What Will Health Policy Look Like Under A Trump 47 Administration?
As the Republican National Convention (RNC) begins this week, a Modern Healthcare article finds that the GOP platform is light on healthcare. However, it points to Trump 45’s record, documents from the House Republican Study Committee, and the Heritage Foundation’s Project 2025 for possible insights into a Trump 47 healthcare agenda. Culling it all together, policy likely will be fundamentally different from the current administration. Whether the Affordable Care Act (ACA) is repealed or not, coverage declines can be expected in the Exchanges and Medicaid. Despite some reform proposals, Trump has distanced himself from radical changes in Medicare. It is unknown if Trump would pick up his previous stances on drug pricing, which are much closer to President Biden’s views.
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#election2024 #healthcare #trump #biden
Chevron Sunset Opens Up Many Litigation Fronts
Interesting article in Modern Healthcare on the areas of healthcare policy that are probably heading to the courts after the sunset by the Supreme Court of the Chevron deference precedent. On the list is the Medicare Advantage (MA) risk adjustment rule, new dual eligible special needs plan (D-SNP) regulations, and nursing home staffing ratios.
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#chevrondeference #supremecourt #healthcare #regulations
Pitch Book Says PE Backed Providers Are Relatively Small
Pitch Book says that private equity (PE) backed provider firms are just 4% of overall revenue. It also notes that investment in provider entities is slowing. But more providers in terms of numbers have PE-backing. Notwithstanding the study, it is clear that far too many providers and hospitals are controlled by PE firms and the impact is pernicious.
#privateequityfirms #providers #healthcare
https://www.healthcaredive.com/news/private-equity-investment-healthcare-providers-pitchbook/720960
MITRE Has Recommended AI Strategies For Next Administration
The security consultancy MITRE has prepared recommendations on AI implementation and regulation for the next administration.
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#ai #healthcare
CMS Says It Has Safeguards To Protect Seniors As Medicare Drug Price Negotiations Roll Out
Responding to advocates and the drug lobby who say Medicare Advantage (MA) plans and standalone Part D plans could use restrictive measures (e.g., formulary exclusions, placements, or utilization management) to protect margins as Medicare drug price negotiations take effect, the Centers for Medicare and Medicaid Services (CMS) says it has regulatory tools to protect beneficiaries. While some points are fair, in general it is hard to convince me that the total package of drug reforms in the Inflation Reduction Act (IRA) does not provide major benefits.
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#ira #medicareadvantage #branddrugmakers #partd #pdp
Tackling Hospital Costs With Transparency
Sen. Mike Braun, R-IN, and Sen. Bernie Sanders, I-VT, are trying to pass their Health Care PRICE Transparency Act 2.0 to address soaring hospital costs. It would require hospitals, clinical diagnostic laboratories, imaging service providers, and ambulatory surgical centers to publicly disclose detailed pricing information for all their services in a consumer-friendly format.
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#transparency #pricetransparency #hosptials #providers
GA Work Requirements Means Low Enrollment
A year into Georgia’s expansion of Medicaid to 100% of the federal poverty level (FPL) with work requirements, few have enrolled. Just 4,300 Georgians have enrolled compared with about 500,000 eligibles if Georgia adopted a full Medicaid expansion (133% of FPL and no work requirements).
#medicaid #aca #obamacare #ga #coverage
https://apnews.com/article/medicaid-work-georgia-trump-97dac3117ab57fd3f772dd582d21d08a
Nursing Home Staffing Lawsuit Explained
Health Affairs Forefront Blog has a good article on the lawsuit field against the Biden administration’s finalized staffing ratio rule.
(Article may require a subscription.)
#nursinghomes #staffing #cms #regulations
— Marc S. Ryan
