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Weekly Line: The 3 biggest health care stories in 2019, according to top experts

January 4, 2019


In 2018, CMS and state legislatures drove a lot of change in the health care industry, with states implementing Medicaid's first work requirements, the federal government usheringin new value-based payment models, and more.

State AGs, House Democrats seek to overturn ruling declaring ACA unconstitutional

January 4, 2019


Sixteen states and the District of Columbia are appealing a federal judge's ruling that struck down the Affordable Care Act as unconstitutional.

CMS cracked down on hospital readmissions. But did that policy cause more harm than good?

January 3, 2019


While the reduction in Medicare readmissions under the Hospital Readmissions Reduction Program (HRRP) initially might have "seemed like the win-win that policymakers had" sought, "a deeper look at [HRRP] reveals a few troubling trends," a group of cardiologists and health policy researchers write in a New York Times opinion piece.

Warren is gearing up for a presidential run. Here's where she stands on health care.

January 2, 2019


Sen. Elizabeth Warren (D-Mass.) says she is getting ready to run for president in 2020, and health care is expected to be a key part of her presidential campaign.

The ACA is unconstitutional—but it will remain in effect while ruling is appealed, judge says

January 2, 2019


A federal judge who late last year struck down the Affordable Care Act has clarified that the law should remain in place while his ruling is appealed, though he believes his ruling will be upheld.

CMS finalizes rule to make ACOs take on more risk

January 2, 2019


CMS has finalized a rule to overhaul the Medicare Shared Savings Program and accelerate the pathway for accountable care organizations to transition to two-sided risk models.

CMS approves Medicaid work requirements in Maine, Michigan

January 2, 2019


CMS late last month approved both Maine's and Michigan's requests to implement Medicaid work requirements.

House passes last-minute bills to delay ACA taxes, reform FDA oversight of OTC drugs

December 21, 2018


The House on Thursday passed several bills that would affect health care, including one that would delay certain taxes established under the Affordable Care Act and one that would reform how FDA regulates over-the-counter medications, but it is unclear whether the bills will advance in the Senate before the chamber adjourns for the year.

This year's federal open enrollment period has ended, and the (initial) signup total is in

December 20, 2018


CMS says the number of U.S. residents who signed up for federal exchange plans reached about 8.5 million this year, down by about 4% from the approximately 8.8 million who signed up during last year's open enrollment period.

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