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With just 3 days left in open enrollment, CMS data shows federal exchange signups are lagging

December 12, 2019


CMS on Wednesday released federal exchange plan signup figures for the sixth week of the Affordable Care Act's current open enrollment period, as well as data on the number of U.S. residents who were enrolled in federal and state exchange plans during the first six months of 2019.

CBO: Pelosi's Rx drug pricing bill would save feds a net $5B—and slow down drug development

December 12, 2019


A provision in House Speaker Nancy Pelosi's (D-Calif.) drug pricing bill that would allow the HHS secretary to negotiate prescription drug prices would save the federal government about $456 billion from 2020-2029, but the bill would raise federal spending in other areas, according a Congressional Budget Office report released Tuesday.

SCOTUS hears arguments in ACA risk corridors case

December 12, 2019


The Supreme Court on Tuesday heard oral arguments in a case that centers on whether the federal government owes health insurers $12 billion in risk corridors payments under the Affordable Care Act, and observers say a majority of the justices appeared likely to rule in the insurers' favor.

The House has another new proposal to address 'surprise' medical bills

December 12, 2019


The House Ways and Means Committee on Wednesday announced new legislation, which is still being finalized, to address so-called "surprise" medical bills—just days after the Senate Health, Education, Labor and Pensions Committee and the House Energy and Commerce Committee announced their own bipartisan plan to address surprise bills, likely setting up Congress to resolve the issue in 2020.

1 in 4 Americans have delayed care due to cost. (But many are still happy with their health care.)

December 11, 2019


A record number of U.S. adults say they have put off receiving medical care due to cost, yet many say they are satisfied with their overall costs for health care, according to Gallup's annual Health and Healthcare poll.

Appeals courts lift injunctions on Trump admin's 'public charge' rule—but the policy remains blocked nationwide

December 11, 2019


Two federal appeals courts have lifted lower court injunctions blocking a final rule that would allow federal officials to consider whether immigrants are receiving or are likely to receive Medicaid or other public benefits when reviewing their residency applications, but separate injunctions blocking the rule nationwide remain in effect.

Lawmakers could be headed for a showdown on Rx drug prices

December 10, 2019


Leaders on the Senate Finance Committee on Friday unveiled a new, bipartisan bill intended to lower prescription drug prices, and House Republicans on Monday announced a similar bill—both of which clash with a separate proposal introduced earlier this year by House Speaker Nancy Pelosi (D-Calif.).

With opposition from industry, the future of surprise billing legislation remains uncertain

December 10, 2019


The White House on Monday expressed support for a new, bipartisan agreement to address so-called "surprise" medical bills, but the proposal's future is uncertain, as it faces opposition from the provider industry and has yet to receive an endorsement from congressional leadership.

Issues with Medicare Plan Finder leads to call for special enrollment period

December 10, 2019


A group of 15 senators on Thursday urged CMS to offer Medicare beneficiaries who have experienced issues with the recently updated Medicare Plan Finder tool an opportunity to change their coverage during a special enrollment period.

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