You are here

Policy

 

The Senate will not vote on the Republican plan to repeal and replace the Affordable Care Act before the July 4 recess. Majority Leader Mitch McConnell, R-Kentucky, informed his Republican colleagues at a June 27 lunch, according to multiple news outlets.

Some 22 million more people would be uninsured by 2026, deductibles and out-of-pocket costs would sharply rise while premiums would be lower and certain markets could be unstable if the Senate’s version of an Affordable Care Act repeal-and-replace plan becomes law, according to the Congressional Budget Office.

Reaction to the Senate’s version of an Affordable Care Act repeal-and-replace plan, titled the Better Care Reconciliation Act (BCRA) ranged from strong opposition from physician and hospital groups to outrage from Democrats, while one insurance organization saw some positives in the legislation.

Groups representing physicians, hospitals, internists and health IT were quick to praise the proposed rule for the second year of the new payment tracks under the Medicare Access and CHIP Reauthorization Act (MACRA). The American Medical Group Association, however, has a decidedly different take.

The legislation takes many provisions from the House-passed American Health Care Act (AHCA) under a new name: the Better Care Reconciliation Act (BCRA).

 

Recent Headlines

SGR Repeal Faces a New Threat: Politics

House Republicans may tie passing a permanent repeal of the sustainable growth rate (SGR) formula to delaying the Affordable Care Act (ACA) individual mandate on buying health insurance.

Doctors Seek CMS Help on ACA Insurer Rule that Puts Practices at Risk

Current requirements for when insurers must tell physician practices that a patient’s Affordable Care Act (ACA) insurance exchange purchased health plan is in danger of being cancelled could leave doctors unreimbursed for their services warned more than 80 state and national organizations in a letter to CMS.

Senators Introduce Bill to Fix “Two Midnight Rule”

U.S. Senators Robert Menendez (D-N.J.) and Deb Fisher (R-Neb.) have introduced legislation that would require CMS to change its new guidelines around when a Medicare patient hospital stay is judged to be an inpatient stay.

California Ballot Initiatives Seek to Limit Hospital Executive Salaries and Prices

Two ballot initiatives in California tap into public frustration about the high cost of medical care and confusion about the difference between hospital charge master prices and the actual price for care.

Obama Budget Reveals Concern About Physician Shortage

The mismatch between the number of patients and the number of physicians available to treat them is not just a concern of hospital and medical group leaders. The administration revealed its concern about the physician shortage in its 2015 budget.

Insurance Industry Pushes Back Against Cuts to Medicare Advantage

America's Health Insurance Plans (AHIP) is pushing for CMS to use every ounce of flexibility it has to eliminate cuts to Medicare Advantage before it annouces the final 2015 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies.

GOP Doctors Caucus Officialy Endorses SGR Repeal

Efforts to pass a permanent repeal of the Medicare sustainable growth rate (SGR) formula got a boost as the House GOP Doctors Caucus went on record with its support.

ICD-10 Will Not Be Delayed, Now What?

The week of March 3 is CMS's national testing week for ICD-10 implementation, and it promises to be busy as CMS Administrator Marilyn Tavenner announced at HIMSS that there will be no change in the October 1 deadline for the switch.

SGR Repeal Has a New Price, Here’s How it May Be Paid For

The Congressional Budget Office has finished crunching the numbers for the permanent repeal of SGR formula negotiated and predicts that passing the bill will increase direct Federal spending by about $138 billion over the next 10 years.

Senators Introduce Bill to Remove 96-hour Certification Requirement for CAHs

Efforts to remove a pre-admission requirement designed to shorten Medicare patient stays at more expensive critical access hospitals (CAHs) got a boost as a bi-partisan companion bill was introduced to advance a legislative fix in the Senate alongside efforts in the House.

Pages