House kills new ACA alternative: 6 key notes

After Vice President Mike Pence and other Trump administration officials resurrected a version of the American Health Care Act, U.S. House conservatives objected to the measure on April 5, 2017, the New York Times reports.

Here’s what you should know.

1. The measure would have allowed states to waive the ACA provision requiring payers to cover standard minimum package of benefits.

2. The alternative would also give states the right to waive the ACA provision requiring payers charge the same age group identical prices if they reside in the same geographical area.

3. NYT reports the measure would have gutted the ACA’s provision requiring payers to offer insurance to people with pre-existing medical conditions.

4. The House Freedom Caucus wanted to create high-risk pools, where sicker people would receive subsidized coverage.

5. The proposal did not make it into a bill, and conservatives never gave either idea “a full unadulterated blessing,” NYT reports.

6. Preceding a two-week spring recess, more conservative Republicans wanted to tell their voter base they were still working to repeal the ACA. But analysts and House conservatives said they were unlikely to focus on healthcare when drafting a budget resolution in advance of the new fiscal year.

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CMS' Verma recuses self from Kentucky Medicare work mandate decision: 5 key notes

CMS Administrator Seema Verma is recusing herself from the agency’s pending decision on Kentucky’s Medicaid work mandate waiver, Kaiser Health News reports.

Here’s what you should know.

1. Kentucky wants CMS to grant a waiver to put its proposed work requirement into effect. The requirement would require Medical recipients to be dutifully employed to receive benefits. Ms. Verma helped Kentucky overhaul its plan last year, and is recusing herself because of a conflict of interest.

2. Kentucky is the first state to propose a work requirement for Medicaid recipients.

3. Former President Barack Obama’s administration routinely denied such requests. President Donald Trump’s administration is “open to allowing such a work requirement,” KSN reports.

4. Kentucky’s proposal is similar to Indiana’s Medicaid expansion proposal, which Ms. Verma’s policy firm Indianapolis-based Strategic Health Policy Solutions designed. Kentucky’s expansion, like Indiana, would require all enrollees to make small monthly contributions toward their coverage

5. Ms. Verma’s recusal did not surprise health policy experts. The experts believe CMS will approve the waiver. They expect Ms. Verma to recuse herself from CMS’ decision on Indiana’s upcoming Medicaid expansion waiver as well.

More articles on coding, billing and collections:
Majority of Americans support ACA in new poll: 3 insights
Trump administration to maintain ACA’s cost-sharing subsidies to payers during lawsuit: 4 points
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© Copyright ASC COMMUNICATIONS 2017. Interested in LINKING to or REPRINTING this content? View our policies by clicking here.