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Groups ask CMS to stop dialysis facilities from steering patients into private health plans

April 18, 2018


A coalition of consumer groups, health care insurers, and unions are urging CMS to re-issue a final rule intended to stop dialysis facilities and other third parties from steering Medicare-eligible patients with end-stage renal disease into individual market plans in instances when the facilities or third parties either directly or indirectly have a financial interest in doing so.

After Paul Ryan: What's next for Medicare, Medicaid reform?

April 12, 2018


House Speaker Paul Ryan's (R-Wis.) announcement that he will not seek re-election in November is raising questions about whether Congress will achieve Ryan's long-sought goal to overhaul federal entitlement programs, such as Medicare and Medicaid.

CBO projects trillion-dollar deficits, rising spending on Medicare and Medicaid

April 11, 2018


The Congressional Budget Office report states that "health care costs per beneficiary are projected to grow faster than the economy over the long term, contributing to growth in spending for Medicare and Medicaid in particular."

CMS gives states more say on exchange plans—but experts say that could scale back coverage

April 10, 2018


CMS Administrator Seema Verma says the Trump administration's newly released final rule for health plans sold through the Affordable Care Act's exchanges for the 2019 coverage year includes changes intended to give insurers more flexibility to "create plans that more directly address the needs of (states') citizens," instead of "a one-size fits all D.C. mandate."

Meet the new director of innovation for Medicare and Medicaid

April 9, 2018


Adam Boehler, the founder and former CEO of Landmark Health, beginning this week will serve as the new deputy administrator and director of CMS' Center for Medicare and Medicaid Innovation.

Resigned or fired? Why the controversy over Shulkin's departure could raise big legal questions.

April 3, 2018


Former Veterans Affairs (VA) Secretary David Shulkin says he was fired from the post, which could raise legal questions about President Trump's decision to name a new acting VA secretary.

HHS wants to delay the 340B overcharge rule. For the 5th time.

March 30, 2018


HHS is asking the White House Office of Management and Budget to once again delay the effective date of a yet-to-be-released final rule that would penalize drugmakers that deliberately overcharge providers for drugs purchased under Medicare's 340B drug discount program.

Why 3 US families rejected health insurance—and how they're making do for now

March 29, 2018


Thousands of U.S. residents seeking coverage on the individual market have decided not to enroll in health insurance this year because of the cost, and Bloomberg is profiling a dozen uninsured families to "understand the trade-offs when a dollar spent on health insurance can't be spent on something else."

Utah to seek CMS' permission for partial Medicaid expansion

March 29, 2018


A new state law calls for Utah to seek federal approval to implement a partial Medicaid expansion, which would extend coverage to residents with annual incomes up to 100% of the federal poverty level instead of the 138% threshold mandated by the Affordable Care Act.

What’s more worrisome to US residents than immigration, drug use, or guns? Health care, poll finds

March 28, 2018


A Gallup survey finds 55% of respondents worry "a great deal" about the availability and affordability of health care, and researchers predict that, given Republicans' recent changes to the Affordable Care Act, "Americans' anxiety about the health care situation should persist."

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