The House of Representatives last night voted 224-193 to pass a non-binding resolution denouncing recent Centers for Medicare & Medicaid Services guidance that gives states the option to request a defined amount of federal Medicaid funding to cover certain healthy adults. The guidance uses an approach commonly referred to as a “block grant” or “per capita cap,” depending on the structure, and permits states to request changes in Medicaid eligibility, covered benefits, cost sharing and other provisions through a Section 1115 waiver. 

Headline
Eli Lilly said June 1 it will deny 340B Drug Pricing Program discounts to providers that do not meet its documentation requirements by next week.In a statement…
Headline
The Centers for Medicare & Medicaid Services June 1 issued an interim final rule with comment period implementing the statutory requirement that certain…
Headline
The Centers for Medicare & Medicaid Services May 20 released a proposed rule that would modify policies governing Medicaid state-directed…
Headline
The White House May 18 announced an expansion of TrumpRx.gov, which now features more than 600 generic drugs. The direct-to-consumer platform serves as a hub…
Headline
A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …
Blog
Public
Patients are best served when insurers act as transparent and reasonable partners, not when they invoke patient protection laws to justify payment strategies…