Sanders Says Weight Loss Drugs Could Bankrupt US Health Care System
Health
Sanders Says Weight Loss Drugs Could Bankrupt US Health Care System
2024-05-15 20:15:58
by Dan McCue

WASHINGTON — The sky-high prices of a pair of new weight loss drugs could push annual spending on prescription drugs in the United States to over $1 trillion and effectively bankrupt the American health care system in the process, according... Read More

How a Government Shutdown Would Affect Federal Health Programs
Health
How a Government Shutdown Would Affect Federal Health Programs
2023-09-27 18:02:15
by Dan McCue

WASHINGTON — With uncertainty continuing to swirl around Capitol Hill, conversations have begun to focus not on if there will be a partial shutdown of the federal government come midnight on Saturday, but on how that almost inevitable shutdown will... Read More

Oklahomans Get Extended Pregnancy Coverage Under Medicaid
Medicaid
Oklahomans Get Extended Pregnancy Coverage Under Medicaid
2023-03-28 20:04:20
by Dan McCue

WASHINGTON — Women in Oklahoma are now the beneficiaries of a full 12 months of comprehensive coverage after pregnancy under a change in policy announced this past week by the Centers for Medicare & Medicaid Services. Oklahoma is the 30th... Read More

HHS Unveils Key Dates for Medicare Drug Price Negotiations
Medicare
HHS Unveils Key Dates for Medicare Drug Price Negotiations
2023-03-06 20:49:18
by TWN Staff

WASHINGTON — When the Inflation Reduction Act became law last year, it empowered the Health and Human Services secretary, for the first time ever, to begin negotiating certain prescription drug prices with drug manufacturers. The prices would go into effect... Read More

HHS Finalizes Physician Payment Rule Strengthening Access
Health
HHS Finalizes Physician Payment Rule Strengthening Access
2022-11-09 21:59:58
by TWN Staff

WASHINGTON — A proposed physician fee schedule for 2023 published this past week by the Centers for Medicare and Medicaid Services aims to increase access to behavioral health care, cancer screening and dental care. The Calendar Year 2023 Physician Fee... Read More

Oregon Receives First-in-Nation Medicaid Funding for Food, Housing and Nutrition
In The States
Oregon Receives First-in-Nation Medicaid Funding for Food, Housing and Nutrition
2022-09-28 19:25:52
by Dan McCue

HERMISTON, Ore. — Oregon on Wednesday became the first state in the nation to receive an influx of significant new federal funding to pilot changes to the state’s Medicaid program. Gov. Kate Brown and Centers for Medicare and Medicaid Services... Read More

HHS Approves Nation’s First Medicaid Mobile Crisis Intervention Program
Mental Health
HHS Approves Nation’s First Medicaid Mobile Crisis Intervention Program
2022-09-14 19:06:13
by Dan McCue

WASHINGTON — The Department of Health and Human Services has approved a first-of-its-kind proposal to cover community-based mobile crisis intervention services in Medicaid.  The proposal originated with the Oregon Health Authority and with the department’s blessing, through the Centers for... Read More

Lensmaker Essilor to Pay $16.4M to Resolve Kickback Claims
Justice
Lensmaker Essilor to Pay $16.4M to Resolve Kickback Claims
2022-08-23 20:59:41
by Dan McCue

WASHINGTON — Lensmaker Essilor has agreed to pay $16.4 million to resolve allegations it caused claims to be submitted to Medicare and Medicaid that violated federal anti-kickback statutes.  Essilor, headquartered in Dallas, Texas, manufactures, markets and distributes optical lenses and... Read More

Justices Rule Feds Exceeded Authority With Medicare Reimbursement Cuts
Supreme Court
Justices Rule Feds Exceeded Authority With Medicare Reimbursement Cuts
2022-06-15 22:59:46
by Dan McCue

WASHINGTON — In a unanimous decision, the Supreme Court on Wednesday ruled federal regulators improperly cut drug reimbursement payments to hospitals in low-income communities beginning in 2018, a move that cost hospitals and clinics billions of dollars. The ruling in... Read More

Supreme Court Rules in Favor of Florida Medicaid in Settlement Dispute
Supreme Court
Supreme Court Rules in Favor of Florida Medicaid in Settlement Dispute
2022-06-06 16:01:49
by Dan McCue

WASHINGTON — The U.S. Supreme Court ruled 7-2 on Monday in favor of Florida's Medicaid program in a dispute over how much money the state can take from an accident victim's private settlement to recover the costs of their care.... Read More

HRSA Prepares Providers for End of Telehealth Flexibilities During COVID-19 PHE
Health
HRSA Prepares Providers for End of Telehealth Flexibilities During COVID-19 PHE
2022-05-18 16:07:54
by Alexa Hornbeck

WASHINGTON — The Department of Health and Human Services extended the COVID-19 public health emergency this week beyond the July 15 expiration to October. The eventual expiration of the declaration will lead to changes in certain flexibilities granted to Medicare... Read More

Millions Could Lose Medicaid Coverage Following End of PHE
Medicaid
Millions Could Lose Medicaid Coverage Following End of PHE
2022-04-13 15:04:51
by Alexa Hornbeck

WASHINGTON — The federal COVID-19 public health emergency, first declared Jan. 27, 2020,  was set to expire on April 16. Health and Human Services Secretary Xavier Becerra on Wednesday extended the COVID-19 public health emergency for 90 days. A number... Read More

Third Way Finds Build Back Better Provisions Would Lower Families’ Costs by Thousands
Think Tanks
Third Way Finds Build Back Better Provisions Would Lower Families’ Costs by Thousands
2021-12-02 22:36:20
by Reece Nations

SAN ANTONIO — Third Way, a D.C.- based think tank, released an analysis of the Build Back Better Act on Wednesday that predicts a two-parent family of four would get a tax cut and have lower costs of up to... Read More

Obstetricians Call for Shortening ‘Discriminatory’ Postpartum Sterilization Waiting Period
In The News
Obstetricians Call for Shortening ‘Discriminatory’ Postpartum Sterilization Waiting Period
2021-11-17 15:53:16
by Reece Nations

WASHINGTON — Members of the Society for Maternal-Fetal Medicine’s Health Policy and Advocacy Committee are now calling for lawmakers to revise current Medicaid policy dictating patients who desire postpartum sterilization wait 30 days. The pregnancy experts published their contentions to... Read More

Hospitals Push Back Against HHS Slashing of Reimbursement Rates
In The News
Hospitals Push Back Against HHS Slashing of Reimbursement Rates
2021-10-12 20:18:41
by Alexa Hornbeck

WASHINGTON -- The Department of Health and Human Services slashed 30% in Medicaid reimbursement rates to eligible hospitals under the 340B drug discount program. The program, which has existed for 29 years, requires manufacturers of pharmaceutical companies under the Medicaid... Read More

Centers for Medicare and Medicaid Service to Distribute Federal Funding to Rural Hospitals
Health
Centers for Medicare and Medicaid Service to Distribute Federal Funding to Rural Hospitals
2021-09-23 14:39:15
by Reece Nations

The Centers for Medicare and Medicaid Services is disbursing an initial amount of $2 million to four health care entities in four states to bolster access to their services in underserved communities. Funds will be distributed to participating hospitals in... Read More

Ohio to Appeal White House Voiding of State’s Medicaid Work Rule
In The News
Ohio to Appeal White House Voiding of State’s Medicaid Work Rule
2021-09-09 15:35:02
by Dan McCue

COLUMBUS, Ohio - Ohio Attorney General Dave Yost has filed an appeal of the Biden administration’s withdrawal of the state Medicaid work requirement previously approved by the Trump White House. “Removing a provision that says a healthy, able-bodied individual should... Read More

Undocumented Californians Will Soon Receive Access to Medi-Cal Coverage
In The States
Undocumented Californians Will Soon Receive Access to Medi-Cal Coverage
2021-09-01 19:47:06
by Alexa Hornbeck

SACRAMENTO, Calif. -- California Gov. Gavin Newsom signed into law AB 133, an expansion of Medi-Cal that will provide coverage to undocumented Californians age 50 and over, set to go into effect in May 2022.  “Accessing health coverage through Medicaid... Read More

Pennsylvania Expands Postpartum Coverage for Mothers
Mental Health
Pennsylvania Expands Postpartum Coverage for Mothers
2021-08-13 14:19:05
by Alexa Hornbeck

HARRISBURG, Penn. -- Pennsylvania lawmakers recently announced plans to expand the Medicaid postpartum coverage period for mothers. The extension will take effect on April 1, 2022.  “Pennsylvania has worked to protect and support mothers before, during and after birth for... Read More

Health Summit Panel Debates Drug Pricing Proposals
Prescription Drugs
Health Summit Panel Debates Drug Pricing Proposals
2021-06-30 14:31:12
by Alexa Hornbeck

Policymakers and representatives of the pharmaceutical industry debated the cost of prescription drugs and the myriad of proposals on Capitol Hill to bring those prices down at last week's Milken Institute Future of Health Summit. Amitabh Chandra, a health care... Read More

Murray, Brown Urge Colleagues to Expand Primary Care Access for Women And Children
Health
Murray, Brown Urge Colleagues to Expand Primary Care Access for Women And Children
2021-06-02 22:23:08
by TWN Staff

WASHINGTON - Sens. Patty Murray, D-Wash., and Sherrod Brown, D-Ohio, are urging their colleagues to pass the Ensuring Access to Primary Care for Women & Children Act. This legislation is intended to expand access to primary care but it languished in... Read More

Kansas Gov. Laura Kelly Announces Medicaid Expansion Bill Funded By Medical Marijuana
State News
Kansas Gov. Laura Kelly Announces Medicaid Expansion Bill Funded By Medical Marijuana
2021-02-11 16:03:58
by Sean Trambley

TOPEKA, Kan. – This week, Kansas Gov. Laura Kelly announced legislation to expand Medicaid, known as KanCare, and provide health insurance for 165,000 Kansans. The legislation also establishes a regulatory framework to make Kansas the 48th state to legalize medical... Read More

Gov. Northam Announces $25 Million in CARES Act Funding for Medicaid Day Support Providers
State News
Gov. Northam Announces $25 Million in CARES Act Funding for Medicaid Day Support Providers
2020-11-12 21:20:46
by Sean Trambley

RICHMOND, Va. — Gov. Ralph Northam announced Virginia will allocate $25 million from the federal Coronavirus Aid, Relief, and Economic Security Act to fund monthly retainer payments for day support programs that provide services for Virginians with developmental disabilities.  These... Read More

KS Senate: Barbara Bollier (D)
Senate Watch
KS Senate: Barbara Bollier (D)
2020-10-28 16:01:49
by TWN Staff

About Bollier: After a career as a doctor, Bollier ran for the Kansas House of Representatives in 2010. There, she served as an independent voice for Kansans, earning a reputation as a leader willing to work with both political parties.... Read More

Governors Warn New Regs Could Lead to Deep Medicaid Cuts
Medicaid
Governors Warn New Regs Could Lead to Deep Medicaid Cuts
2020-02-07 16:55:49
by Dan McCue

WASHINGTON — The National Governors Association is warning that a newly proposed regulation by the Trump administration could lead to dramatic cuts in Medicaid and deny health care to millions of low-income Americans. In a bipartisan letter signed by Govs.... Read More

Trump Administration to Allow Medicaid Block Grants
Medicaid
Trump Administration to Allow Medicaid Block Grants
2020-01-30 16:46:35
by Dan McCue

WASHINGTON - States will now have the ability to convert part of their Medicaid funding into a block grant under a new program announced by the Centers for Medicare and Medicaid Services on Thursday. According to Seema Verma, administrator of... Read More

Kentucky Gov. Andy Beshear Drops Medicaid Work Requirements, Reversing Bevin Policy
Medicaid
Kentucky Gov. Andy Beshear Drops Medicaid Work Requirements, Reversing Bevin Policy

LEXINGTON, Ky. — Former Republican Gov. Matt Bevin’s controversial plan to impose work requirements and monthly premiums for many Kentucky Medicaid recipients is no more, Democratic Gov. Andy Beshear announced Monday. In one of his first major moves as the... Read More

Wexton Seeks to Restore Autonomy, Dignity to Nursing Home Residents on Medicaid
Entitlements
Wexton Seeks to Restore Autonomy, Dignity to Nursing Home Residents on Medicaid
2019-08-13 21:50:38
by Sean Trambley

In July, freshman Representative Jennifer Wexton, D-Va., introduced the Personal Needs Allowance Modernization Act to improve the financial security of Medicaid beneficiaries living in nursing facilities.  Currently, Medicaid beneficiaries who are eligible for nursing care must contribute almost their entire... Read More

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