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Why GOP lawmakers (again) are weighing ACA replacement plans

July 16, 2019


Republican lawmakers largely had dropped their push to craft a plan to replace the Affordable Care Act (ACA) after various ACA replacement plans failed to gain traction in 2017 and 2018. But now, faced with the threat of the ACA being struck down in court—some GOP lawmakers again are taking up the task.

How these Democratic presidential hopefuls want to address high Rx costs

July 16, 2019


Sens. Kirsten Gillibrand (D-N.Y.), Kamala Harris (D-Calif.), and Amy Klobuchar (D-Minn.), who each are seeking the 2020 Democratic nomination for president, have announced separate plans to address high prescription drug costs in the United States.

Biden just released his health reform plan. Here's what's inside.

July 15, 2019


Former Vice President Joe Biden, who is seeking the 2020 Democratic nomination for president, today unveiled a health reform plan that aims to build on and protect the Affordable Care Act by providing Americans with the option to enroll in a public health plan and expanding eligibility for subsidies to purchase exchange plans.

House panel advances bill to address 'surprise' medical bills—but will it go any further?

July 15, 2019


The House Energy and Commerce Health Subcommittee on Thursday advanced a bill to address so-called "surprise" medical bills by setting a benchmark payment rate for out-of-network services.

Inside the 346-page Home Health Prospective Payment System proposed rule

July 15, 2019


CMS on Thursday released a proposed rule to update certain Medicare payment regulations under the Home Health Prospective Payment System and increase payments for home health agencies by 1.3%.

Federal appeals court denies emergency halt of abortion 'gag rule'

July 15, 2019


A federal appeals court on Thursday denied a request for an emergency stay on a recent ruling that allows HHS' final rule to bar health care providers and clinics that receive Title X family planning grants from providing or referring patients for abortion care.

CMS proposes mandatory bundled payment model for radiation oncology

July 12, 2019


CMS on Wednesday issued a proposed rule to implement a mandatory bundled payment model intended to replace Medicare's current fee-for-service payment model for radiation oncology in certain geographic regions.

CMS wants to replace Medicaid access reporting requirements—with stakeholders' help

July 12, 2019


CMS on Thursday issued a proposed rule that would eliminate existing requirements on how states assess access to care among fee-for-service (FFS) Medicaid beneficiaries and replace them with a more standardized approach that the agency hopes to develop with industry stakeholders.

HHS is looking for health care leaders to help evaluate its quality programs

July 12, 2019


HHS on Tuesday announced that the department is launching a Quality Summit that aims to bring together government officials and health care industry stakeholders to discuss how HHS quality programs should be evaluated, adapted, and streamlined to help promote value-based care and bolster patient outcomes.

Adam Boehler to step down as director of CMMI

July 12, 2019


Adam Boehler will step down as director and deputy administrator of CMS' Center for Medicare and Medicaid Innovation, after President Trump on Wednesday nominated Boehler to oversee the U.S. International Development Finance Corporation.

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