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Policy

 

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

Senators Introduce Bill to Fix “Two Midnight Rule”

U.S. Senators Robert Menendez (D-N.J.) and Deb Fisher (R-Neb.) have introduced legislation that would require CMS to change its new guidelines around when a Medicare patient hospital stay is judged to be an inpatient stay.

California Ballot Initiatives Seek to Limit Hospital Executive Salaries and Prices

Two ballot initiatives in California tap into public frustration about the high cost of medical care and confusion about the difference between hospital charge master prices and the actual price for care.

Obama Budget Reveals Concern About Physician Shortage

The mismatch between the number of patients and the number of physicians available to treat them is not just a concern of hospital and medical group leaders. The administration revealed its concern about the physician shortage in its 2015 budget.

Insurance Industry Pushes Back Against Cuts to Medicare Advantage

America's Health Insurance Plans (AHIP) is pushing for CMS to use every ounce of flexibility it has to eliminate cuts to Medicare Advantage before it annouces the final 2015 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies.

GOP Doctors Caucus Officialy Endorses SGR Repeal

Efforts to pass a permanent repeal of the Medicare sustainable growth rate (SGR) formula got a boost as the House GOP Doctors Caucus went on record with its support.

ICD-10 Will Not Be Delayed, Now What?

The week of March 3 is CMS's national testing week for ICD-10 implementation, and it promises to be busy as CMS Administrator Marilyn Tavenner announced at HIMSS that there will be no change in the October 1 deadline for the switch.

SGR Repeal Has a New Price, Here’s How it May Be Paid For

The Congressional Budget Office has finished crunching the numbers for the permanent repeal of SGR formula negotiated and predicts that passing the bill will increase direct Federal spending by about $138 billion over the next 10 years.

Senators Introduce Bill to Remove 96-hour Certification Requirement for CAHs

Efforts to remove a pre-admission requirement designed to shorten Medicare patient stays at more expensive critical access hospitals (CAHs) got a boost as a bi-partisan companion bill was introduced to advance a legislative fix in the Senate alongside efforts in the House.

ONC Announces 2015 Edition EHR Certification Criteria

To make the government’s electronic health record standard setting process more transparent, the Office of the Nation Coordinator for Health Information Technology (ONC) announced that it will begin issuing “voluntary” certification criteria on a more regular basis than it has in the past.

10 ICD-10 Questions Physician Senators Want CMS to Answer this Week

Concerned that the Centers for Medicare and Medicaid Services (CMS) plans for front-end testing of the ICD-10 system during the week of March 3 is too brief and too limited in scope, U.S. Senators and physicians Tom Coburn, M.D. (R-Okla.), John Barrasso, M.D. (R-Wyo.), John Boozman, O.D. (R-Ark.), and Rand Paul, M.D. (R-Ky.) have requested that the Centers for Medicare and Medicaid Services (CMS) answer their questions about the testing by February 26.

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