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CMS’s move to cut Medicare payments made through the 340B drug discount programs would see the biggest impact in California, New York and North Carolina, according to an analysis by Avalere Health, though for most hospitals it will reduce their total Part B revenue by less than 5 percent.

The Affordable Care Act’s taxes on health insurance, high-cost health plans and medical devices would be delayed under a series of bills introduced by House Republicans, with the Medical Imaging & Technology Alliance (MITA) quickly coming out in support of suspending the device tax.

Two Senate Democrats have asked CMS and HHS to make a last-minute extension of the open enrollment period for the Affordable Care Act (ACA)’s insurance exchanges, arguing the Dec. 15 deadline will leave too many interested customers either without health coverage or automatically enrolled into plans which “may no longer be the best choice for their families.”

The repeal of the Affordable Care Act’s individual mandate has been projected to cause insurance premiums to rise by an average of 10 percent through 2027. Those hikes would be mitigated, however, if Congress funded the ACA’s cost-sharing reduction subsidies and a $10 billion, two-year reinsurance program, according to an analysis from Avalere.

The American Hospital Association (AHA) suggested the Medicare Payment Advisory Commission (MedPAC) pump the brakes on advocating for major changes to Merit-based Incentive Payment System (MIPS), saying any major shifts wouldn’t have “the benefit of data or experience” considering this is the program’s first performance year.

 

Recent Headlines

HHS Secretary to pay back $52K of $1M in total travel costs

HHS Secretary Tom Price, MD, has announced he’ll reimburse the federal government for using private charter flights after POLITICO investigations have found he racked up $1 million in publicly-funded travel costs. However, he’ll only pay back the cost of his seat on domestic charter flights, amounting to $52,000.

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.

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