ACA Round-Up: Bipartisan Market Stabilization Efforts Stall; Iowa 1332 Waiver Application Advances; And More
Talks on individual market stabilization measures collapsed as GOP leaders focus on the Graham-Cassidy legislation. CMS has preliminarily declared Iowa’s application for a 1332 state innovation waiver complete, opening a comment period on the most far-reaching such waiver application to date.
One non-medical service---transportation to medical appointments---has been part of Medicaid since its inception in 1966 and addresses one of the socioeconomic disadvantages that prevent Medicaid beneficiaries from accessing health services.
At a time when the specialty societies are delving deeper into measure development and need NQF’s expertise and technical assistance more than ever, NQF’s future is in jeopardy. Unless Congress acts, the annually authorized mandatory $30 million invested in the nation’s quality measurement work...
In 2017, some 151 million Americans rely on employer-sponsored coverage. Annual family premiums for employer coverage rose an average of 3 percent to $18,764 this year. Workers’ average contribution to family premiums has increased more rapidly than the employer’s share since 2012 (32% vs. 14%).
A single-payer health care system in the United States could eliminate the private health insurance system as we know it, squeeze costs out of the system by reducing administrative expenses and instituting global budgets, and provide universal coverage, while at the same time maintaining the...
Congress should learn a lesson from the success of banking industry and revise HIPAA and HITECH to allow providers and EHR vendors to charge fees for exchange of medical data.
The Department of Veterans Affairs Pharmacy Benefits Management Services and the Institute for Clinical and Economic Review (ICER) recently announced a collaboration in which the VA will use the ICER’s drug assessments as part of its formulary development and price negotiations.
CBO has issued a report on federal health coverage subsidies for those under 65 in the next decade. And slides at the REGTAP.info site outline measures to increase the role of agents and brokers in the exchanges, but lack of insurer payment for Marketplace enrollments may stand in the way.
There is a dearth of evidence on the impact of payment reforms within employer health plans. However, employers can play a role in generating and sharing the evidence that they seek.
The new Graham-Cassidy proposal aims to provide a temporary block grant to states to finance coverage for people who would be ineligible for Medicaid. But the funding pool would end in 2026, and the funding formula appears not to account for a significant proportion of the ACA’s Medicaid expansion.