Repeal and Replace Gains New Traction

A new Republican bill that would gut the Affordable Care Act (ACAA) and replace it with block grants to the states to implement their own health care programs — even single-payer — is breathing new life into the “repeal and replace” movement that failed just seven weeks ago. Already, however, Sens. Rand Paul (R.-Ky.) and […]

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CMS Seeks More Control Over Medicare Advantage Plans

The Centers for Medicare and Medicaid Services (CMS) is seeking public comment before it submits a proposal for more review power over Medicare Advantage plans in order “to provide adequate access to covered services to meet the needs of the population served.” The CMS says it will submit the broader review plan to the Office […]

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HHS Issues Final Rule to Overhaul Medicaid and CHIP Managed Care

On Monday the Department of Health and Human Services (HHS) issued a final rule to overhaul managed care in the Medicaid and Children’s Health Insurance Program (CHIP) systems. The final rule has four key goals, according to HHS:  (1) supporting states’ efforts to advance delivery system reform and improvements in quality of care for Medicaid […]

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Hospital Quality Rating System Delayed by CMS

Is that hospital where you just had open-heart surgery a five star or a one star? You’ll have to wait until July, at the earliest, to find out. The Centers for Medicare and Medicaid Services (CMS) yesterday delayed implementation of its hospital quality rating system that was set to debut this week amid questions about […]

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CMS Seeks to Cut Medicare Drug Payments

The Centers for Medicare & Medicaid Services (CMS) has announced a proposed rule to test new models to improve how Medicare Part B pays for prescription drugs and supports physicians and other clinicians in delivering higher quality care. CMS values public input and comments as part of the rulemaking process, and looks forward to continuing […]

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6 Million Eligible for Medicaid Haven’t Signed Up

Some six million Americans living in states with expanded Medicaid rolls have so far failed to sign up, even though their incomes qualify them, the Wall Street Journal is reporting. Another three million are not covered because they live in states that did not expand their Medicaid services under the Affordable Care Act (ACA). In […]

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