Medicare / Medicaid / CHIP

Updates

protected content Nominations Move, Individual Markets, Litigation Update, and More

Good afternoon. I hope everyone is having a good week. It’s been a pretty busy last 2 weeks, between the executive transition, drama in Congress over nominations, the GOP policy retreat, ERIC’s board meeting last week, and more. Not to mention, a new executive order, specifying that for every new regulation the Administration puts out, they have to eliminate two others! This update will attempt to keep everyone abreast of these ongoing developments… More

protected content ACA Repeal and the Uninsured

The number of uninsured would more than double in a few years if federal lawmakers repeal the Affordable Care Act, according to a new analysis… More

protected content Michigan Governor Vetoes Repeal of Tax on Health Care Claims

Michigan Gov. Rick Snyder Thursday vetoed legislation, S.B. 987, which would have repealed a tax on paid health care claims… More

protected content Upcoming Calls, Dialysis Duplicity, ACA FAQs, AARP Sues EEOC on Wellness, MI Claims Tax, and More

Today’s agenda includes: (1) 3rd Thursday Call, (2) PCORI Meeting, (3) Dialysis Steerage, (4) AARP Sues EEOC, (5) MI Claims Tax, (6) ACA FAQs on Student Plans, and (7) NEW Upcoming webinars… More

protected content Shared Responsibility, ESRD Choice Act, FTC, and more!

Remember our last update, government shut down looming on September 30th? Well nothing has changed – fights continue over whether to provide relief funding to Flint, Michigan for the lead water crisis, or to hurricane-ravaged Louisiana. Seems like it has to be both or neither, and it’s looking like neither. But that could be better than another shutdown. Below are some updates on the health policy scene, opportunities for input and participation, and more… More

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Government Reports

protected content Review of Health Provisions Included in President Obama’s FY 2016 Budget

Today the president released his proposed budget ideas for Fiscal Year 2016, which starts this coming October 1. From my vantage point … More

protected content Indiana Receives Approval for New, Interesting Medicaid Expansion Plan

Article by Gretchen Young, ERIC Senior Vice President for Health Policy Yesterday CMS, the HHS agency that runs Medicare and Medicaid,… More

protected content HHS Secretary Burwell Sets Value-Based Goals for Medicare Payments

Yesterday HHS Secretary Sylvia Matthews Burwell announced a concrete goal near and dear to the hearts of many large employers: moving Medicare payments away from fee-for-service and towards paying for delivery of health care services on the basis of value and care coordination. … More

protected content Analysis of Health-Related Proposals in Obama Administration’s FY 2014 Budget

As promised, President Obama formally released his budget yesterday for Fiscal Year 2014 (which starts October 1, 2013 and runs through September 30, 2014.) Although the really earth-shaking developments are mostly on the retirement side, there were nonetheless some interesting developments on the health front … More

More Government Reports

Legislative Documents

protected content House Passes Doc Fix with a Hefty Bipartisan Vote; Next Stop: the Senate

Today the full House voted to pass the “doc fix”, a bill to reform fairly significantly the method by which doctors are paid under Medicare. The bipartisan vote was 392 – 37… More

protected content House and Senate Republicans Release Budget Proposals for FY 2016

This week both the House and Senate released narratives outlining the key elements of their respective budget proposals. The following is a brief description of what each budget proposal recommends with respect to health issues. … More

protected content What to Do with the ACA?  Review of Republican Alternative

Three Congressional Republicans, Sen. Orrin Hatch (R-UT), Chair of the Senate Finance Committee, Sen. Richard Burr (R-NC), and Rep. Fred Upton (R-MI), Chair of the House Energy and Commerce Committee, on February 5 released a narrative of their ideas for an alternative to the Affordable Care Act (ACA). … More

protected content Review of Health Provisions Included in President Obama’s FY 2016 Budget

Today the president released his proposed budget ideas for Fiscal Year 2016, which starts this coming October 1. From my vantage point … More

protected content Analysis of Health-Related Proposals in Obama Administration’s FY 2014 Budget

As promised, President Obama formally released his budget yesterday for Fiscal Year 2014 (which starts October 1, 2013 and runs through September 30, 2014.) Although the really earth-shaking developments are mostly on the retirement side, there were nonetheless some interesting developments on the health front … More

Key Health Care Reform Legislative Documents (H.R. 3590 and H.R. 4872)

The House and Senate on March 25, 2010, approved the Health Care and Education Reconciliation Act (H.R. 4872), the "sidecar" reconciliation… More

More Legislative Documents

Letters to Agencies

ERIC Urges CMS to Eliminate Proposed cut to Medicare Advantage Retiree Coverage

ERIC joined the Coalition to Save Medicare Advantage Retiree Coverage to urge the CMS to eliminate the proposed cut to MA Retiree Coverage in the CMS 2017 Final Notice set to be released on April 4th. This Coalition sent a letter opposing the cuts to CMS Acting Administrator Andy Slavitt on March 22 … More

ERIC Expresses Concern over Proposed Changes to Medicare Advantage Capitation Rates

ERIC, along with several other business trade organizations, on March 6 wrote to Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner expressing concern with the Advance Notice of Methodological Changes for Calendar Year 2015 for Medicare Advantage (MA) Capitation Rates … More

ERIC Urges CMS to Reconsider Restrictive Requirements on Part D Automatic Prescription Refills

ERIC, along with several other employer business groups, on June 11 wrote to the Centers for Medicare and Medicaid Services urging the agency to reconsider unnecessarily restrictive requirements on automatic prescription refill programs under Medicare Part D. … More

More Letters to Agencies

Letters to Congress

ERIC and Over 400 Organizations Express Opposition to House Health Care Reform Bill

ERIC and over 400 other companies and organizations on November 4 wrote to House Speaker Nancy Pelosi (D-CA) and Minority Leader John… More

More Letters to Congress

Policy Briefs

Overview of the Final Health Care Reform Law

The House and Senate on March 25 approved the Health Care and Education Reconciliation Act (H.R. 4872), the sidecar reconciliation bill that… More

ERIC and Over 400 Organizations Express Opposition to House Health Care Reform Bill

ERIC and over 400 other companies and organizations on November 4 wrote to House Speaker Nancy Pelosi (D-CA) and Minority Leader John… More

More Policy Briefs

Regulatory Documents

protected content IRS Guidance Addresses Treatment of Employer Payment Plans

In recently published Notice 2015-17, the IRS provides additional guidance on the treatment of “employer payment plans” (EPPs). … More

protected content New ACA FAQ Issued on Supplemental Excepted Benefits

The tri-agencies (HHS, Labor, and Treasury) recently issued FAQ Part XXIII to slap down the dastardly persons who are selling supplemental benefits that provide a single benefit while trying to pass these policies off as excepted benefits. … More

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Updates on TRRP, Indexing the “Affordability” Percentage, and Minimum Essential Coverage and Affordability for Individuals

Gretchen Young, ERIC Senior Vice President for Health Policy, reviews recent developments regarding TRRP, indexing the “affordability” percentage, and minimum essential coverage and affordability for individuals.… More

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Covington & Burling Summarizes Treasury Final Regulations on Additional Medicare Tax and Investment Income Tax

The Treasury Department and IRS on November 29 published in the Federal Register final regulations relating to Additional Hospital Insurance Tax on income above threshold amounts, as added by the Affordable Care Act. … More

More Regulatory Documents