While seven states have received CMS approval of work requirements, Arkansas is the first to put them in effect. The rest are either being challenged in court, or in the implementation phase – or in question as a Democratic governor succeeds a Republican one. Several more states – eight, by my latest count – have requests pending before CMS and that number could grow. Continue reading →
On a recent What the Health podcast, where I’m a frequent guest, we took some listeners’ questions. One was about what CMS does with all the data it collects on quality from health care facilities and providers – and whether there’s any evidence that the quality reporting actually improves outcomes for patients. Continue reading →
A federal judge in Texas has thrown out the Affordable Care Act – every single word of the sprawling law. As Michigan law professor Nick Bagley tweeted, even the calorie counts on restaurant menus are now at risk.
The Dec. 14 Texas decision, if upheld (a big if) threatens the coverage of roughly 20 million people covered in the ACA exchanges and through Medicaid expansion. (More on the numbers at the end of this post). Continue reading →
Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.
Don Berwick is a former administrator of the Centers for Medicare and Medicaid Services (CMS) under President Obama. Berwick’s long résumé includes leadership positions at the U.S. Preventive Services Task Force, the National Advisory Council of the Agency for Healthcare Research and Quality, the Institute of Medicine’s Governing Council, the IOM’s Global Health Board, and on President Clinton’s Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. He is president emeritus of the Institute for Healthcare Improvement. He also teaches at Harvard Medical School and is on staff at several major Massachusetts hospitals.
Prior to his keynote address on social determinants of health at the recent Institute for Healthcare Improvement conference in Orlando, Fla., Berwick sat with me to talk about some of today’s most pressing health care issues. [This interview has been edited for clarity and length.]Continue reading →
HHS has proposed a new rule that would make it easier for employers to help their workers cover medical expenses by using health reimbursement accounts (HRAs).
The proposal would allow employers to subsidize employees who buy their own health insurance either on or off the Affordable Care Act marketplaces. Employers who cover their workers — and that’s been more stable than many expected under the ACA — could give employees up to $1,800 a year (indexed to inflation) to finance HRAs, which are tax-advantaged accounts. That would go toward out-of-pocket costs. Continue reading →
The Trump administration has released new guidance that revamps the Affordable Care Act (ACA) state innovation waivers – also known as 1332 waivers – to give states more flexibility to expand access to less expensive non-ACA plans.
One of the biggest changes would be allowing people to use their ACA subsidies to buy insurance outside of ACA markets, including short-term plans or association health plans that don’t meet ACA coverage and patient protection rules. Continue reading →