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Weekly Line: Why this expert thinks CMS' new value-based payment models are 'top of the list'

May 31, 2019


CMS' Center for Medicare and Medicaid Innovation (CMMI) last month unveiled the CMS Primary Cares initiative, the agency's latest effort to shift the U.S. health system toward paying for quality rather than quantity.

CMS finalizes long-awaited changes to program that aims to keep frail, elderly out of nursing homes

May 30, 2019


CMS on Tuesday released a long-awaited final rule updating the Programs of All-Inclusive Care for the Elderly, or PACE, which offers comprehensive medical and social services to certain frail, elderly individuals who qualify for nursing home care but are still able to safely live in their communities.

HHS proposal would rescind Obama-era protections for transgender individuals

May 28, 2019


HHS on Friday issued a proposed rule that would roll back a regulation issued under former President Barack Obama's administration that prohibits health care providers and insurance companies from discriminating against transgender individuals.

Nearly half of rural US residents can't afford a $1,000 medical bill, survey finds

May 24, 2019


The draft bill from Senate Health, Education, Labor, and Pensions Committee Chair Lamar Alexander (R-Tenn.) and Sen. Patty Murray (D-Wash.), the committee's ranking member, includes a new proposal to address so-called "surprise" medical bills that would require hospitals in a health plan's network to ensure all of their providers also are in the plan's network.

The White House wants to recalculate the poverty line—which could have big effects for health care

May 23, 2019


The Trump administration has released a proposal to change how the federal poverty level is calculated, which could lead to millions of U.S. residents losing their eligibility for public health benefits, according to an analysis from the Center on Budget and Policy Priorities.

18 months, 4 Medicaid directors: Traylor becomes the latest Medicaid director to resign.

May 21, 2019


Chris Traylor, CMS' deputy administrator and director of the agency's Center for Medicaid and CHIP, on Friday announced he is stepping down from his role at the end of May, making him the fourth individual to leave the position in the past 18 months.

CMS cracks down on 'spread pricing' in Medicaid

May 17, 2019


CMS on Wednesday released regulatory guidance intended to clarify how state Medicaid programs should account for so-called "spread pricing" when calculating their medical loss ratios.

Bullock has entered the 2020 presidential race. Here's where he stands on health care.

May 14, 2019


Montana Gov. Steve Bullock (D), who has advocated for affordable health care in the United States, on Tuesday became the latest candidate to announce he is seeking the 2020 Democratic nomination for president.

Warren unveils $100B plan to fight the US opioid epidemic

May 10, 2019


Sen. Elizabeth Warren (D-Mass.) this week unveiled a $100 billion proposal to combat the U.S. opioid epidemic that would emphasize employment and evidenced-based treatment for those struggling with substance use disorders, as well as provider training on treatment methods.

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