Affordable Care Act

Federal Health Policy Update for Monday, June 28

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, June 28. Some of the language used below is taken directly from government documents. Supreme Court Decision in Affordable Care Act Case The Supreme Court has declined to hear an appeal of a case in which insurers unsuccessfully sued to recover reductions in their Affordable Care Act federal cost-sharing reduction payments. White House The White House has posted a transcript of the June 22 press briefing given by its COVID-19 response team and public health officials. Department of Health and Human Services [...]

admin2021-06-28T17:33:25+00:00June 28, 2021|Affordable Care Act, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid managed care, Medicare, MedPAC|

Federal Health Policy Update for Monday, June 21

The following is the latest health policy news from the federal government as of 2:15 p.m. on Monday, June 21. Some of the language used below is taken directly from government documents. Supreme Court Decision in Affordable Care Act Challenge The Supreme Court upheld the constitutionality of the Affordable Care Act in the California v. Texas case by a 7-2 vote in which the court concluded that the plaintiffs did not have standing to pursue the matter because they were not directly harmed. See the court’s opinion here. White House The White House has posted a transcript of the June [...]

admin2021-06-21T21:31:34+00:00June 21, 2021|Affordable Care Act, Coronavirus, COVID-19|

Feds Rescind Texas Medicaid Waiver

A federal Medicaid waiver approved for the state of Texas in the waning days of the Trump administration has been rescinded by the Biden administration. The waiver called for spending as much as $100 billion for health care for low-income Texans over the next ten years. Officially, the Centers for Medicare & Medicaid Services revoked the waiver on technical grounds, maintaining that the agency “… erred in exempting the state from the normal public notice process – a critical priority for soliciting stakeholder feedback and ensuring public awareness.” The Washington Post, however, reports that according to two unnamed federal health [...]

admin2021-04-22T06:00:32+00:00April 22, 2021|Affordable Care Act, Centers for Medicare & Medicaid Services, Medicaid|

Federal Health Policy Update for Wednesday, March 24

Beginning today, DeBrunner & Associates is expanding its regular updates to encompass a broader scope of federal health policy endeavors to include other matters of importance to providers. Feel free to share this newsletter with others in your organization or to send us the email addresses of those you think might be interested and we will send it directly to them. The following is the latest such information from the federal government as of 2:45 p.m. on Wednesday, March 24. Congress The temporary delay of implementation of the Medicare two percent sequester expires at the end of the month and [...]

admin2021-03-25T08:51:40+00:00March 25, 2021|Affordable Care Act, Coronavirus, COVID-19|

ACA Medicaid Expansion Cut Young Adult Uninsurance in Half

The number of uninsured young adults fell nearly 50 percent after the Affordable Care Act authorized states to expand their Medicaid programs, a new study has found. According to the Urban Institute, the uninsured rate among people between the ages of 19 and 25 fell from 30.2 percent to 16 percent between 2011 and 2018, with most of the decline coming between 2013 and 2016, when the first round of states expanded their Medicaid programs. The decline in the rate of uninsured young adults mirrored declines in the overall U.S. uninsured rate, which fell from 27.7 percent to 11.3 percent [...]

admin2021-02-25T13:00:37+00:00February 25, 2021|Affordable Care Act, Medicaid|

Coronavirus Update for Friday, January 29

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Friday, January 29. The Biden Administration The Biden administration has issued an “Executive Order on Strengthening Medicaid and the Affordable Care Act” to make it easier for the uninsured to get coverage during the COVID-19 pandemic. The order: reopens access to the federal Affordable Care Act health insurance marketplace for three months, from February 15 through May 15, and restores some of the Affordable Care Act exchange marketing funds that had been eliminated by the previous administration and calls for the review of all [...]

admin2021-02-01T06:00:16+00:00February 1, 2021|Affordable Care Act, Coronavirus, COVID-19, Medicaid|

Azar: Budget Proposes Reducing Medicaid Matching $

The federal government would reduce its financial commitment to state Medicaid programs under the FY 2021 budget the Trump administration proposed earlier this month. While testifying before the Senate Appropriations Committee’s Subcommittee on Labor, Health and Human Services and Education, Health and Human Services Secretary Alex Azar acknowledged that the administration’s proposed FY 2021 would eliminate the enhanced rate at which the federal government matches state funds used to serve individuals who enrolled in Medicaid through the Affordable Care Act’s Medicaid expansion provision. That enhanced rate calls for the federal government to pay 100 percent of the costs associated with [...]

admin2020-02-28T09:33:40+00:00February 28, 2020|Affordable Care Act, Medicaid|

CMS Introduces New Approach to Medicaid Block Grants

States would be able to convert part of their Medicaid programs into block grants under a new program introduced by the federal government. The program, which the Centers for Medicare & Medicaid Services calls “Healthy Adult Opportunity,” would encompass services only for adults under the age of 65 who are not eligible for Medicaid because of disability or the need for long-term care, services, and supports and who are not otherwise eligible for the pre-Affordable Care Act Medicaid program. Under the program, states can develop either a total expenses model or per enrollee model for their block grants and would [...]

admin2020-01-31T06:00:43+00:00January 31, 2020|Affordable Care Act, Medicaid|

States Not Waiting for Feds to Act on More Affordable Health Insurance

Frustrated over the inability of the federal government to develop and implement policies that make health insurance more affordable, a number of states are taking matters into their own hands in a variety of ways. In 2018 and 2019 at least a dozen states enacted policies designed to make health insurance more affordable. Among the steps they took where: premium stabilization programs requirements to maintain adequate coverage financial assistance to improve coverage affordability regulation of non-Affordable Care Act-compliance coverage rules to promote marketplace competition state coverage options standard plan designs open enrollment extensions transitional policies Learn more about what states [...]

admin2020-01-21T06:00:27+00:00January 21, 2020|Affordable Care Act|

Medicaid Expansion Slows Opioid Deaths

Opioid deaths are less likely to occur in states that expanded their Medicaid programs under the Affordable Care Act, according to a new study. According to the study, Adoption of Medicaid expansion was associated with a 6% lower rate of total opioid overdose deaths compared with the rate in nonexpansion states... Counties in expansion states had an 11% lower rate of death involving heroin… and a 10% lower rate of death involving synthetic opioids other than methadone… compared with counties in nonexpansion states. In addition, Medicaid expansion, the study found, has made treatment for substance abuse disorders more widely available. [...]

admin2020-01-16T06:00:49+00:00January 16, 2020|Affordable Care Act, Medicaid|