Lawmakers signal fight for healthcare reform is not over

Lawmakers on Sunday signaled that the fight for healthcare reform isn’t over, despite President Trump being dealt a major defeat when the GOP declined to vote on a healthcare bill that faced failure in the House.

The chairman of the conservative House Freedom Caucus — an instrumental group in dooming in the bill — promised Sunday that the failure of the Republican attempt to repeal and replace ObamaCare was not the end of the healthcare debate.

Freedom Caucus Chairman Mark Meadows (R-N.C.) was echoed by both Republican and Democratic senators who took to the Sunday political shows to say healthcare is not an issue of the past.

The sentiment come after President Trump this weekend signaled he would move on to other legislative priorities — such as tax reform — and put healthcare reform aside in the aftermath of the chaotic week.

Meadows emphasized that factions of the Republican Party need to find consensus to implement successful healthcare reform moving forward.

“This is not the end of the debate,” he said on ABC’s “This Week.””We may be in overtime, but I can tell you at the very end of the day, the most valuable player will be President Trump on this, because he will deliver. He’s […]

By |March 27th, 2017|Health Reform|Comments Off on Lawmakers signal fight for healthcare reform is not over

Hospitals Could See Antifraud Push Under Trump Budget

Training and research funding cuts also could affect hospitals.
President Donald Trump’s proposed FY18 budget would double down on revamping federal antifraud efforts in health care to shift away from a so-called pay-and-chase approach and toward prepayment claim review.

The budget proposed a $70 million boost in the Health Care Fraud and Abuse Control (HCFAC) program’s $681 million budget, which the Centers for Medicare & Medicaid Services (CMS) has used to shift from its traditional “pay-and-chase” model to one that prevents payments seen as likely fraudulent or improper.

HCFAC recouped $5 for every $1 it spent in 2014-16, according to the administration.

“The message to providers—particularly hospitals—is that, based on this Tom Price has said, the goal is to get to a system that is more like commercial insurers use,” said Emily Evans, managing director of healthcare policy for Hedgeye, an investment research firm.

The federal government has been moving toward the prepayment review approach using analytics to identify “bad actors,” but so far that approach generally has been limited to individual advance reviews by Medicare administrative contractors (MACs).

“When you talk about Medicare, that would scare the heck out of a hospital because […]

By |March 24th, 2017|Health Reform, Medicare/Medicaid|Comments Off on Hospitals Could See Antifraud Push Under Trump Budget

GOP leaders unveil changes to healthcare bill

House Republican leaders on Monday night released a set of changes to their ObamaCare replacement bill, as they seek to win more votes for the legislation.

The changes include two measures that conservative Republican Study Committee members won at the White House on Friday: allowing states to require Medicaid recipients to work and allowing states to choose a Medicaid block grant over the cap system in the current bill.

The revisions also include a change targeted at New York state that is expected to bring on board several wavering Empire State Republicans. That change would cut off federal Medicaid reimbursement for county contributions to Medicaid.

New York Republican lawmakers argue this will relieve counties from having to pay into Medicaid and lead to property tax relief for constituents. But Democrats are already labelling that change a “backroom amendment.”

The House changes – which come in the form of a manager’s amendment –  also contain nods to calls from lawmakers to increase tax credits for older people to address projected cost spikes under the GOP bill, without actually making that change. Instead, the House bill would enact a different, placeholder provision to increase a medical tax deduction, with roughly the same cost, $85 billion […]

By |March 21st, 2017|Health Reform, Medicare/Medicaid|Comments Off on GOP leaders unveil changes to healthcare bill

 

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