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MACPAC to Congress: Change how the Medicaid drug rebate program works

June 26, 2018

The Medicaid and CHIP Payment and Access Commission (MACPAC) in its annual report calls on Congress to introduce changes that would reduce spending in the Medicaid drug rebate program, including a change in the calculation of the average manufacturer price of drugs.

Senate rejects attempt to bring up Trump proposal to cut $7B in unspent CHIP funds

June 22, 2018

Rules that would allow the Senate to pass President Trump's rescissions measure by a simple majority vote are scheduled to expire today, meaning Wednesday's failed attempt to bring up the bill might mean the Senate will not have time to consider the measure.

House votes to eliminate $7B in unspent CHIP funds

June 11, 2018

The bill—which would eliminate nearly $15 billion in unused federal funding, including $7 billion in unused CHIP funds—now heads to the Senate, where it is unclear if it has enough support to pass.

Here's what we can learn from CMS' first-ever Medicaid scorecard

June 5, 2018

CMS Administrator Seema Verma says, "The scorecard will be used to track and display progress being made throughout and across the Medicaid and CHIP programs, so others can learn from the successes of high-performing states."

Trump wants to take back $15.4B in unused federal funds, including $7B from CHIP

May 9, 2018

President Trump's rescission proposal would not affect program's current federal funding, but would eliminate funds that were allocated in previous fiscal years and were not used, including $2 billion from a contingency fund that states can use if they enroll more CHIP beneficiaries than they had expected.

CMMI meets 2015 payment model goal—but recommends few programs for expansion, GAO finds

April 30, 2018

The Government Accountability Office finds CMS has expanded two of the 37 care delivery and payment models it has implemented since November 2010.

CMS wants to let providers contract directly with patients

April 24, 2018

CMS is seeking "broad input" on ways to allow primary care providers to contract directly with patients, noting that the agency plans to test a direct provider contracting model in Medicare Parts A and B, Medicare Advantage, and Medicaid.

Does the tax reform law invalidate the ACA? 20 GOP states argue it does.

February 27, 2018

A group of 20 Republican states in a new lawsuit claim that, by zeroing out the tax penalty under the Affordable Care Act's individual mandate, a recently enacted tax reform law has rendered the individual mandate, and by extension the entire health reform law, unconstitutional.

Trump admin might consider use of CHIP, ACA subsidies in immigration decisions

February 12, 2018

Rules drafted by the Department of Homeland Security would direct government officials to consider benefits such as CHIP, the Supplemental Nutrition Assistance Program, and health insurance subsidies provided under the Affordable Care Act, among others, when evaluating whether a non-citizen is eligible to remain in the United States.

The latest deal to avert a shutdown could affect Medicare, MACRA, CHCs, and more

February 8, 2018

Congress today is expected to vote on a spending package that would fund the government through March 23, increase funding for community health centers and to combat the opioid misuse epidemic, repeal the Affordable Care Act's Independent Payment Advisory Board, and more.

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