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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

Georgetown University and Kaiser Family Foundation studies suggest Medicaid expansion might be key to improving financial outcomes for essential hospitals.

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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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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.

America’s Essential Hospitals was formerly known as the National Association of Public Hospitals and Health Systems (NAPH). Carrying our mission since 1981 into today's health care era

Learn more about the name change »