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Why 2 Republican AGs just urged an appeals court to save the ACA

April 3, 2019


Two Republican state attorneys general are calling on a federal appeals court to uphold the Affordable Care Act, as President Trump and GOP congressional leaders work to establish their plan of action if the case challenging the law ultimately reaches the Supreme Court, and the law is struck down.

CMS approves first-ever partial Medicaid expansion

April 1, 2019


CMS on Friday approved Utah's request to implement a partial Medicaid expansion, just days after Georgia Gov. Brian Kemp (R) signed into law a bill that authorizes his administration to seek federal permission to reform the state's health care system, including seeking a partial Medicaid expansion.

Most children's hospitals can avoid the value-based care revolution. So why is this hospital taking the plunge?

April 1, 2019


Although value-based care models are optional for children's hospitals, Dayton Children's Hospital is choosing to take on value-based financial risk.

Centene to purchase WellCare in $15.3B deal, forming a Medicare, Medicaid 'powerhouse'

March 29, 2019


Centene this week announced that it will buy WellCare Health Plans for $15.3 billion—a move that will increase Centene's Medicare Advantage business and further solidify the insurer as the biggest insurer of Medicaid managed care plans.

A judge just struck down Medicaid work requirements in Arkansas, Kentucky. Here's what that means.

March 28, 2019


A federal judge on Wednesday struck down Medicaid work requirements in Arkansas and Kentucky—a decision that some legal experts say could eventually wind up before the Supreme Court.

CMS proposes significant changes to TAVR program requirements. Here's what you should know.

March 28, 2019


CMS on Tuesday proposed a set of policies that would make it easier for providers to meet surgical volume requirements to launch a transcatheter aortic valve replacement program and receive Medicare and Medicaid reimbursement for the procedure.

EConsults are becoming more popular in health care, but there's still some unknowns

March 28, 2019


A growing number of primary care doctors are replacing in-person specialist consults with electronic consultations—a practice that can "free up capacity in crowded health systems" and reduce wait times for other patients, according to health economist Austin Frakt.

HealthCare.gov signups fell (again)—but so did premiums. See the trends, charted.

March 27, 2019


The number of U.S. residents who signed up for health plans through the Affordable Care Act's exchanges decreased from 11.8 million for the 2018 coverage year to 11.4 million for the 2019 coverage year, according to a CMS fact sheet released Monday.

The entire ACA should be struck down, DOJ argues in 'stunning' reversal

March 26, 2019


The Department of Justice in a legal filing Monday said a federal appeals court should strike down the entire Affordable Care Act as unconstitutional, changing its previous position that the court should only strike down parts of the law.

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