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MACPAC wants Trump admin to pause on Medicaid work requirements

October 31, 2018

The Medicaid and CHIP Payment and Access Commission in a rare move will send a letter to HHS Secretary Alex Azar urging the Trump administration to pause on approving states' Medicaid work requirement requests and to make Arkansas slow down on implementing its work requirements.

How CMS wants to expand telehealth coverage in Medicare Advantage plans

October 30, 2018

CMS Administrator Seema Verma says the agency's newly proposed rule "would give Medicare Advantage plans more flexibility to innovate in response to patients' needs" by "allow[ing] additional telehealth benefits, which will promote access to care in a more convenient and cost-effective manner for patients."

Medicaid enrollment dropped—but spending stayed the same, survey finds

October 26, 2018

Medicaid spending in 2018 rose at the same rate as 2017, despite the program experiencing its first enrollment decline since 2007, according to Kaiser Family Foundation's annual survey of state Medicaid directors.

Is the 'tide turning' on the opioid epidemic? Trump admin, rolling out new efforts, says yes.

October 25, 2018

The Trump administration this week announced new efforts to combat the U.S. opioid epidemic, as President Trump signed into law a sweeping, bipartisan bill to address opioid misuse.

Paying physicians to boost screenings isn't an illegal kickback, HHS' OIG suggests

October 25, 2018

A Medicaid managed care insurer can pay doctors bonuses to increase preventive screenings and it will not be considered kickback, according to an advisory opinion from HHS' Office of Inspector General.

CMS approves Virginia's Medicaid expansion, with enrollment set to start Nov. 1

October 23, 2018

Virginia Gov. Ralph Northam (D) says CMS has approved the state's plan to expand its Medicaid program to an additional 400,000 low-income state residents, but the agency has not yet issued a decision on a related waiver request to implement work requirements for some Medicaid beneficiaries.

Are Medicaid managed care plans saving states money? Some regulators raise doubts.

October 22, 2018

The number of U.S. residents enrolled in Medicaid managed care plan has grown to more than 54 million, but experts say the federal and state governments have not been properly monitoring the plans.

Weekly Line: The midterm issue that could decide coverage for 500K people

October 19, 2018

We're just over two weeks out from Election Day, and health care continues to be a major issue for both voters and candidates this year.

On Trump's fall 2018 health care agenda: Medicare Part D changes, Medicaid premiums, and more

October 19, 2018

The White House and federal agencies this week released their fall regulatory agendas, setting the stage for new health care regulations for the Affordable Care Act's exchanges, Medicaid, Medicare, and more.

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