rep. Anna Eshoo (CA) for the ranking Democratic slot on the influential Energy & Commerce Committee, in a blow to House Minority Leader Nancy Pelosi (D-CA) who supported Eshoo but has also been the focus of Democratic grumbling following the party's crushing election defeats.

November 18, 2014 | Daily News

In a fight that could be an early test of House Minority Leader Nancy Pelosi's sway following a tumultuous election, Reps. Anna Eshoo (D-CA) and Frank Pallone (D-NJ) will go to the full Democratic caucus Thursday morning for a vote on who will become the ranking member of the powerful Energy and Commerce Committee that will steer key health policy issues in the House for the next congressional session.

November 18, 2014 | Daily News

In the midst of the drug-pricing debate, Tufts Center for the Study of Drug Development announced Tuesday (Nov. 18) that it costs on average $2.6 billion to develop a new drug, including the cost of drug-development failures.

November 14, 2014 | Daily News

In response to the high-cost of new hepatitis C drugs, the American Academy of Actuaries suggests policies to improve state Medicaid officials' handling of the approaching wave of specialty drugs, including use of risk-mitigation strategies already used in Medicare Part D for unexpectedly expensive deliveries.

November 13, 2014 | Daily News

Former HHS Secretary Kathleen Sebelius said Thursday (Nov. 13) that a move by either the Supreme Court or incoming GOP-led Congress to undermine or repeal the individual mandate in the Affordable Care Act would send the private insurance industry into a “death spiral.”

November 13, 2014 | Daily News

As CMS looks at possible changes to the Medicare Advantage star ratings program, health plans say that poorer beneficiaries are causing lower-than-appropriate star ratings for some MA plans, though the Medicare Rights Center says that current data do not show that beneficiaries' low income is the root cause of lower quality care for those beneficiaries.

November 11, 2014 | Daily News

Medicaid stakeholders and consumer advocates praise CMS' plan to draft regulations codifying a policy, which was set to expire next year, of providing states a 90 percent funding match for designing Medicaid enrollment and eligibility systems, as unveiled in a recent letter to Medicaid directors.

November 11, 2014 | Daily News

States that don't expand Medicaid should find other ways to cover those who otherwise would be covered by such an expansion, the American Medical Association said Monday (Nov. 10).

November 10, 2014 | Daily News

Behavioral health managers recently put Medicaid managed care plans on notice that they should prepare to cover applied behavior analysis (ABA) therapies for children diagnosed with Autism as some states have begun requiring those services in their Medicaid programs and others may follow suit, nudged in part by a July CMS guidance. Howard Savin, president of the Autism Services Group at beacon Health Strategies, said the average cost of ABA treatment is $42,000.

November 06, 2014 | Daily News

Virginia's Health and Human Services Secretary William Hazel, Jr. said during a call sponsored by advocacy group Families USA on Thursday (Nov. 6) that he expects the state will eventually expand the Medicaid program, it's just a matter of when.

November 06, 2014 | Daily News

The National Association of Medicaid Directors is asking CMS to develop a joint federal-state framework for driving quality reforms in states' managed care organizations that gives states flexibility to tailor programs to the diverse needs of their beneficiaries.

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