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Medicaid

Hear about the state of Medicaid waivers under the Trump administration, and look ahead at the future of waiver innovations.

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Medicaid

What comes next after the June 29 court ruling that vacated the U.S. Department of Health and Human Services approval of a Section 1115 waiver that allowed Kentucky to impose community engagement and work requirements on Medicaid beneficiaries.

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Medicaid

The decision strikes down the state's overall Section 1115 waiver, which included community engagement and work requirements, but it upholds as a separate waiver a portion allowing Medicaid reimbursement for substance use disorder treatment in institutions for mental disease.

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Medicaid

Several new or enhanced Centers for Medicare & Medicaid Services initiatives are designed to improve Medicaid program integrity and sustainability through greater transparency and accountability, strengthened data, and innovative analytical tools.

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Medicaid

The brief reviews each type of Medicaid hospital payment, information on payment goals, and state-level data on fiscal year 2016 supplemental payments to hospitals.

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Medicaid

This year's Medicaid and CHIP Payment and Access Commission report focuses on the high cost of prescription drugs and the opioid epidemic.

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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

Contact your delegation and urge them to vote in favor of the IMD CARE Act and the Overdose Prevention and Patient Safety Act.

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Medicaid

Modeled on a program developed at essential hospital St. Joseph's Regional Medical Center, in Paterson, N.J., the Alternatives to Opioids bill is one of 25 opioid-related bills the House passed last week.

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Medicaid

An informational bulletin outlines the role of Medicaid in the care of infants born with neonatal abstinence syndrome, while a letter to state Medicaid directors offers guidance on funding Medicaid technology to combat the opioid crisis.

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Medicaid

The June 19 webinar will explore the 2016 final rule on emergency preparedness requirements for Medicare- and Medicaid-participating health care providers, along with 1135 waivers.

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Medicaid

The first Medicaid and Children’s Health Insurance Program scorecard is intended to increase public transparency and accountability in the two programs.

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Medicaid

To ensure Medicaid beneficiaries' access to quality care, America's Essential Hospitals urges CMS not to issue access monitoring review exemptions to states with high managed care penetration.

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Medicaid

The dashboards, which show spending for drugs purchased in Medicaid and Medicare Parts B and D, for the first time include data on year-over-year price increases for individual drugs.

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Medicaid

The plan cites and builds on proposed changes to the 340B Drug Pricing Program in the president’s fiscal year 2019 budget, as well as damaging cuts implemented through the calendar year 2018 Outpatient Prospective Payment System final rule.

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Medicaid

New Hampshire is the fourth state to receive approval to incorporate work and community engagement requirements as a condition of Medicaid eligibility.

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Medicaid

Senate and House panels hold hearings on opioid and substance use disorder treatment among Medicare and Medicaid beneficiaries and how distributors might contribute to the crisis.

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Medicaid

Reports by the National Academy of State Health Policy and the Medicaid and CHIP Payment and Access Commission point to new trends, including increased focus on reform, new financing mechanisms, and standardized evaluation.

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Medicaid

A new policy brief examines Centers for Medicare & Medicaid Services guidance on work and community engagement requirements for Medicaid eligibility and outlines recently approved section 1115 waivers in Kentucky, Indiana, and Arkansas.

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Medicaid

The proposed rule would exempt states with high Medicaid managed care penetration from Medicaid access to care guidelines; 17 states currently meet the proposal's exemption requirements. America’s Essential Hospitals is analyzing the proposed rule and will provide written comment to CMS.

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Medicaid

The three-pronged approach aims to reduce drug demand, cut off the flow of illicit drugs domestically and internationally, and expand opportunities for proven addiction treatments.

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Medicaid

This year's report includes the commission’s statutorily required annual analysis of Medicaid disproportionate share hospital payments, as well as chapters on Medicaid managed care and telehealth.

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Medicaid

Under the approved waiver, Arkansas Medicaid beneficiaries ages 19 to 49 beginning June 1 must work or participate in community engagement activities for 80 hours per month to maintain their eligibility.

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Medicaid

The Innovation Accelerator Program's March 26 webinar will focus on administrative and regulatory barriers to physical and mental health integration in the Medicaid program.

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Medicaid

The Centers for Medicare & Medicaid Services is giving up to 10 states the opportunity to participate in the program to design, develop, and implement value-based payment approaches.

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Medicaid

Senate Finance Committee leadership sent a letter to stakeholders requesting information on Medicare and Medicaid policy options that could be used to combat the opioid epidemic.

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Medicaid

The Centers for Medicare & Medicaid Services approved Indiana's request to incorporate work requirements in their Section 1115 Medicaid expansion waiver. This is the second waiver with work requirements approved by CMS.

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Medicaid

The designation allows federal health agencies to allocate resources and hire specialists to combat the opioid crisis. The original declaration was set to expire on Jan. 23.

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Medicaid

In a Jan. 11 letter to state Medicaid directors, the Centers for Medicare & Medicaid Services outlined new guidance designed to assist states seeking section 1115 demonstration waivers that include work and community engagement requirements for nondisabled, working-age adult Medicaid beneficiaries.

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Medicaid

As Congress focuses on Jan. 19 funding deadline, America's Essential Hospitals continues pressure to delay Medicaid disproportionate share hospital cuts. The Trump administration releases guidance on work requirements for Medicaid recipients.

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Medicaid

The Centers for Medicare & Medicaid Services announced the community engagement initiative, often referred to as work requirements, in a Jan. 11 letter and a frequently asked questions document.

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Medicaid

The Centers for Medicare & Medicaid Services will host an information session and a series of four webinars in the coming weeks to provide information on new opportunities for states.

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Medicaid

The waiver extensions fund Texas' uncompensated care pool and delivery system reform incentive payment program and provide family planning services for low-income individuals in Mississippi for 10 years.

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Medicaid

Hospitals cannot sustain these losses without scaling back services or closing altogether, especially as the ranks of the uninsured swell with the end of the Affordable Care Act’s individual mandate. Congress must immediately halt the cuts when lawmakers return in January.

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Medicaid

Hospital staff participating in the Medicare Electronic Health Record Incentive Program will learn how to register, attest, and submit measures using the QualityNet Secure Portal.

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Medicaid

The House and Senate tax reform bills would destabilize hospitals that care for those who face financial hardships by triggering deep cuts to social programs.

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Medicaid

The guidance specifies rate reductions in Medicaid fee-for-service that will not require access reviews by the Center for Medicare & Medicaid Services.

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Medicaid

In a speech to the National Association of Medicaid Directors, Administrator Verma also announced an initiative to create scorecards for Medicaid and CHIP outcomes.

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Medicaid

An agency bulletin instructs states on how to seek approval for state-directed payment arrangements and distinguishes directed payments from other payment models.

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Medicaid

The commission supports a national curriculum for opioid prescribers and state waivers to eliminate the Medicaid institutions for mental disease exclusion, among other recommendations.

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Medicaid

The emergency declaration expands telemedicine services to treat addiction and opens up the Public Health Emergency Fund, among other actions to combat the opioid crisis.

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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

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