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Posts tagged with "Trump Administration"

CMS Rules

ACA Exchange Plans Required to Exhibit Star Ratings in 2020

The Centers for Medicare and Medicaid Services (CMS) announced Aug. 15 that all plans on HealthCare.gov will be required to display quality star ratings during the 2020 open enrollment. CMS said in a news release, the move builds on efforts by the Trump Administration to increase transparency and encourage informed coverage...
National News

GAO: Congress Permitted to Overturn Trump Innovation Waiver Guidance

Early last week the Government Accountability Office (GAO) issued a decision stating Congress can review and overturn Trump Administration guidance regarding Section 1332 waivers, or innovation waivers, that have loosened Affordable Care Act restrictions and opened gateways for states to overhaul individual exchanges. An October...
National News

Trump Reversal: Medicare Beneficiaries Won't Get Drug Rebates at POS

The plan would have detoured drug rebates from insurers and PBMs to Medicare beneficiaries at the pharmacy counter, but after the Congressional Budget Office predicted it would increase Medicare spending by around  $177 billion over a decade and could lead to higher premiums, the administration scrapped the plan. Americans learned of...
Arizona News

ACA Constitutionality: Texas v. Azar Update

The lawsuit calling into question the Affordable Care Act's (ACA) constitutionality brought on by 20 red state attorneys general has made its way back into the limelight after the Fifth Circuit Court of Appeals asked parties involved in Texas v. United States to address three questions sent out by the office of the clerk last...
Arizona News

Trump Administration's HRA Final Rule Expands Coverage Options for Small Businesses

The Trump administration finalized a new rule last week, further chipping away at the Obama administration’s healthcare legacy by allowing employers to set aside tax-preferred funds and pay money into employee health reimbursement accounts (HRAs). Employees can later retrieve that money to purchase healthcare coverage on the...
Arizona News

Medicaid Work Requirements Blocked in Kentucky and Arkansas

The Trump administration took a blow last week in healthcare policy as a federal judge blocked Medicaid work requirements in both Kentucky and Arkansas. Currently, eight states have received approval form the Centers for Medicare and Medicaid Services (CMS) for waivers to establish work requirements, the most recent being Arizona, which...
Arizona News

Proposal Requiring Drug Prices to be Featured in TV Ads May Move Forward, Much to the Chagrin of Drug Makers

In a continued fight against soaring drug prices, the Trump administration is moving forward with a proposal introduced in Oct. 2018 that would require drug manufactures to feature the list prices of its products during television commercials. According to The New York Times, the White House is currently in the process of...
Arizona News

Increasing Transparency: CMS Updates Drug Spending Dashboards

Prescription drug spending and pricing data for 2017 was added to the Centers for Medicare and Medicaid Services' (CMS), updated drug dashboards to indicate spending per dosage of prescription drugs under Medicaid and Medicare Parts B and D. The data is tracked by changes in the average spending per dose. In its first update since...
National News

Democrats to Defend the ACA in Federal Court

The U.S. Court of Appeals for the Fifth Circuit has granted the Democrat-controlled House of Representatives' petition to intervene in Texas v. Azar, the lawsuit calling into question the constitutionality of the Affordable Care Act (ACA). But the Lousiana-based federal court of appeals denied a request filed by blue states to expedite...
Arizona News

A White House Report Suggest Trump's Changes to ACA Were Beneficial to the Law

A new report coming from the White House argues that the Trump administration's changes to the Affordable Care Act (ACA) have had a beneficial effect on its marketplace. The Council of Economic Advisors (CEA) report suggests the policy mandate changes actually do not undermine the law. It is an argument against the Democratic claim that...
National News

New Study Reveals States Face Obstacles in Regulating Short-Term Plans

A new study released last month by the Georgetown Center on Health Insurance Reforms dove into states and their experience overseeing short-term insurance, which expanded from three to 12 months under the Trump administration. The study found that state officials are lacking data about which insurers are actively marketing the...
Arizona News

Federal Judge Places Nationwide Injunction on Rule Limiting Contraceptive Coverage

A federal judge in Philadelphia conceded to requests from a dozen states to temporarily block the Trump administration's motion that would make it more difficult for women to receive coverage for contraceptives by allowing employers to deny based on moral or religious grounds. On Monday U.S. District Judge Wendy Beetlestone put a...
Arizona News

ACA Deemed Unconstitutional by Texas Judge - What it Means for Healthcare

A federal judge in Fort Worth, Texas ruled the Affordable Care Act (ACA) unconstitutional on Friday, leaving those enrolled in the ACA uncertain in terms of the law's future. No changes will be made to the 2010 act that is still law as appeals are being filed, the case does have the possibility of reaching the U.S. Supreme...
Arizona News

CMS Waiver Concepts Spark Controversy as Attempt to Undermine the ACA

Last week, the Centers for Medicare and Medicaid Services (CMS) released four State Empowerment and Relief waiver concepts for states to utilize under the Affordable Care Act’s (ACA) section 1332. CMS aims to encourage innovation and reduce burdens with the waivers, an action commended by Health and Human Services (HHS) secretary Alex...
Arizona News

CMS Proposes New Rule to Impact Skyrocketing Drug Costs

On Monday, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to lower prescription drug costs for beneficiaries by making changes to Medicare Part D. The proposal could give insurers negotiating powers on drug prices by offering an expectation that plans would implement broader use of prior authorization (PA)...
Arizona News

Immigrant Families Fearful to Seek Healthcare Due to Proposed Public Charge Rule

The Department of Homeland Security announced the proposal of a “public charge” in September that if enacted, would authorize the government to issue penalties to immigrants using federal programs such as Medicare or Medicaid funded through taxpayer-dollars. A “public charge” assesses the likeliness of an immigrant being...
Arizona News

Post-Midterm Elections: Healthcare Stocks and a Peek Inside Future Healthcare Policy

Last month, a global stock market sell-off sent the S&P 500 into dangerous waters, having analysts discussing potential bear market climates but stocks rallied this week and healthcare was leading the numbers following the midterm elections. PricewaterhouseCoopers (PwC) released an analysis today regarding the effects midterm...
National News

The Trump Administration Rolls Out New Proposal to Expand HRAs

A proposal to lift a prohibition on allowing companies to take advantage of health reimbursement arrangements (HRA) dating back to the Obama administration is slated to reshape employee-based healthcare.  Announced Tuesday, the expansion of HRAs would enable employers to use them to pay for health insurance premiums, allowing...
National News

New Guidance Waiver Aims to Give States More Choices and Flexibility

On Monday, the Centers for Medicare and Medicaid Services (CMS) along with the Department of the Treasury released revised guidance giving states more regulatory power with innovation waivers under the Affordable Care Act (ACA). The way CMS evaluates and accepts waivers regarding innovation for each state's individual market is...
CMS Proposed Rule Requires Drugmakers Advertise Prices National News

CMS Proposed Rule Requires Drugmakers Advertise Prices

On Monday, the Centers of Medicare and Medicaid Services (CMS) proposed a rule that would require drug companies to list drug costs in their direct-to-consumer advertisements. In an initiative to inform beneficiaries of drug costs, the agency anticipates it will help minimize their out-of-pocket costs along with Medicare and Medicaid...
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