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If the Affordable Care Act’s individual mandate is repealed as part of a Republican tax cut plan, premiums will likely rise and insurers will exit the individual market, according to the American Academy of Actuaries.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

Industry groups support ACA fix as Trump sends mixed signals

The deal to fund the Affordable Care Act (ACA)’s halted cost-sharing reduction subsidies while expanding the state waiver process has the support of several major healthcare groups along with 10 governors and 24 senators. President Donald Trump, however, hasn’t been clear on whether he’ll support the bill as-is.

5 quotes from Alex Azar, frontrunner to be Trump’s next HHS secretary

President Donald Trump is considering nominating Alex Azar, a former executive for pharmaceutical giant Eli Lilly, as the next secretary of HHS, which could place the agency in the hands of man who has been skeptical of value-based care and opposed drug price controls.

Senators say they’ve reached deal on ACA insurer subsidies

Sens. Lamar Alexander, R-Tennessee, and Patty Murray, D-Washington, have told reporters they’ve reached an agreement to fund the Affordable Care Act (ACA)’s cost-sharing reduction subsidies to insurers which had been halted by President Donald Trump.

Industry groups blast Trump’s executive order on insurance regulations

Groups representing physicians, hospitals and patients came out largely in opposition to President Donald Trump’s executive order to encourage the use of insurance plans which don’t comply with Affordable Care Act (ACA) regulations on benefits and covering people with pre-existing conditions.

Trump to cut off ACA insurer subsidies ‘immediately’

Cost-sharing reduction subsidies, or CSRs, paid to insurers in exchange for keeping out-of-pocket costs low for lower-income Affordable Care Act (ACA) exchange enrollees will end, HHS announced Thursday night, with the agency saying it couldn’t legally continue making the payments.

Trump signs executive order removing ACA regulations on small businesses

President Donald Trump signed an executive order on the morning of Oct. 12 to ease rules on small businesses buying health insurance. With Congress failing to act on Republican promises to repeal and replace the Affordable Care Act (ACA), Trump will make the unilateral move to reconfigure federal regulations.

Q&A with MGMA’s Anders Gilberg: Lasting healthcare reform ‘needs to start in the middle’

To call the last few months a busy time for healthcare lobbyists in Washington, D.C. would be quite an understatement. Rather than dwell on the failed attempts at repealing the Affordable Care Act, the Medical Group Management Association’s (MGMA) senior vice president of government affairs, Anders Gilberg, will look ahead to more immediate regulatory concerns and longer-term hopes for “lasting reform.”

AHIMA17: Former congressional leaders think ACA fixes, not repeal, now more likely

Former House Speaker Newt Gingrich and former U.S. Sen. Barbara Boxer, D-California, were brought to the American Health Information Management Association (AHIMA) conference in Los Angeles to have a political-style debate on healthcare policy, but ended up agreeing on where short-term efforts may go now that repeal of the Affordable Care Act (ACA) failed to pass.

FDA seeks speedier approval of generics

Food and Drug Commissioner Scott Gottlieb, MD, said the agency will tackle rising prescription drug costs by encouraging development of generic versions of complex drugs and drug-device combinations.

HHS Secretary to pay back $52K of $1M in total travel costs

HHS Secretary Tom Price, MD, has announced he’ll reimburse the federal government for using private charter flights after POLITICO investigations have found he racked up $1 million in publicly-funded travel costs. However, he’ll only pay back the cost of his seat on domestic charter flights, amounting to $52,000.

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