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Fewer electronic health record requirements, smaller payment reforms and changing the definition of financial risk are some of the changes suggested by major healthcare groups in response to the CMS request for information on future models at the Center for Medicare and Medicaid Innovation (CMMI).

If the Affordable Care Act’s individual mandate is repealed as part of a Republican tax cut plan, premiums will likely rise and insurers will exit the individual market, according to the American Academy of Actuaries.

Massachusetts Gov. Charlie Baker signed a law on Nov. 21 to require insurers cover birth control products without copays, allow women to obtain a year’s supply at once and prevent most employers from opting out of contraceptive coverage on moral or religious grounds.

Alex Azar, President Donald Trump’s nominee for HHS Secretary, was paid nearly $2 million in his final year as an executive at pharmaceutical giant Eli Lilly and built a portfolio worth as much as $20.6 million in his nearly 10-year tenure at the company.

Several changes to Medicare Advantage and Medicare Part D prescription drug plans have been included in a proposed rule by CMS in an effort to fight opioid abuse among seniors while taking another step towards reducing regulations.

 

Recent Headlines

What healthcare groups want from ‘new direction’ on CMMI payment models

Fewer electronic health record requirements, smaller payment reforms and changing the definition of financial risk are some of the changes suggested by major healthcare groups in response to the CMS request for information on future models at the Center for Medicare and Medicaid Innovation (CMMI).

Actuaries to Congress: Repealing individual mandate could threaten insurer solvency

If the Affordable Care Act’s individual mandate is repealed as part of a Republican tax cut plan, premiums will likely rise and insurers will exit the individual market, according to the American Academy of Actuaries.

Insurers in Massachusetts have to cover birth control without copay under new law

Massachusetts Gov. Charlie Baker signed a law on Nov. 21 to require insurers cover birth control products without copays, allow women to obtain a year’s supply at once and prevent most employers from opting out of contraceptive coverage on moral or religious grounds.

HHS nominee made millions in pharma

Alex Azar, President Donald Trump’s nominee for HHS Secretary, was paid nearly $2 million in his final year as an executive at pharmaceutical giant Eli Lilly and built a portfolio worth as much as $20.6 million in his nearly 10-year tenure at the company.

Fighting opioid abuse, lowering drug prices, deregulation are goals of Medicare Part D rule

Several changes to Medicare Advantage and Medicare Part D prescription drug plans have been included in a proposed rule by CMS in an effort to fight opioid abuse among seniors while taking another step towards reducing regulations.

ACA enrollment up in first weeks—and if it falls, poll says Trump will be blamed

Between Nov. 1 and Nov. 11, nearly 1.5 million people signed up for health insurance coverage on the Healthcare.gov exchange, an increase of almost 500,000 from the same period last year.

Senate GOP includes repeal of ACA individual mandate in tax reform

Republican leaders in the Senate announced Nov. 14 they will include a repeal of the Affordable Care Act’s individual mandate in their tax reform proposal. After failing numerous times to repeal and replace the ACA, GOP leaders are hoping to include the healthcare reform in the tax bill.

FDA issues strong warning about kratom to treat pain, opioid addiction

The U.S. Food and Drug Administration (FDA) announced a public health advisory about risks associated with kratom, an herbal supplement used to treat pain and reduce opioid withdrawal symptoms.

AHA, ACC lower bar for high blood pressure to 130/80

In the first update to U.S. guidelines on blood pressure in 14 years, a writing committee changed the definition of high blood pressure from 140/90 millimeters of mercury or higher to 130/80 or higher.

Final MACRA rule too strict for some, too loose for others: ‘Do we need MIPS at all?’

While the proposed rule for the second year of the Medicare Access and CHIP Reauthorization Act (MACRA)’s Quality Payment Program (QPP) earned mostly praise from the healthcare industry, the finalized rule earned a mixed reaction from groups alternating saying it’ll burden providers and it’s allowing too many physicians to avoid the program altogether.

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