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The Daily Scan

Last Updated: 1:45 PM EST


  • The Trump administration announced on Saturday that because of a United States District Court ruling for the District of New Mexico from earlier this year, CMS is prevented from making further collections or payments under the risk adjustment program, including amounts for the 2017 benefit year, until the litigation is resolved. CMS Administrator Seema Verma commented: “We were disappointed by the court’s recent ruling. As a result of this litigation, billions of dollars in risk adjustment payments and collections are now on hold. CMS has asked the court to reconsider its ruling, and hopes for a prompt resolution that allows CMS to prevent more adverse impacts on Americans who receive their insurance in the individual and small group markets." (CMS.gov)


  • In a July 6 letter to Acting Director of CMS Timothy Hill, the National Health Law Program and two other advocacy groups argued that the Kentucky governor's application to cut vision, dental, and non-emergency medical transportation services is procedurally flawed, and therefore CMS must reject it and reverse the cuts to Medicaid services in Kentucky. (HealthLaw.org)

  • Last week, the state of Mississippi revised its request to impose work requirements on its Medicaid beneficiaries in response to federal concerns that its original proposal would have left some without insurance. (Medicaid.gov)


  • Maryland Governor Larry Hogan, together with Seema Verma, Administrator of the federal Centers for Medicare and Medicaid Services (CMS), today signed and officially enacted Maryland’s Total Cost of Care All-Payer Model, known as the “Maryland Model,” in a signing ceremony at the Maryland State House. Governor Hogan and Administrator Verma were joined by Maryland Department of Health Secretary Robert Neall, Senate President Thomas V. “Mike” Miller, Speaker of the House Michael Busch, as well as numerous healthcare industry representatives and advocates. The Maryland Model is an innovative approach to healthcare provider payment that is unique to Maryland and made possible via a contract between CMS and the state. The new model contract is expected to provide an additional $300 million in savings per year by 2023, totaling $1 billion in savings over five years. (Governor.Maryland.gov)


  • On Friday, the Department of Health and Human Services (HHS) issued a press release assuring the public that the agency knows the identity and location of every minor in the care of grantees funded through the Office of Refugee Resettlement (ORR). HHS Secretary Alex Azar commented: “HHS knows its mission. We’re executing on that mission, and we’re working to protect the welfare of the children with whom we have been entrusted.” (HHS.gov)

  • On Friday, the U.S. Food & Drug Administration (FDA) released draft guidance for the content and format of labeling for prescription drug and biological products. Recommendations include general principles to consider when drafting the “Indications and Usage” section of the labeling; what information to include in this section; when to include additional descriptors or qualifiers; when to include limitations of use; and how to write, organize, and format the information within the section. The purpose of this guidance is to help ensure that the “Indications and Usage” section is clear, concise, useful, and informative and, to the extent possible, consistent within and across drug and therapeutic classes. (FDA.gov)

#Litigation #Medicaid #Regulation


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