Tennessee Releases Medicaid Modified Block Grant Proposal

Tennessee recently released its proposal for a $7.9B “modified” block grant to fund their Medicaid program, TennCare. If approved, Tennessee would become the first state given permission to use the type of capped funding model encouraged by CMS. Click to read more.

Managed Care Friday

68: Percent of older adults who say the quality of care would not be as good as a face-to-face visit, according to a University of Michigan National Poll on Health Aging, with half saying they did not feel personally connected to the health care professional and 4 in 10 reporting difficultly seeing or hearing. The poll asked a national sample of 2,200 adults, ages 50 to 80, about their ‘tele’ experience. Prostate Story Twist: Nebraska Internist Marvin Bittner ended up buying one of those imaging vouchers through MDSave to cover an MRI his doctor thought was necessary to identify suspicious...

Trump Executive Order Establishes Medicare Policy Direction

President Trump has issued an Executive Order (EO) on the Medicare program. EOs do not directly establish federal regulations, but establish policy directives for the executive branch agencies. The EO covers a wide range of issues including Medicare Advantage, primary care, FDA and CMS approval and coverage processes, data transparency, FFS Medicare rates, and facilitating HSA utilization. Click to read more.

33 States Passed Laws This Year That Address Drug Pricing

Drug pricing is a major concern among voters, but Congress has not made much progress in addressing this issue. Instead, we are seeing activity to address this issue among the states. This year 33 states have enacted 51 laws that address access to and pricing of prescription drugs. Click to read more.

MA Enrollment Projections for 2020

Medicare Advantage plans project enrollment to grow another 9% in 2020, reaching 24.4 million enrollees, based on bids submitted to CMS. This would put MA on track to reach 40% of total Medicare beneficiaries in 2020, as the program is buoyed by widespread popularity. Click to read more.