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Organizations representing hospitals and specialties reacted negatively to an estimate the Affordable Care Act (ACA) replacement passed by House Republicans would result in 23 million fewer people having insurance by 2026.

The Congressional Budget Office has released its updated report on the American Health Care Act (AHCA), saying the Affordable Care Act (ACA) replacement passed by House Republicans would still erase the recent gains in insurance coverage and potentially price less healthy enrollees out of the individual market.

The full fiscal year 2018 budget proposal for HHS would include deep cuts to Medicaid, while making immediate cuts to National Institutes of Health (NIH), the Office of the National Coordinator for Health IT (ONC) and almost all HHS agencies. 

The proposed single-payer healthcare system being debated in California would come with a $400 billion annual price tag—more than double the state’s annual budget—according to a review released by the California Senate Appropriations Committee.

The Trump administration has asked for a 90-day delay on a ruling which could end Affordable Care Act (ACA) subsidies to insurers, pushing back a potentially market-destabilizing move but offering little assurance to actuaries working on 2018 rate requests for the ACA exchanges.

 

Recent Headlines

Major medical groups, hospitals split on ending mandatory bundled payments

The move by CMS to delay mandatory bundled payments for cardiac and orthopedic care was widely supported by medical associations and health systems, judging by their comments to the agency, but some went further, calling for these initiatives from the prior administration be made into voluntary programs.

Cutting off ACA insurer subsidies would raise—not lower—federal healthcare spending

If the Trump administration’s goal is to lower federal healthcare spending, discontinuing cost-sharing reduction subsidies, or CSRs, to insurers under the Affordable Care Act (ACA) could backfire, according to an analysis from the Kaiser Family Foundation.

Waiving ACA provisions brings mixed signals on whether repeal vote is coming

Republicans in Congress are under pressure from President Donald Trump to quickly push forward on a bill to repeal and replace the Affordable Care Act (ACA), according to multiple news sources, but for each comment saying the majority party is close to an agreement, there seems to be another denying it.

Hospitals give mixed reaction to IPPS proposed rule despite $3.1B boost

CMS released the 2018 Medicare Inpatient Prospective Payment System (IPPS) proposed rule on April 14, promising “transparency, flexibility, program simplification and innovation to transform the Medicare program” in the first IPPS rule under a new CMS and HHS administration.

5 things to know about the final ACA marketplace rule for 2018

CMS has issued its final rule aimed at stabilizing the Affordable Care Act (ACA) health insurance exchanges, checking many items off insurers’ wish lists while leaving the most pressing issue—whether cost-sharing reduction subsidies will be funded—unsettled as insurers decided whether to participate in the individual market next year.

ACA critic, Minnesota health economist Stephen Parente appointed to leadership post at HHS

Stephen Parente, PhD, MPH, MS, brings a long resume as a health economist and policy expert. He’s spent the last 17 years at the University of Minnesota, currently holding the title of Minnesota Insurance Industry Chair of Health Finance in the Carlson School of Management and director of the school’s Medical Industry Leadership Institute.

Florida hospitals asked to detail executive pay info to lawmakers

The Florida House of Representatives is asking the state’s hospitals for “extensive financial data,” according to the Tampa Bay Times, as the chamber considers a state budget with nearly $600 million in cuts affecting those facilities. 

Without subsidies, insurers would need 19% premium hike for ACA plans

The average monthly premium for a benchmark silver-level plan on the Affordable Care Act (ACA) insurance marketplace would need to be increased by 19 percent to compensate for lost cost-sharing subsides if the program isn’t funded by the Republican-controlled Congress for 2018.

Hospitals’ policy priorities beyond ACA repeal

While the debate over repealing, replacing or repairing the Affordable Care Act (ACA) is dominating discussion of healthcare policy in Washington these days, the American Hospital Association (AHA) has several other items on its advocacy agenda for 2017. 

Poll: Trump should ‘do what he can’ to make ACA work

A new Kaiser Family Foundation poll found the majority of Americans—including a slim majority of Republicans—feel that after the failure of the American Health Care Act (AHCA), the administration of President Donald Trump should do what it can to make the Affordable Care Act (ACA) work.

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