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Policy

 

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 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.

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.

Amid attempts to agree on short-term stabilization of the Affordable Care Act (ACA) and Democrats coming out in support for a “Medicare-for-all” bill, a group of Republican senators unveiled what could be their last chance to repeal and replace the ACA.

Members of the Senate Health, Labor, Education and Pensions (HELP) Committee were encouraged to offer greater flexibility under the Affordable Care Act’s “state innovation waivers,” the details of which could spell trouble for the fledging compromise between Democrats and Republicans on a quick fix for the law.

 

Recent Headlines

Nearly 11.7 million people sign up for coverage through health insurance marketplace

As of Feb. 22, nearly 11.7 million people enrolled in the health insurance marketplace, including 8.84 million in states using the HealthCare.gov website, according to data from the Department of Health and Human Services.

Ruling in the King v. Burwell Supreme Court case may cause millions to lose insurance

On March 4, the Supreme Court will hear arguments in the King v. Burwell case, which could affect millions of people.

Nearly 9 million people sign up for coverage through health insurance marketplace

During the open enrollment period that ended on Feb. 22, more than 8.8 million people signed up for coverage through HealthCare.gov.

HHS provides nearly $200 million to hospitals, states to deal with Ebola virus

Hospitals and states will receive nearly $200 million in funds from the Department of Health and Human Services to prepare for and respond to the Ebola epidemic.

CMS proposes decreasing payments to Medicare Advantage plans

CMS is proposing to decrease payments per beneficiary to Medicare Advantage organizations in 2016 by an average of 0.95 percent.

Special enrollment period for health insurance marketplaces

The Centers for Medicare & Medicaid Services announced on Friday a second enrollment period for people to purchase insurance coverage through the health insurance marketplaces.

President Obama: Affordable Care Act is working better than anticipated

More than 11 million people have purchased coverage on the health insurance exchanges for 2015, according to preliminary figures released in a video the White House posted on Facebook on Tuesday.

Supreme Court case could lead to a large decrease in hospital revenue

If the Supreme Court rules in favor of the plaintiff in the upcoming King v. Burwell case, hospital spending would decrease by at least an estimated $6.3 billion, according to an Urban Institute report.

Congress urges HHS to update HIPAA mHealth guidance

The Department of Health and Human Services is long overdue to update its HIPAA guidance to better regulate the rapidly evolving mobile health industry market, according to two House representatives.

CMS schedules three testing weeks for ICD-10

The Centers for Medicare and Medicaid Services has announced that it will hold three separate testing weeks to allow trading partners (including physician practices, hospitals and other healthcare providers) the opportunity to try out submitting claims using International Classification of Diseases, 10th Revision (ICD-10) codes.

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