You are here

Policy

 

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

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.

Six-month insurance lockout penalty added to Senate ACA repeal bill

Four days after they first released it publicly, Senate Republicans have made a change to their version on Affordable Care Act repeal-and-replace legislation, adding a “continuous coverage” provision to try and discourage people from canceling their insurance plans.

Industry groups oppose Senate ACA repeal: ‘We cannot let this happen’

Reaction to the Senate’s version of an Affordable Care Act repeal-and-replace plan, titled the Better Care Reconciliation Act (BCRA) ranged from strong opposition from physician and hospital groups to outrage from Democrats, while one insurance organization saw some positives in the legislation.

Q+A: AMGA says MACRA proposed rule sends wrong message on value-based care

Groups representing physicians, hospitals, internists and health IT were quick to praise the proposed rule for the second year of the new payment tracks under the Medicare Access and CHIP Reauthorization Act (MACRA). The American Medical Group Association, however, has a decidedly different take.

Senate’s version of ACA repeal released

The legislation takes many provisions from the House-passed American Health Care Act (AHCA) under a new name: the Better Care Reconciliation Act (BCRA).

Proposed MACRA changes praised in initial industry reaction

The American Medical Association (AMA) and the American Hospital Association (AHA) appear pleased with the proposed rule for the second year of the Quality Payment Program (QPP), with some groups reserving judgment until they have time to review the 1,058-page regulation.

CMS proposes raising low-volume exemption, adding virtual groups in MACRA’s second year

The proposed rule for the second year of the Medicare Access and CHIP Reauthorization Act’s (MACRA) Quality Payment Program (QPP) has been released by CMS, with its stated goal to “simplify the program, especially for small, independent, and rural practices, while ensuring fiscal sustainability and high-quality care.”

The timeline leading up to the Senate’s ACA repeal vote

Senate Republican leaders appear to be sticking to their goal of holding a vote on the American Health Care Act (AHCA), their vehicle for repealing and replacing the Affordable Care Act, by the end of June, despite resistance from both Democrats and the healthcare industry on legislation that has yet to be released.

Nevada ‘Medicaid for all’ bill vetoed

Nevada Gov. Brian Sandoval has vetoed legislation to create a Medicaid buy-in option in the state.

AMA 2017: Delegates take aim at Trump with new policies

The American Medical Association (AMA) adopted a wide range of new policies at its annual meeting of delegates in Chicago, ranging from more practice-oriented concerns to politically-charged resolutions related to the positions of President Donald Trump.

Pages