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Policy

 

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’s future hot topic at HIMSS 2017—but HIMSS itself doesn’t take a stance

Many panels at HIMSS 2017 in Orlando included references to the ongoing policy debate over the Affordable Care Act (ACA) and how that’s affecting all corners of the industry. For HIMSS itself, however, it feels health IT is better off staying out of much of the discussion.

No more meaningful use? MedPAC floats idea in MACRA discussion

Physicians wouldn’t be measured on meaningful use of electronic health records (EHRs) in the new Merit-based Incentive Payment System (MIPS) under a proposal floated by the Medicare Payment Advisory Commission (MedPAC).

HIMSS 2017: Ex-HHS Secretary Mike Leavitt predicts ‘less disruptive’ ACA repeal, survival of CMMI

The era of President Donald Trump in healthcare policy may not go as predicted, either for Republicans in Congress or Democrats critical of his pick for HHS Secretary, according to the last Republican who ran the agency, Mike Leavitt.

Medical malpractice legislation advancing in Congress

The House Judiciary Committee has approved legislation that would cap punitive damages in medical malpractice cases at $250,000 when it involves patients covered under Medicare, Medicaid, veterans or military health plans or plans on Affordable Care Act (ACA) exchanges.

The impact of Trump’s 5-point healthcare proposal

President Donald Trump didn’t advocate for a specific piece of legislation on healthcare in his Feb. 28 joint address to Congress, but he did outline several parts of plan similar to what House Republican leaders have already proposed.

HIMSS 2017: Q&A with CEO of Physicians for Fair Coverage on why doctors favor limiting ‘surprise’ bills

At the state level, one of the hottest policy topics discussed at HIMSS 2017 in Orlando was legislation on so-called “surprise” medical bills incurred when a patient unexpectedly receives care from an out-of-network physician.

ACA repeal plan leaks, but Trump may offer different version in speech to Congress

President Donald Trump is expected to lay out some details on his favored plan to repeal and replace the Affordable Care Act (ACA), while parts of the House Republicans’ newest proposal leaked out, revealing it would eliminate subsidies for buying insurance and the expansion of Medicaid.

CMS issues extension to non-ACA compliant plans

New guidance on insurance standards were issued Feb. 23 by CMS that give another extension to health plans that are non-compliant with the Affordable Care Act (ACA), the fourth extension of its kind.

Is it a popularity contest? Support for ACA ticks upward

While the Affordable Care Act (ACA) remains at the center of political discussions about repeal and/or replace, the healthcare law continues to climb in popularity, according to recent polls.

CMS will allocate $100 million to train small practices

Last week, CMS awarded approximately $100 million to 11 organizations to provide training and education about the Quality Payment Program in practices of 15 or fewer clinicians, according to a statement from CMS.

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