In CMS
Mar 21st, 2017
It may be spring, but the freeze is still on in Washington, D.C. — the “Regulatory Freeze Pending Review” memorandum, or Freeze Memo, that is. The Freeze Memo encourages agencies to temporarily postpone the effective date of regulations that have been published in the Federal Register, but have not taken effect, for 60 days from the date ...
Mar 6th, 2017
During a Joint Address to Congress, Feb. 28, President Trump called on Democrats and Republicans to repeal and replace Obamacare with reforms that expand choice, increase access, lower costs, and provider better healthcare. “Mandating every American to buy government-approved health insurance was never the right solution for our country,” Trump said. “The way to make health insura...
Feb 10th, 2017
The Senate today confirmed Rep. Tom Price, R-Ga., as the new secretary of the U.S. Department of Health and Human Services (HHS). He replaces former HHS Secretary Sylvia Mathews Burwell. Background Price, a retired orthopedic surgeon from Atlanta, served on the House Ways and Means Committee, including the Subcommittee on Health. In the 114th Congress, Price ...
In CMS
Dec 28th, 2016
The Centers for Medicare & Medicaid Services (CMS) is creating a next generation risk adjustment model that will: (1) account for the number of individuals who had a Marketplace plan for less than 12 months; (2) better account for the risk of high-cost patients; (3) improve compensation for healthier members; and (4) use prescription drug ...
On November 19, one of the nation’s largest insurers announced they were second guessing their choice to sell coverage in the Affordable Care Act’s individual markets for 11 states. According to MSN, UnitedHealth’s “Losses from the plans this year and next will total more than half a billion dollars.” Although UnitedHealth was late to join ...