At the core of both the House and Senate Republicans’ proposals to replace the Affordable Care Act (ACA) has been rolling back the law’s expansion of Medicaid. Whether or not the expanded eligibility stays in place, enrollment rules are likely to be changed by states with encouragement from HHS and CMS.

Democrats in Congress are facing increasing pressure to support plans for a government-funded, single-payer healthcare system—and Republicans have noticed.

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.

The transition to value-based care has led to consolidation and increased physician employment, but smaller practices may find a different option in pursuing alignments with other organizations which don’t involve giving up their independent status.

Even if Republican-led efforts to repeal and replace the Affordable Care Act fail, the party’s members of Congress have a way to stop the Internal Revenue Service from enforcing one of the law’s most unpopular provisions: the individual mandate penalizing people who remain uninsured.

Nearly halfway through the first year of Medicare Access and CHIP Reauthorization Act’s (MACRA) new payment tracks and hospital, a majority of hospital finance executives and professionals say understand the requirements of the new Quality Payment Program (QPP) but, in reality, still seem to be confused.

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.

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.