Phil Galewitz
Phil Galewitz covers Medicaid, Medicare, long-term care, hospitals and various state health issues. He has covered the health beat for nearly two decades. He is a board member of the Association of Health Care Journalists.
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Trump administration wants to overhaul Medicare accountable care organization program
Seema Verma, administrator of the Centers for Medicare & Medicaid Services, said it’s wrong to have ACOs that can only make profits but not risk any losses. “We want to put the accountability back into Accountable Care Organizations,” she said during a briefing with reporters.
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Trump administration slashes funding to insurance navigator groups months ahead of open enrollment for ACA
CMS Administrator Seema Verma said the navigators that operate in the 34 states that use the federal marketplace — including many health and religious organizations — were ineffective and had outlived their usefulness.
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Payer’s Place: Dawn Maroney
Dawn Maroney, President, Markets of Alignment Health and CEO of Alignment Health Plan, to discuss how they are using technology to provide better service and care to consumers.
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Federal judge strikes down work requirement for Medicaid recipients
The 60-page ruling, which is likely to be appealed, was hailed by advocates for the poor. But it could limit the number of states expanding Medicaid under the Affordable Care Act.
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CMS administrator declines to share her own conclusions on Medicaid ‘scorecard’
Seema Verma, administrator of the Centers for Medicare and Medicaid Services, refused to discuss the findings in any detail or comment on any individual states that performed poorly or exceptionally.
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What will be impact of Trump’s plan to rescind Children’s Health Insurance Program funding?
CHIP, which covers 9 million children from low-income families that earn too much to qualify for Medicaid, is mostly federally funded. But states operate the program within federal guidelines.
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CMS rejects state’s proposal to place caps on some Medicaid enrollees
The Centers for Medicare & Medicaid Services rejected a proposal from Kansas to place a three-year lifetime cap on some adult Medicaid enrollees. Arizona, Utah, Maine, and Wisconsin have also requested lifetime limits on Medicaid.
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GAO: Medicaid experiments aren’t being properly evaluated to determine if they improve care, save money
The use of Medicaid demonstration programs accelerated during the 1990s. But in recent years the experiments have often reflected the political leanings of state officials or the party controlling the White House.
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Employers find ways around FDA crackdown on drug imports to reduce prescription costs
Congress has passed legislation legalizing the importation of prescription drugs several times in the past 20 years, but both Democratic and Republican administrations have opted not to implement it.
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Florida stores get swept up in FDA’s crackdown on imported drugs
In a speech earlier this month, FDA Commissioner Scott Gottlieb said the agency would be stepping up its work to prevent the importation of drugs into the United States,
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Applying Remote Patient Monitoring to Surgery Prep and Recovery, Oncology and Women’s Health
Join us to learn about the latest trends in remote monitoring and how to extend its benefits beyond chronic conditions to more patients – all while using fewer staff resources.
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Just in time for open enrollment, HHS will limit healthcare.gov availability on Sundays
Critics say the Trump administration is intentionally undermining ACA, through regulatory actions. It shortened the enrollment period, withdrew money for advertising and cut the budget for navigator groups, which help people shop for plans.
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The overall number of uninsured in the U.S. is at a record low
States that expanded Medicaid had an average uninsured rate of 6.5 percent compared with an 11.7 percent average among states that did not expand, the Census Bureau reported.
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What will happen if Trump cuts cost-sharing subsidies? The Congressional Budget Office numbers are in
The payments have faced a legal challenge from House Republicans for several years, and Trump has threatened to drop the funding as part of his effort to let the “health care law implode.”
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MedCity News eNewsletter, Policy
Poll shows most Americans want Trump Administration to make ACA work and not let it fail
Half of Republicans (52 percent) and President Donald Trump’s supporters (51 percent) say Trump should be trying to make the health law work, according to poll conducted by the Kaiser Family Foundation.
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In ACA repeal and replace aftermath, states may seek waivers from Trump administration to reduce Medicaid recipients
Indiana, Arkansas, Kentucky, Arizona and Wisconsin are seeking the administration’s permission to require adult enrollees to work, submit to drug testing and demand that some of their poorest recipients pay monthly premiums or get barred from the program.
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Texas wants Trump administration to renew $6.2B Medicaid deal to finance care for the poor
Half the money is used to help hospitals finance care for the uninsured, and the rest goes to hospitals and other providers to test regional programs to improve care and access.
Promoted
Payer’s Place: Dr. Anil Singh
Dr. Anil Singh shares his insights into the strategies employed by the organization to identify the most effective digital solutions for their members.
Promoted
Discover the Next-Gen Platform for Integrated Collaborative Care
Beyond EHRs and digital front doors, reducing the gaps in patient care journeys.
