You are here

Policy

 

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If the Affordable Care Act’s individual mandate is repealed as part of a Republican tax cut plan, premiums will likely rise and insurers will exit the individual market, according to the American Academy of Actuaries.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

New Senate healthcare bill allows insurance plans with fewer benefits, keeps Medicaid cuts

Senate Republicans have released a new version of their Affordable Care Act (ACA) replacement plan, adding new funding for stabilizing the individual market and keeping more of the ACA’s taxes, while also including a controversial proposal to allow insurance plans which don’t comply with ACA regulations on benefits and community rating.

House passes FDA user fee reauthorization, Senate schedule unclear

The House has passed legislation to reauthorize user fee programs through the Food and Drug Administration (FDA) affecting medical devices, prescription and generic drugs.

AHIP: Market instability, higher premiums for sicker enrollees under Cruz amendment

America’s Health Insurance Plans (AHIP), health insurers’ largest lobbying group, has been largely silent on Senate Republicans’ version on an Affordable Care Act (ACA) replacement plan, but now is warning against a conservative amendment to allow insurers to now offer plans which don’t comply with ACA regulations.

Senate delaying August recess to work on healthcare bill

Senate Majority Leader Mitch McConnell, R-Kentucky, has taken the unusual step of delaying the Senate’s August recess, announcing the chamber will stay in session during the first two weeks of the month to address legislative priorities like the replacement of the Affordable Care Act.

CMS: Fewer insurer sign-ups on exchange show ACA is ‘failing’

The number of applications for insurers planning to participate in the Affordable Care Act’s exchanges for 2018 has fallen by 38 percent, according to CMS.

Senate unlikely to vote on ACA repeal until week of July 17

After failing to meet their self-imposed June 30 deadline to vote on the Better Care Reconciliation Act (BCRA), Senate Republicans now say they’ll need another week in Washington before the bill may advance.

CBO: Senate healthcare bill would cut Medicaid more deeply over 20-year period

If the Better Care Reconciliation Act (BCRA) became law, Medicaid spending would be 35 percent lower by 2036 compared to levels under the Affordable Care Act, according to a Congressional Budget Office (CBO) report.

Legislation limiting malpractice damages passes House

Noneconomic damages in certain medical malpractice lawsuits would be capped at $250,000 under a bill passed through the House with only Republican support on June 28.

Senate to delay ACA replacement vote until after July 4 recess

The Senate will not vote on the Republican plan to repeal and replace the Affordable Care Act before the July 4 recess. Majority Leader Mitch McConnell, R-Kentucky, informed his Republican colleagues at a June 27 lunch, according to multiple news outlets.

CBO: Senate’s ACA repeal bill would destabilize some markets, increase deductibles

Some 22 million more people would be uninsured by 2026, deductibles and out-of-pocket costs would sharply rise while premiums would be lower and certain markets could be unstable if the Senate’s version of an Affordable Care Act repeal-and-replace plan becomes law, according to the Congressional Budget Office.

Pages