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Policy and Regulation News

Kansas Lawmakers Vote for Medicaid Expansion Under the ACA

March 29, 2017 - Kansas state lawmakers in the House and Senate have voted to approve Medicaid expansion under the Affordable Care Act, although the bill still faces the prospect of a veto from Governor Sam Brownback.   The 25-14 Senate vote on the Bridge to a Healthy Kansas Act follows a House vote of 81-44, bringing Democrats and Republicans together in the GOP-controlled legislature.   The Kansas...


Articles

GAO Report: VA Benefits Appeals Process in Need of Reform

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The Government Accountability Office (GAO) has identified notable inefficiencies in the VA benefits appeals process which have resulted in an average processing wait time of three years.   In its report on the issue, GAO also makes several...

House Votes to Boost Health Insurance Options for Businesses

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The House of Representatives has voted 236-175 to move the Small Business Health Fairness Act of 2017 to the Senate in an effort to increase health insurance options for small businesses. The Act is designed to promote the growth of Association...

House GOP Leaders Pull American Health Care Act Before Vote

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Before it could reach the House of Representatives for a vote, Republican party leaders pulled the American Health Care Act (AHCA). Because lawmakers could not agree on the structure or substance of the conservative healthcare framework, the...

House Reps Add Amendments to the American Health Care Act

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House Republicans recently added 21 pages of  updates and changes to the American Health Care Act (AHCA) to push forward the potential Affordable Care Act (ACA) repeal and replace bill. Many of the legislation’s changes would make...

HHS Launches Webpage Detailing ACA Repeal Actions

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HHS created a new online resource that highlights the regulatory and administrative actions the federal department has taken for an Affordable Care Act (ACA) repeal. HHS believes that these actions are necessary to relieve burdens of the...

2017 ACA Open Enrollment Data Shows 12.2M Marketplace Signups

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During the 2017 ACA Open Enrollment Period (OEP), more than 12.2 million healthcare consumers purchased or renewed insurance through Healthcare.gov or their local state exchanges, said CMS in a new data brief.   Marketplace consumers either...

Tom Price: American Health Care Act CBO Score is Inaccurate

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HHS Secretary Tom Price, MD, released a statement that decried several findings from the Congressional Budget Office’s (CBO) score of the American Health Care Act (AHCA). The CBO estimates that over 14 million Americans will lose health...

CBO Score Confirms Industry’s American Health Care Act Concerns

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After the Congressional Budget Office released their cost estimate on the American Health Care Act (AHCA) several healthcare industry leadership groups reaffirmed their concerns about the bill, which may leave approximately  14 million Americans...

HHS Offers Waivers for Health Insurance Exchange Stability

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The Department of Health and Human Services (HHS) recently encouraged states to apply for State Innovation Waivers as a way to stabilize the health insurance exchanges and boost consumer access health plans and services. States should particularly...

Doctors Provide 5 Alternative Payment Model Improvements

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A journal article published in the American Journal of Managed Care, outlines recommendations from several doctors on significant ways alternative payment models (APMs) can be improved and better designed. APMs are being promoted throughout the...

Wait Times Still High for Veterans in VA Choice Program

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Research from the Government Accountability Office (GAO) found that veterans waited an average 24 days to receive care at any care facility that is administered by the Veterans Choice Program. The program allows veterans to receive care from...

Industry Groups Express Concerns Over Proposed ACA Repeal Bills

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Earlier this week, House Republicans started a potential Affordable Care Act repeal by introducing the American Health Care Act. But some industry groups recently expressed concerns that the legislation would inappropriately shift more healthcare...

HHS Secretary Price Voices Support for House ACA Repeal

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The Secretary of the Department of Health & Human Services Secretary (HHS) penned a letter to the two House Republicans behind the American Health Care Act praising the new legislation that would replace the Affordable Care Act. “On...

House Republicans Propose Two New Bills to Replace ACA

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On Monday, the House Ways and Means Committee and the House Energy and Commerce Committee proposed two bills that together will effectively repeal and replace the Affordable Care Act. Combined the bills comprise the American Health Care Act....

AHA Questions CMS Medicare Advantage Risk Score Calculation

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The American Hospital Association (AHA) has voiced concerns about the methodology the Centers for Medicare & Medicaid Services (CMS) intends to use to calculate risk scores for health plans under the Medicare Advantage and Part D prescription...

Experts Lay Out Strategy for Achieving Universal Coverage

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Experts from the Harvard Business School, Duke University, and David Geffen School of Medicine at UCLA debate the viability of an individual mandate as a means of achieving universal coverage without a single payer. According to Regina Herzlinger,...

Bill Would Make Health Insurance Liable for Antitrust Laws

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Proposed legislation supported by the American Hospital Association passed the House Judiciary Committee earlier that if approved by Congress make health insurance companies liable for anti-competitive business practices. The Competitive Health...

Researchers Expect ACA Repeal Adverse Effects on Uninsured

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Authors of a recent viewpoint published in the Journal of the American Medical Association foresee health and financial risks the uninsured patient population following a partial or complete repeal of the Affordable Care Act (ACA). “The...

CMS Continues Extension of Transitional Coverage into 2018

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The Centers for Medicare & Medicaid Services (CMS) has again extended its policy enabling states to permit health plans additional time to bring coverage into compliance with the Affordable Care Act. Jeff Wu, Acting Director of the Center...

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