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Medicaid

The five-year demonstration project, beginning Jan. 1, 2018, aims to strengthen substance use disorder care for state Medicaid beneficiaries.

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Medicaid

The Centers for Medicare & Medicaid Services' frequently asked questions document clarifies aspects of the Mental Health and Substance Use Disorder Parity final rule for Medicaid and the Children’s Health Insurance Program.

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Medicaid

CMS is seeking broad feedback on a new direction for the Centers for Medicare & Medicaid Innovation, with increased emphasis on patient-centered care and market-based reforms.

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Medicaid

The bill would replace Medicaid expansion funding and private insurance subsidies with $1.2 trillion in block grants to states; the Congressional Budget Office is expected to release a score early next week.

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Medicaid

The map shows that 39 states experienced an increase in opioid-related hospitalizations, including 32 states that are home to at least one essential hospital.

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Medicaid

The decision extends by five years the state's demonstration of a capitated Medicaid managed care program and a low-income pool to provide support for the safety net.

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Medicaid

In the rule, the Centers for Medicare & Medicaid Services proposes a disproportionate share hospital (DSH) health reform methodology to determine each state’s DSH allotment reduction for each fiscal year.

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Medicaid

We encourage members to take this new opportunity to weigh in with your senators and remind them that the changes to the BCRA are wholly insufficient.

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Medicaid

In the bulletin on the Medicaid managed care final rule, the Centers for Medicare & Medicaid Services said it will use enforcement discretion based on state-specific facts.

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Medicaid
Medicaid
Medicaid
Medicaid

CBO found the bill would lead to 22 million fewer insured and cut more than $772 billion from Medicaid over 10 years; Republican leaders will delay vote until after July Fourth recess.

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Medicaid

As the Senate considers the Better Care Reconciliation Act (BCRA) of 2017, America’s Essential Hospitals and its more than 300 members urge lawmakers to protect low-income and other Americans who face financial challenges—and the hospitals on which they rely.

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Medicaid

A revised draft of the Senate bill was released to address some Republicans' concerns, but it made no meaningful changes to the bill’s Medicaid provisions.

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Medicaid

The brief projects Medicaid disproportionate share hospital payment reductions under the Affordable Care Act and the House-passed American Health Care Act.

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Medicaid

In a report to Congress, the commission details state solutions for improving care delivery, increasing treatment availability, and reducing opioid misuse.

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Medicaid

This annual snapshot of America's Essential Hospitals' membership tells a story about the essential people and communities our members serve.

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Medicaid

The webinar on June 28 will focus on the Medicaid Innovation Accelerator Program's Reducing Substance Use Disorders program area.

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Medicaid

States have until June 12 to complete an expression of interest form for the Medicaid Innovation Accelerator Program track.

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Medicaid

Senate Republican leadership recently indicated the possibility of a vote by the end of July, before the month-long August recess.

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Medicaid

The budget proposal would harm the people who need help most: low-income working Americans, struggling families, the poor elderly and disabled, and many millions of others.

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Medicaid

The plan would reduce funding for social and entitlement programs for low-income Americans by $1.7 trillion, including a $610 billion cut to Medicaid.

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Medicaid

The nine-month program will link up to eight state Medicaid agencies with local housing systems to aid Medicaid beneficiaries.

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Medicaid

In this new policy brief, America's Essential Hospitals examines Section 1115 waivers that use a market-based approach to expanding Medicaid.

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Medicaid

Penny Thompson, principal at Penny Thompson Consulting and former deputy director of CMS' Center for Medicaid and CHIP Services, was named MACPAC chair.

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Medicaid

Rep. MacArthur (R-NJ) proposed an amendment to the AHCA that would have allowed states to opt out of several important insurance regulations.

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Medicaid

The replacement plan would make steep cuts to Medicaid and leave an estimated 24 million more people uninsured, compared with current law under the ACA.

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Medicaid

Whether you join us or support the fight from home, urge lawmakers to ensure continued coverage access and stable, equitable, sustainable Medicaid funding.

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Medicaid

The House plan to repeal and replace the Affordable Care Act would rescind Medicaid disproportionate share hospital cuts and impose per-capita caps on Medicaid funding.

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Medicaid

On February 16, a policy brief by House Republicans on how they would repeal and replace the Affordable Care Act (ACA) was leaked in Washington. Learn more about what was included.

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Medicaid

A House subcommittee marked up two bills focused on income eligibility for Medicaid. The association weighed in on a hearing about the individual mandate.

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Medicaid

The Feb. 7 letter offers recommendations on proposed executive orders, regulations, and legislation that could affect essential hospitals, patients.

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Medicaid

No agreements have been reached about a repeal/replacement plan for the ACA and it appears Republicans in both chambers are far from making final decisions.

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Medicaid

We welcome a constructive discussion about how to improve Medicaid without jeopardizing access to health care services for vulnerable people. But proposals to convert Medicaid to block grants so far fail to cross even this basic threshold.

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Medicaid

Jan. 18 rule finalizes additional restrictions proposed in November 2016 on the ability of states to increase or add new pass-through payments under Medicaid managed care plan contracts.

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Medicaid

MACPAC's recommendation is part of a larger package of suggestions meant to improve coverage for children in low- and moderate-income families.

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Medicaid

The proposed rule would codify additional restrictions, first outlined in July 2016, on the ability of states to increase or add new pass-through payments under plan contracts.

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Medicaid

The notice contains state-specific FMAPs, used to determine the amount of federal matching funds for state Medicaid programs; and enhanced FMAPs, used to calculate federal funding for the Children’s Health Insurance Program.

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Medicaid

The FAQ provides clarification on managed care contracts, rating periods, and external quality reviews, among other things.

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Medicaid

The guide gives states information they need to develop actuarial rate certifications, such as benefit cost projections, pass-through payments, and risk mitigation strategies.

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Medicaid

A new policy brief by America's Essential Hospitals notes that managed care pathways might be a potential complement, or alternative, to waiver-based delivery system reform.

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Medicaid

The webinar will introduce AHRQ's updated hospital guide for delivering transitional care to reduce readmissions among adult Medicaid patients.

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Medicaid

CMS will issue future rulemaking to further restrict new or increased pass-through payments under Medicaid managed care plan contracts.

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Medicaid

The new CMS rate development guide outlines various provisions of the recent Medicaid managed care final rule that affect the rate-setting process.

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Medicaid

The updates aim to reduce incidence of infections, inappropriate use of antibiotics, and discriminatory behavior by health care providers.

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Medicaid

The plan would convert Medicaid to a program managed entirely by states through block grants or per-capita allotments from the federal government.

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Medicaid

A review of 61 studies found that expansion under the ACA has improved health coverage, access to care, and economic outcomes.

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Medicaid

A CMS bulletin reminds states that Medicaid funds can be used for prevention, diagnosis, and treatment of the Zika virus.

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Medicaid

CMS stands by its decision to prohibit states from directing payments under managed care, but responds to association concerns by adding flexibility to the policy.

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Medicaid

The rule maintains a prohibition against direct payments by states to providers for services delivered under managed care contracts and explicitly prohibits states from directing plan expenditures.

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Medicaid

America's Essential Hospitals responds to the final rule on Medicaid managed care plans, including its 10-year transition to a prohibition on states making pass-through payments to providers through health plans.

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Medicaid

States now have until Oct. 1 to submit plans. Agency continues to omit hospital services from the list of core services subject to review.

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Medicaid

Regulation provides more robust mental health, substance use care options for those in Medicaid alternative benefit plans, CHIP, and Medicaid managed care.

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Medicaid

House Committee on Energy and Commerce approves legislation that would cut provider taxes, repeal enhanced FMAP for prisoners and CHIP, and end ACA Prevention and Public Health Fund.

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Medicaid

Proposed Medicaid managed care regulations effectively would end supplemental payments that have been in effect for at least a generation to many essential hospitals.

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Medicaid

Final rule and implementation as described in the guidance could significantly reduce Medicaid payments for 340B-covered outpatient drugs in some states.

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Medicaid

Changes allow IHS and tribal facilities to enter into care coordination agreements with non-IHS/tribal providers to furnish certain services for AI/AN Medicaid beneficiaries.

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Medicaid

The House will consider a bill to prevent payments to providers ineligible for Medicaid and CHIP. The Senate will consider measures to fund opioid abuse and respond to the Flint water crisis.

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Medicaid

Partisan politics follow Scalia death; House speaker to table entitlement reform until next year; congressional panels to hold hearings on HHS budget, opiod abuse, Zika virus.

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Medicaid

America's Essential Hospitals welcomes proposals on Medicaid access and coverage, mental health, and others, but says proposed funding cuts would undermine work of essential hospitals.

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Medicaid

Senate Judiciary examines heroin and prescription drug abuse; Winter Storm Jonas delays scheduled House Energy and Commerce Health Subcommittee hearing on Medicaid FMAP

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Medicaid

Agency collaborates with CMS to offer technical assistance to hospitals working on quality improvement projects for children in Medicaid and the Children’s Health Insurance Program.

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Medicaid

America's Essential Hospitals urges CMS to include hospital services among those subject to triennial state reviews to determine whether payments ensure adequate access.

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Medicaid

Letter from Senate Finance Committee leaders asks America's Essential Hospitals, other stakeholders, for comment on Medicaid transparency, quality, accountability

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Medicaid

Fourth cycle of grants through the Connecting Kids to Coverage program supports work to link eligible children with Medicaid, CHIP coverage; proposals due Jan. 20, 2016.

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Medicaid

Senate plans to expand House reconciliation bill with full ACA repeal; Rep. Brady named Ways and Means chair; Republicans establish Medicaid task force.

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Medicaid

Rule for Medicaid FFS omits hospitals from the list of services for which a state must evaluate access. Comments on rule due Jan. 4.

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Medicaid

Changes for hospitals participating in Medicare and Medicaid intended to improve patient communication, outcomes; comments due Jan. 4.

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Medicaid

President signs budget deal that reduces payment to new hospital outpatient facilities; Ryan becomes House speaker; Energy and Commerce Committee considers Medicaid supplemental payment oversight bills

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Medicaid

Medicaid managed care payment rates must be certified by an actuary, appropriate for the covered population and services, and developed in accordance with generally accepted actuarial practices and principles.

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Medicaid

Planned Parenthood controversy continues to influence federal funding negotiations. Health insurer and hospital mergers are reviewed. Plus, committees consider abortion, Medicaid, HIT, and biosimilar drugs.

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Medicaid

Planned Parenthood remains an issue in government funding. Congress considers hospital bills, Medicare Part B premiums, medical innovation, health care competition, and Medicaid fraud and abuse, vows to focus on mental health.

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Medicaid

Nearly 200, including America's Essential Hospitals, sign Partnership for Medicaid letter to the president and Congress praising Medicaid on the program's 50th anniversary.

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Medicaid

Articles cover the ACA's Medicaid expansion, Medicaid shortfalls and community benefit funds, and the impact of recent Supreme Court decisions on Medicaid.

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Medicaid

New edition of Walls Down coincides with 50th anniversary of Medicaid and Medicare, spotlights value of coverage to access and health.

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Medicaid

Comments urge CMS for flexibility, the allowance of certain direct payments, and regulations that reflect states' ability to achieve broader policy goals through the Medicaid Program.

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Medicaid
Medicaid

Member panel will exchange information, advise association on recent CMS proposal to restrict states' ability to direct supplemental payments; please express interest by July 17.

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Medicaid

GOP will weigh procedural tactics to repeal the ACA or propose tax reform; House vote on Cures bill expected.

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Medicaid
Medicaid

About America’s Essential Hospitals

America’s Essential Hospitals is the leading association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. Since 1981, America’s Essential Hospitals has initiated, advanced, and preserved programs and policies that help these hospitals ensure access to care. We support members with advocacy, policy development, research, and education.