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Inside this little-known alternative to 'Medicare-for-All'

April 16, 2019


Democratic presidential candidates in recent months have voiced support for so-called "Medicare-for-All" proposals, but there is another more incremental health reform approach that is gaining traction among Democrats looking to move the United States toward a single-payer health care system.

How MACPAC wants to change DSH payments, Medicaid drug rebates, and more

April 16, 2019


Members of the Medicaid and CHIP Payment and Access Commission on Thursday voted to recommend Congress change statutory language governing Medicaid disproportionate share hospital payments and eliminate a cap on Medicaid drug rebates.

Idaho gov. signs law to implement voter-approved Medicaid expansion—with work requirements

April 11, 2019


Idaho Gov. Brad Little (R) on Tuesday signed a bill into law that directs state officials to implement a voter-approved Medicaid expansion and allows them to seek federal permission to implement Medicaid work requirements.

How PBM execs want to reform the Rx pricing system

April 10, 2019


Executives from five of the nation's largest pharmacy benefit managers (PBMs) during a Senate Finance Committee hearing on Tuesday said they would support legislation to reform PBMs' current drug pricing system by increasing transparency and prohibiting PBMs from charging Medicare and Medicaid higher rates for prescription drugs than pharmacies.

How CMS wants to ease Medicare Part D plans' transition to proposed rebate rules

April 9, 2019


If CMS moves forward with proposed changes to eliminate certain prescription drug rebates in Medicare and Medicaid plans, the agency will launch a two-year demonstration program to ease Medicare Part D plans' transition.

Inside Nebraska's plan to implement its voter-approved Medicaid expansion—with work requirements

April 3, 2019


Nebraska officials on Monday unveiled a plan to launch the state's voter-approved Medicaid expansion and request the federal government's permission to implement a tiered approach to Medicaid work requirements.

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.

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