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January 30, 2014 | Daily News

A long menu of possible offsets for Medicare physician-pay reform is widely circulating on Capitol Hill and among health care lobbyists.

January 28, 2014 | Daily News

Roughly half of the states using the federally facilitated exchange can now successfully send and receive Medicaid applications between healthcare.gov and state Medicaid agencies, CMS told insurers on a Monday (Jan. 27) stakeholder call, indicating that while progress is being made about half of all FFE states still can't complete the process designed to smooth enrollment into Medicaid or qualified health plans.

January 27, 2014 | Daily News

The lobby representing Medicaid managed care plans tells Inside Health Policy that actuarial soundness principles dictate states must absorb the impact of the health law's insurance fee (including its non-deductibility), but CMS has not -- and sources suggest may never -- issued guidance on the subject, thus leaving plans and states to hash details out in negotiations.

January 24, 2014 | Daily News

The Medicaid and CHIP Payment and Access Commission on Thursday (Jan. 23) took on first for the first time the issue of short staffing of state Medicaid offices.

January 23, 2014 | Daily News

Vice President Joe Biden on Thursday (Jan. 23) praised consumer advocates for playing a key role in securing the ACA's passage and stopping GOP-driven Medicaid reforms, telling attendees of Families USA’s annual Health Action conference that advocates changed the conversation by recasting health care as a basic right instead of a privilege and by demanding a fair shake for millions of families.

January 23, 2014 | Daily News

State agencies and state-based exchanges have reported to CMS that they have determined about 6.3 million individuals to be eligible for Medicaid or CHIP since October, according to a report issued Wednesday (Jan. 22), which also shows that enrollment of low-income adults grew more in states that expanded Medicaid than those that didn't yet countrywide Medicaid enrollment still grew a total of 1.2 percent compared to a pre-ACA baseline.

January 23, 2014 | Daily News

The Medicare Rights Center opposes proposals that would increase beneficiaries' health care costs -- including increasing brand-name drug copayments for those receiving low income subsidies, a proposal lawmakers have considered to help pay for a fix to the flawed Medicare physician payment formula -- in a report released Wednesday (Jan. 22).

January 23, 2014 | Daily News

Connecticut's state-based exchange is developing an “exchange in a box” for other states that are interested in operating their own insurance marketplaces and don't want to start from scratch with developing their own technology, Access Health CT Chief Executive Officer Kevin Counihan tells Inside Health Policy, and some sources suggest the move could present an opportunity for those state-based exchanges that continue to experience significant technological problems to turn around their lagging enrollment.

January 22, 2014 | Daily News

Thirty-five state Medicaid programs have expanded to reimburse peer-support specialists since 2001, which experts in the mental and substance abuse fields say is a sea-tide of change that could eventually result in validation and creation of a profession that fits well with accountable care organizations and the push for value-based purchasing.

January 21, 2014 | Daily News

Three generic drug companies have come out in support of Washington state biosimilar substitution legislation that includes a prescriber notification requirement, and in doing so have broken ranks with their trade group which charges the bill would hamper competition.

January 15, 2014 | Daily News

A broad-based commission led by former HHS chief Michael Leavitt concludes states are best-positioned to pressure health care stakeholders to shift to a risk-based payment approach and urges governors to leverage their purchasing power in Medicaid and the new insurance exchanges.

January 15, 2014 | Daily News

As part of the National Governors Association's annual “State of the States” address Wednesday (Jan. 15), NGA Chair Mary Fallin (R-OK) and Vice Chair John Hickenlooper (D-CO) discussed states' plans to move forward on developing state-level recommendations for how to cut health care costs and increase quality.

January 10, 2014 | Daily News

Disability advocates are cautiously applauding a final CMS rule out Friday (Jan. 10) that provides states flexibility to offer home and community-based services to target specific populations, sets one national definition for home and community-based settings that could be applied to a HCBS waiver, defines person-centered planning requirements and allows for a five-year transition period.

January 07, 2014 | Daily News

Medicare enrollment in 2012 was the highest in 39 years, and Medicare Advantage accounted for more than half of that, according to an analysis by CMS' Office of the Actuary.

December 30, 2013 | Daily News

Requiring that pregnant women and parents receive the same Medicaid benefits, as recently recommended by Congress' Medicaid advisers, would add Medicaid services in some states, but states might cut back some added maternity benefits, women's health advocates and state Medicaid experts say.