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If the Affordable Care Act’s individual mandate is repealed as part of a Republican tax cut plan, premiums will likely rise and insurers will exit the individual market, according to the American Academy of Actuaries.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

Trump preparing order on selling health insurance across state lines

After another effort to repeal the Affordable Care Act (ACA) was halted, President Donald Trump told reporters he’ll likely sign an executive order regarding another one of his campaign promises on healthcare: allowing insurance plans to be offered across state lines.

Healthcare groups tell Congress to move on ‘for good’ from ACA repeal

Major healthcare associations said they were relieved by Senate Republicans’ decision to table the Graham-Cassidy legislation to repeal the Affordable Care Act (ACA), bringing at least a temporary halt to the party’s efforts to replace the law with only Republican votes.

Graham-Cassidy ACA repeal bill tabled: ‘We’re coming back to this’

Senate Republicans have decided not to vote on the Graham-Cassidy legislation to repeal the Affordable Care Act (ACA), putting an end to months of efforts to pass a repeal bill before a Sept. 30 deadline for it to clear the Senate with a simple majority.

Graham-Cassidy bill gets a hearing, a CBO score—and another ‘no’ vote

Sept. 25 ended up being a rough day for supporters of the Graham-Cassidy legislation to repeal the Affordable Care Act (ACA), beginning with the bill’s only scheduled hearing being interrupted by protesters shouting, “No cuts to Medicaid, save our liberty.”

CNN debate goes beyond ACA repeal to single-payer, pharma prices

The namesakes of the Graham-Cassidy bill to repeal the Affordable Care Act (ACA) argued the law is “broken” in a CNN healthcare debate, with Sens. Bernie Sanders, I-Vermont, and Amy Klobuchar, D-Minnesota, arguing members of Congress should be focusing on short-term fixes discussed by both parties and leave larger overhauls for later.  

What’s in the new version of Graham-Cassidy ACA repeal bill

Multiple risk pools and extra money aimed at states represented by Republican swing votes are among the changes made in a new version of the Graham-Cassidy bill to repeal the Affordable Care Act (ACA) to be released less than five days before a deadline to pass it with a simple majority in the U.S. Senate.

McCain to oppose Graham-Cassidy ACA repeal, possibly sinking bill

The last time Senate Republicans tried to move forward on repealing the Affordable Care Act, it was Sen. John McCain, R-Arizona, who sunk the effort with a dramatic thumbs down. He may have done so again with the latest repeal plan, the Graham-Cassidy bill, announcing Sept. 22 he “cannot in good conscience vote” for the proposal.

Insurance groups oppose latest ACA repeal plan

Adding to opposition already expressed by physician and hospital groups, America’s Health Insurance Plans (AHIP) and the Blue Cross Blue Shield Association (BCBSA) came out against the Graham-Cassidy legislation to repeal and replace the Affordable Care Act (ACA).

CMS plans ‘new direction’ for CMMI models

CMS Administrator Seema Verma, MPH, said the Trump administration will take the Center for Medicare and Medicaid Innovation (CMMI) in a “new direction,” claiming the policies under the last administration encouraged consolidation and providers need more “freedom” to design new care delivery models.

Healthcare industry taking Graham-Cassidy ACA repeal bill more seriously

Once thought to be the policy equivalent of a Hail Mary pass, the plan to replace the Affordable Care Act (ACA) known as the Graham-Cassidy bill appears to have gained momentum—and with it, extra attention from healthcare industry groups like the American Medical Association (AMA) that have opposed Republicans’ so-far unsuccessful efforts to repeal the law.

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