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March 10, 2015 | Daily News

CMS announced Tuesday (March 10) a third type of accountable care organization that will be allowed to operate more like Medicare Advantage plans.

March 09, 2015 | Daily News

The estimated net cost to the federal government for the ACA's major provisions has decreased by about $142 billion, mainly due to lowered projections of health insurance premiums -- which translates to reduced federal subsidies -- and a slight lowering of the number of people expected to get exchange coverage from 2016 through 2025, according to a new budget update released by the Congressional Budget Office on Monday (March 9).

March 06, 2015 | Daily News

Many congressional Medicare advisers said Thursday (March 5) they aren’t sure they want to suggest Medicare pay cuts for outpatient drugs that could undermine the 340B program because there isn’t much evidence the drug-discount program encourages doctors to buy more expensive brands and they’re not even sure of the goals of the 340B program.

March 04, 2015 | Daily News

Congressional Medicare advisers on Thursday (March 5) will discuss whether the 45 percent of Medicare acute care hospitals in the 340B drug discount program should be paid lower rates for administering drugs in outpatient departments, according to the meeting agenda.

February 27, 2015 | Daily News

CMS opened an invitation to stakeholders across the industry to join the Health Care Payment Learning and Action Network to expand alternative payment models beyond Medicare and into Medicaid and the private sector and laid out details for how the forum will work.

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.