CMS delays effective date of certain CJR program changes to March 21

AHA News Now

The Centers for Medicare & Medicaid Services yesterday delayed, in accordance with a recent White House memorandum, the effective date of certain technical changes to the Comprehensive Care for Joint Replacement program from Feb. 18 to March 21. The delay applies to certain modifications made to the... read more

Topic: Advocacy and Public Policy
Tags: Medicare, regulation, bundled payment

Senators ask HHS secretary to protect access to health care in rural communities

AHA News Now

In a letter yesterday to Health and Human Services Secretary Tom Price, a bipartisan group of 41 senators representing rural states expressed interest in working with the administration to strengthen access to hospital and health care services in vulnerable rural communities. “Rural hospitals play a... read more

Topic: Advocacy and Public Policy
Tags: rural, access

Senate approves Mulvaney nomination for OMB director

AHA News Now

The Senate today voted 51-49 along party lines to approve President Trump’s nomination of Rep. Mick Mulvaney (R-SC) to serve as director of the Office of Management and Budget. An entrepreneur with private sector experience in law, real estate, homebuilding and restaurants, Mulvaney most recently served... read more

Topic: Advocacy and Public Policy
Tags: leadership, regulation

Senate Finance Committee holds confirmation hearing for CMS administrator

AHA News Now

The Senate Finance Committee today held a confirmation hearing for health care consultant Seema Verma, President Trump’s nominee to serve as Centers for Medicare & Medicaid Services administrator. During the hearing, Verma voiced support for helping rural and other health care providers avoid unnecessary... read more

Topic: Advocacy and Public Policy
Tags: Meaningful Use, Electronic Health Records, Medicare, rural, Medicaid, leadership, regulation

House holds hearing on bill to repeal antitrust exemption for health insurers

AHA News Now

The House Judiciary Committee today held a subcommittee hearing on legislation to repeal the antitrust exemption available to health insurers for anticompetitive conduct, including price fixing, bid rigging and market allocation. The Competitive Health Insurance Reform Act (H.R. 372), introduced last... read more

Topic: Advocacy and Public Policy
Tags: Coverage, antitrust

CMS releases proposed rule to stabilize Health Insurance Marketplaces

AHA News Now

The Centers for Medicare & Medicaid Services today issued a proposed rule designed to help stabilize the Health Insurance Marketplaces. The rule proposes changes in six areas: special enrollment periods; guaranteed issue; actuarial value; network adequacy; qualified health plan certification calendar; and... read more

Topic: Advocacy and Public Policy
Tags: Coverage, regulation

CMS: U.S. health spending projected to grow 5.6% annually over decade

AHA News Now

Under current law, national health expenditures are projected to grow an average 5.6% annually during 2016-2025, outpacing average projected growth in gross domestic product by 1.2 percentage points, the Centers for Medicare & Medicaid Services’ Office of the Actuary reported today. As a result, the... read more

Topic: Advocacy and Public Policy
Tags: Medicare, Coverage, Medicaid

SAMHSA delays implementation of substance use disorder confidentiality rule

AHA News Now

The Substance Abuse and Mental Health Services Administration today postponed the effective date of its final rule on confidentiality of substance use disorder patient records to March 21. The Office of Management and Budget last month published a memorandum calling for heads of executive departments and... read more

Topic: Advocacy and Public Policy
Tags: regulation, Behavioral health, HIPAA

Humana to exit Marketplaces in 2018

AHA News Now

Humana this week announced plans to withdraw from the Health Insurance Marketplaces in 2018. “[B]ased on its initial analysis of data associated with the company’s health care exchange membership following the 2017 open enrollment period, Humana is seeing further signs of an unbalanced risk pool,” the... read more

Topic: Access and Coverage
Tag: Coverage

Aetna and Humana end merger agreement

AHA News Now

Aetna announced today that it would not appeal its loss in U.S. District Court last month. It will pay Humana $1 billion as a result. The court blocked Aetna’s proposed acquisition of Humana, concluding it was likely to substantially lessen competition for individual Medicare Advantage plans in all 364... read more

Topic: Advocacy and Public Policy
Tags: acquisitions, mergers, Coverage, antitrust

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