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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.

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.

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.

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.

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. 

 

Recent Headlines

ACA exchange enrollment falls short of projections for 2017

Some 12.2 million people purchased health insurance through the Affordable Care Act (ACA) exchanges in the last open enrollment period, half a million fewer than in the 2016 and well below the 13.8 million projected by HHS under the Obama administration.

‘Unacceptable’ coverage losses drive hospital, doctor opposition to ACA replacement bill

Hospital groups, the American Medical Association (AMA) and several other healthcare organizations said they can’t support the American Health Care Act (ACHA), the Republican-sponsored replacement for the Affordable Care Act (ACA), after an estimate that 24 million more people would become uninsured by 2026 if the bill becomes law. 

CBO on ACA replacement: 24 million more uninsured, premiums lower by 2026

The Congressional Budget Office (CBO) estimates the gains in insurance coverage from the Affordable Care Act (ACA) would be wiped out if its Republican-sponsored replacement, the American Health Care Act (AHCA), is enacted. 

HHS Secretary Price encourages states to use ACA waivers for reinsurance, high-risk pools

While supporting the current proposal to repeal and replace the Affordable Care Act (ACA), HHS Secretary Tom Price, MD, encouraged states to submit more “innovation waivers” as allowed under the ACA to form their own reinsurance programs and fund pools to cover high-cost patients.

Anthem supports ACA replacement legislation

The second-largest health insurer in the U.S., Anthem, has come out in support of provisions in the Republican-sponsored replacement for the Affordable Care Act (ACA), going against the opposition expressed by the American Medical Association (AMA) and concerns from its own industry group. 

‘Patients before politics': AMA launches site focused on ACA repeal debate

After coming out in opposition to the American Health Care Act (AHCA), the Republican-sponsored plan to replace the Affordable Care Act (ACA), the American Medical Association (AMA) is stepping up efforts to get physicians involved in the legislative conversation through a new website.

The potential impact of the Republican ACA replacement

Health policy analyses predict 15 million people could lose their health coverage and 30 million could be subject to surcharges on top of premiums if the Republican-sponsored American Health Care Act (AHCA) goes into effect.

‘Critically flawed’: Industry groups blast Republican ACA replacement

The initial reaction to the American Health Care Act (AHCA), the legislation to repeal and replace the Affordable Care Act (ACA) introduced by Republican leaders in Congress and supported by President Donald Trump, is negative across several major medical organizations, including the American Medical Association and the Federation of American Hospitals. 

5 things hospitals, insurers should know about Republicans' ACA replacement

House Republicans have released the full text of the long-awaited legislation to repeal and replace the Affordable Care Act (ACA). Titled the “American Health Care Act (AHCA),” the bill would eliminate the ACA’s mandate for individuals to buy insurance and roll back the expansion of Medicaid, while restoring disproportionate share hospital (DSH) payments.

ACA replacement plan expected to be detailed this week

A legislative aide, speaking to Reuters on condition of anonymity, said there have been a series of phone calls finalizing the Affordable Care Act (ACA) replacement plan involving Speaker Paul Ryan, HHS Secretary Tom Price, White House budget chief Mick Mulvaney, President Donald Trump’s domestic policy adviser Andrew Bremberg and others.

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