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By Jon Reid Top Stories Lawmakers on both sides of the aisle raised concerns about White House’s request for Congress to rescind about $7 billion in funding authorized for the popular Children’s Health Insurance Program that has not been spent. The proposed cuts, which Trump administration officials said are not expected to impact the program’s … → Read More
By Jon Reid Top Stories The Centers for Medicare and Medicaid Services proposed more than $1 billion in pay increases for post-acute care providers next year, as well as various policy changes to the payment rules for skilled nursing facilities, hospices, inpatient psychiatric facilities and inpatient rehab facilities. The proposal would give skilled nursing facilities an … → Read More
By Jon Reid Week in Review Government White House physician Ronny Jackson withdrew his name from consideration to lead the Department of Veterans Affairs amid allegations of prior misconduct, including drinking while on duty, overprescribing medications and overseeing a hostile work environment. Jackson denied the allegations. Jackson’s resignation came after the Senate Committee on Veterans’… → Read More
By Jon Reid Top Stories The Centers for Medicare and Medicaid Services has released preliminary Medicare Advantage encounter data from 2015, and it plans to release Medicaid and Children’s Health Insurance Program data in 2019, Administrator Seema Verma announced in a speech at Health Datapalooza. Verma said it is the first time the CMS has … → Read More
By Jon Reid Top Stories White House physician Ronny Jackson withdrew his name from consideration to lead the Department of Veterans Affairs amid allegations of prior misconduct, including crashing a government vehicle while drunk, having a “pattern” of handing out sleeping pills and wakefulness-promoting medication without triaging patient history, writing himself prescriptions and overseeing a … → Read More
By Jon Reid Top Stories Under newly proposed changes to Medicare payment rules, the Centers for Medicare and Medicaid Services aims to increase price transparency at hospitals by compelling them to publish their standard prices online in a machine-readable form to make it easier for insurers and other organizations to analyze them. CMS is also … → Read More
By Jon Reid Top Stories The Senate Committee on Veterans Affairs’ postponed a confirmation hearing for Dr. Ronny Jackson, President Donald Trump’s pick to head the Department of Veterans Affairs, after top Republicans and Democrats raised concerns about the White House physician’s qualifications to run the federal bureaucracy and his management of the White House … → Read More
Middlemen, like PBMs and insurers, have been shifting more health care costs to you for years – with deductibles increasing more than 300% since 2006. Now, they might not allow coupons for some medicines to count toward your deductible. This could make you pay thousands of dollars more at the pharmacy counter. Your medicine should fight for you. You shouldn’t have to fight for your medicine. → Read More
By Jon Reid Top Stories Prescriptions for opioid painkillers have been going down since 2011 but fell at a faster rate last year with a decline of 10 percent, according to new data by the IQVIA Institute for Human Data Science, which studies prescription drug use and spending. The report also said the number of … → Read More
By Jon Reid Top Stories For the first time in nearly a decade, Republican candidates are not making the repeal of the Affordable Care Act a central plank of their campaigns. The shift comes after GOP lawmakers failed to deliver on their promise to pass a full overhaul of Obamacare last year, a push that … → Read More
By Jon Reid Top Stories New research calls into question current U.S. government guidelines that say men can safely drink up to two alcoholic drinks a day and women up to a drink a day. The study published in the Lancet medical journal, which looked at alcohol consumption data from 600,000 people in 19 countries, … → Read More
By Jon Reid Out today: The latest editions of Morning Consult’s Senator Approval Rankings and Governor Approval Rankings Top Stories When House Speaker Paul Ryan (R-Wis.) retires from Congress at the end of his term, the Republican Party will lose its most influential champion of overhauling Medicare, Medicaid and Social Security. Ryan is leaving Congress … → Read More
By Jon Reid Top Stories President Donald Trump signed an executive order that aims to overhaul government assistance programs such as Medicaid by requiring more beneficiaries to prove they are working or seeking jobs and by urging federal agencies to create new rules if necessary. The order comes after the Centers for Medicare and Medicaid … → Read More
By Jon Reid Top Stories The Trump administration released new rules for plans sold through the Affordable Care Act that gives states more control over insurance standards and new ways for consumers to avoid paying a penalty for failing to have health coverage. One of the most significant changes gives states more authority over Obamacare’s … → Read More
By Jon Reid Top Stories Blue Cross and Blue Shield insurers suffered a blow in high-stakes litigation about how they work together after a federal judge said challengers had presented evidence that the Blue insurers have adopted competitive restrictions that could violate federal antitrust law. The case, which still has a long way to go, … → Read More
Middlemen, like PBMs and insurers, have been shifting more health care costs to you for years – with deductibles increasing more than 300% since 2006. Now, they might not allow coupons for some medicines to count toward your deductible. This could make you pay thousands of dollars more at the pharmacy counter. Your medicine should fight for you. You shouldn’t have to fight for your medicine. → Read More
By Jon Reid Morning Consult has published the latest edition of its Tracking Trump feature, showing the president’s approval state by state, month over month. See it here. Top Stories The Senate Health, Education, Labor and Pensions Committee unveiled a bipartisan draft measure to address the opioid crisis, a development that comes as other House … → Read More
By Jon Reid Top Stories About 11.8 million people enrolled for a health plan through the Affordable Care Act marketplaces for 2018, about 400,000 fewer sign-ups than last year, according to the Centers for Medicare and Medicaid Services. The decline in enrollment, relatively small given that the Trump administration cut outreach efforts and the open … → Read More
By Jon Reid Top Stories Walmart Inc. is reportedly in talks about acquiring Pillpack Inc., an online pharmacy startup that helps customers manage multiple prescriptions by sorting their medications before delivering them, for less than $1 billion. Walmart is also reportedly in preliminary deal talks with Medicare-focused insurer Humana Inc. (CNBC) The Centers for Medicare … → Read More
By Jon Reid Top Stories To rein in the growth of prescription drug spending, Massachusetts is seeking permission from the Trump administration to limit the number of drugs that will be covered in its Medicaid program. The plan faces opposition from patients and drug companies and has nationwide implications because many states are struggling with the costs of … → Read More