Senate Parliamentarian Weighs In on Health Bill
Since Senate Republicans are looking to repeal the Affordable Care Act through budget reconciliation, the Senate parliamentarian has to approve the bill. However, the parliamentarian has ruled that provisions of the bill violate Senate rules and cannot be made under reconciliation, reported The New York Times. Cutting off federal funds for Planned Parenthood, prohibiting the use of federal subsidies to buy insurance plans that cover abortion, and making people wait 6 months for coverage after they have had a lapse in coverage are all being challenged by the parliamentarian.
Adjusting Indiana Medicaid Proposal
After proposing to include work requirements in the state Medicaid program, Indiana Governor Eric Holcomb received enough comments against the idea to change his mind a little. According to the Indy Star, the state has agreed to study whether adding a work requirement will make participants healthier as a result of their socioeconomic status improving. The state has also added to the list of people who would be exempt from the requirement, such as the chronically homeless and former foster children younger than 26 years. The proposal already excluded pregnant women, those being treated for substance abuse, the medically frail, and people older than 60 years.
Fixing the VA Budget Gap
The House of Representatives is moving to address a budget shortfall in the Department of Veterans Affairs (VA), but veterans’ groups are not happy with the newest plan. Veterans’ groups are saying the plan will privatize the VA by shifting $2 billion from other VA programs to continue funding a program that allows veterans to obtain care outside of the VA system, reported the Associated Press. Instead, the 8 groups are urging Congress to provide emergency funding without cutting other VA programs. The House plan would trim pensions for some veterans and collect fees for housing loans.
Urticaria Diagnosis Challenged by Overlapping Pruritic Skin Conditions
April 23rd 2025Urticaria is complicated to diagnose by its symptomatic overlap with other skin conditions and the frequent misclassification in literature of distinct pathologies like vasculitic urticaria and bullous pemphigus.
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New Research Challenges Assumptions About Hospital-Physician Integration, Medicare Patient Mix
April 22nd 2025On this episode of Managed Care Cast, Brady Post, PhD, lead author of a study published in the April 2025 issue of The American Journal of Managed Care®, challenges the claim that hospital-employed physicians serve a more complex patient mix.
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Personalized Care Key as Tirzepatide Use Expands Rapidly
April 15th 2025Using commercial insurance claims data and the US launch of tirzepatide as their dividing point, John Ostrominski, MD, Harvard Medical School, and his team studied trends in the use of both glucose-lowering and weight-lowering medications, comparing outcomes between adults with and without type 2 diabetes.
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ACOs’ Focus on Rooting Out Fraud Aligns With CMS Vision Under Oz
April 23rd 2025Accountable care organizations (ACOs) are increasingly playing the role of data sleuths as they identify and report trends of anomalous billing in hopes of salvaging their shared savings. This mission dovetails with that of CMS, which under the new administration plans to prioritize rooting out fraud, waste, and abuse.
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