Policy and Legislation
CMS said it’s taking action to end the duplicate enrollments, saying it could potentially save taxpayers about $14 billion annually.
The AGs said a rule targeting 'improper' enrollments would cause widespread loss of insurance coverage and increase premiums.
The bill would double the federal investment in rural health care while reversing future changes to Medicaid hospital funding.
The agency is also proposing to phase out the Inpatient Only list (IPO) over a three-year period.
CMS will negotiate outcomes-based agreements with CGT manufacturers on behalf of state Medicaid agencies.
CMS says it also wants to calculate more accurate payment rates for certain services.
PBM provision, silver loading left out of final version of One Big Beautiful Bill Act due to Byrd Rule.
AHA: "The number of individuals who will lose health coverage - cannot be simply dismissed as waste, fraud, and abuse."
The policy would have prevented PBMs from having their compensation linked to the list price of medications.
Fund will fall short of addressing other bill provisions such as provider tax cuts, says National Rural Health Association.