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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

Healthcare industry ‘deeply disappointed’ by House passage of AHCA

Many major medical associations quickly spoke out against the American Health Care Act (AHCA), calling the Republican-sponsored plan to replace the Affordable Care Act (ACA) “bad policy” that could “destabilize our healthcare system,” after it passed by a narrow margin in the House May 4. 

ACA replacement passes in House despite healthcare industry objections

The Republican majority in the House was successful in passing the American Health Care Act (AHCA), its plan to repeal and replace the Affordable Care Act (ACA), by a narrow margin of 217-213 over objections about how it could affect people with pre-existing conditions and resistance from major healthcare associations.

Healthcare groups trash new ACA replacement plan: ‘It’s simply bad policy’

The changes made to the American Health Care Act (AHCA), the Republican-sponsored legislation to replace the Affordable Care Act (ACA), have only strengthened opposition to the bill from groups representing hospitals, internists and emergency physicians. 

5 things to know about Republicans’ amended ACA replacement plan

Republicans leaders in Congress have reportedly agreed on a new version of their Affordable Care Act (ACA) repeal-and-replace plan, allowing states to opt out of ACA requirements such as essential health benefits and a ban on individually rating customers on the individual market. 

Major medical groups, hospitals split on ending mandatory bundled payments

The move by CMS to delay mandatory bundled payments for cardiac and orthopedic care was widely supported by medical associations and health systems, judging by their comments to the agency, but some went further, calling for these initiatives from the prior administration be made into voluntary programs.

Cutting off ACA insurer subsidies would raise—not lower—federal healthcare spending

If the Trump administration’s goal is to lower federal healthcare spending, discontinuing cost-sharing reduction subsidies, or CSRs, to insurers under the Affordable Care Act (ACA) could backfire, according to an analysis from the Kaiser Family Foundation.

Waiving ACA provisions brings mixed signals on whether repeal vote is coming

Republicans in Congress are under pressure from President Donald Trump to quickly push forward on a bill to repeal and replace the Affordable Care Act (ACA), according to multiple news sources, but for each comment saying the majority party is close to an agreement, there seems to be another denying it.

Hospitals give mixed reaction to IPPS proposed rule despite $3.1B boost

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.

5 things to know about the final ACA marketplace rule for 2018

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.

ACA critic, Minnesota health economist Stephen Parente appointed to leadership post at HHS

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.

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