ORIGINAL ANALYSIS
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Payment Innovation: Other
Congress held two innovation-related hearings on March 7.
Payment Innovation: Quality Payment Program
On May 8 the Senate Finance Committee held a hearing examining MACRA.
Insurance Coverage: Legislation
Senators Jeff Merkley (D-OR), Chris Murphy (D-CT), and Dianne Feinstein (D-CA) introduced the Choose Medicare Act, which would allow for any individual who is not already enrolled in Medicare or Medicaid to enroll in Medicare as an individual. This would be known as Medicare Part E and would be offered on all state and federal…
Prescription Drug: Legislation
On March 6, 2019, Senator Mike Braun (R-IN) introduced the Accelerated Drug Approval for Prescription Therapies (ADAPT) Act (S. 658), which would create an expedited drug approval process at FDA specifically for drugs that are currently approved for sale in developed countries.
Prescription Drug: Legislation
On March 6, 2019, Senator Mike Braun (R-IN) introduced the Drug Price Transparency (DPT) Act (S. 657), which would extend the idea of the HHS OIG PBM rebate rule to the commercial insurance market and prohibit PBMs from receiving any rebates or reductions in price from drug manufacturers.
Payment Innovation: Other
In a letter to CMS, Senate Finance Chairman Chuck Grassley (R-IA) pressed the agency for an update on their recovery of improper electronic health record incentive payments.
Insurance Coverage: Legislation
On January 24, 2019, the Medicaid Extenders Act of 2019 (H.R. 259) was signed into law. This law extends the Money Follows the Person program, among other things.
Insurance Coverage: Congress
On January 23, 2019, Representative Suzan DelBene led a letter to to the Centers for Medicare and Medicaid Services Administrator, Seema Verma, expressing concern related to the deadlines for the Medicare Shared Savings Program.
Insurance Coverage: Congress
Payment Innovation: Other
HELP committee holds final hearing on in health care cost series.
Insurance Coverage: Legislation
The Ensuring Coverage for Patients with Pre-Existing Conditions Act (S. 3388) was introduced on August 23rd by Senate Republicans in an effort to protect pre-existing conditions.
Insurance Coverage: Congress
On June 19, 2018 Republican leaders of the Senate Budget Committee sent a letter to the Secretary of Health and Human Services, Alex Azar, inquiring on improper payments made in the Medicare and Medicaid programs.
Insurance Coverage: Congress
Yesterday, Senate HELP Committee Chairman Lamar Alexander (R-TN) and Ranking Member Patty Murray (D-WA) announced a bipartisan agreement to provide for short-term stabilization of the individual health insurance market following President Trump’s recent decision to end distribution of cost sharing reduction payments (CSRs) previously available under the Affordable Care Act (ACA).
Insurance Coverage: Congress
Insurance Coverage: Stakeholder Engagement
In a May 22, 2017 letter, two conservative advocacy groups lay out their principals for the Senate’s health reform bill.
Insurance Coverage: Stakeholder Engagement
In a May 19, 2017 sign-on letter, major health care groups request the Senate take action to guarantee CSR funding through 2018.
Insurance Coverage: Congress
On January 25, 2017 U.S. Senator Rand Paul, M.D. (R-KY) introduced the Obamacare Replacement Act. Senator Paul’s plan offers some limited protections for those with pre-existing conditions, and seeks to address the cost of health care through expanded health savings accounts and tax credits. While legislative text is not yet available, a summary is available.
Insurance Coverage: Congress
On January 23, 2017 U.S. Senators Susan Collins (R-ME), Bill Cassidy, M.D. (R-LA), Shelley Moore Capito (R-WV) and Johnny Isakson (R-GA) released the legislative text for the Patient Freedom Act of 2017, a replacement plan for the Affordable Care Act that proposes a compromise to repeal – offering states the option to keep the Affordable…
Insurance Coverage: Congress
In a letter to the Republican Governors Association dated December 13, 2016, the Senate Finance Committee announced that it will convene a Governor Roundtable in January 2017 to discuss the sustainability and future of the Medicaid program.