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New CMS resources help states waive ACA requirements

Most states have gotten or are seeking the Section 1332 waivers to establish a reinsurance program to fully or partially reimburse insurers that are covering claims for high-risk beneficiaires.

The number of clinicians participating in advanced APMs increased

Participation almost doubled year-to-year, while the number of clinicians taking part in MIPS declined.

The number of clinicians participating in advanced APMs increased

Participation almost doubled year-to-year, while the number of clinicians taking part in MIPS declined.

UnitedHealthcare to start covering medical implant for sleep apnea

The device is a significant departure from traditional surgical treatments for sleep apnea.

CMS proposes 1.3% pay increase for home health but is ending prepayment of services

While CMS says it is now allowing therapist assistants to perform services, Premier says the agency’s definition requires a skilled professional.

CMS proposes new approach to monitoring protections for Medicaid beneficiaries

Current rule makes no sense as it applies only to fee-for-service and most Medicaid beneficiaries are now served through managed care, stakeholders tell CMS.

Trump Administration withdraws drug rebate rule

President Trump stands with HHS Secretary Alex Azar. Today the administration announced it would not implement a drug rebate rule.
Moody’s credit analysts called the move positive for health insurers that own large PBMs.

President Trump executive order, new payment models, target kidney disease

CMS said it would encourage development of wearable or implantable artificial kidneys through cooperation between developers and the FDA.

Appeals court appears ready to strike down Affordable Care Act

The ACA is not a Jenga tower that will collapse upon removing the piece of the individual mandate, America’s Health Insurance plans argues.

Affordable Care Act gets day in court

Appeals court scheduled to hear oral arguments, with no immediate decision expected.