Medicaid expansion takes a bite out of medical debt

As the Trump administration and Republicans in Congress look to scale back Medicaid, many voters and state lawmakers across the country are moving to make it bigger. On Nov. 7, Maine voters approved a ballot measure to expand Medicaid under the Affordable Care Act. Advocates are looking to follow suit with ballot measures in Utah, Missouri and Idaho in 2018. Virginia may also have another go at expansion after the Legislature thwarted Gov. Terry McAuliffe’s attempt to expand Medicaid.

NM insurance premiums jumped after Trump actions

New Mexicans who buy health insurance through the Affordable Care Act’s exchange will pay higher premiums this year, and recent actions by the Trump administration are a big reason why. Customers who earn $47,000 or more and are not covered by employers will see the largest bump. This all comes as open enrollment began on Nov. 1 and will run through Dec. 15.

Medicaid chief suggests feds are willing now to approve work requirements

The Trump administration signaled Tuesday that it would allow states to impose work requirements on some adult Medicaid enrollees, a long-sought goal for conservatives that is strongly opposed by Democrats and advocates for the poor. Such a decision would be a major departure from federal policy. President Barack Obama’s administration ruled repeatedly that work requirements were inconsistent with Medicaid’s mission of providing medical assistance to low-income people. The announcement came from Seema Verma, the head of the Centers for Medicare & Medicaid Services (CMS), who was scheduled to address the nation’s state Medicaid directors Tuesday. A press release issued in advance of the speech said allowing states to have work requirements is part of her plan to help give states more flexibility.

Stunner on birth control: Trump’s moral exemption is geared to just 2 groups

Few people were surprised last week when the Trump administration issued a rule to make it easier for some religious employers to opt out of offering no-cost prescription birth control to their female employees under the Affordable Care Act. But a separate regulation issued at the same time raised eyebrows. It creates a new exemption from the requirement that most employers offer contraceptive coverage. This one is for “non-religious organizations with sincerely held moral convictions inconsistent with providing coverage for some or all contraceptive services.”

So what’s the difference between religious beliefs and moral convictions? This story originally appeared on Kaiser Health News, a national health policy news service that is part of the nonpartisan Henry J. Kaiser Family Foundation.

Martinez not on board with latest ACA repeal attempt

Gov. Susana Martinez believes the health care overhaul bill that Senate Republicans are currently working on would hurt New Mexico and says they should instead work on a bipartisan effort. After NM Political Report and other outlets asked Martinez her stance on the Graham-Cassidy healthcare bill, Martinez’s office released a statement. Spokesman Joseph Cueto said it is “perfectly clear…that Obamacare is a complete disaster.”

“While it’s encouraging that Congress is working on a healthcare solution, the governor is concerned this bill could hurt New Mexico and still needs some work,” he said. “She believes we need a bipartisan approach that focuses on the insurance market to make health care affordable.”

Senators are expected to vote on the Graham-Cassidy bill, which is supported by President Donald Trump, next week. Efforts at a bipartisan health care effort ended this week as the possibility of the new bill’s passage became more likely.

Last-ditch effort by Republicans to replace ACA: 5 things you need to know

Republican efforts in Congress to “repeal and replace” the federal Affordable Care Act are back from the dead. Again. While the chances for this last-ditch measure appear iffy, many GOP senators are rallying around a proposal by Sens. Lindsey Graham (R-S.C.) and Bill Cassidy (R-La.), along with Sens. Dean Heller (R-Nev.) and Ron Johnson (R-Wis.)

They are racing the clock to round up the needed 50 votes — and there are 52 Senate Republicans.

Farmington Planned Parenthood health center to stay open

Planned Parenthood of the Rocky Mountains says they received enough donations to keep its Farmington health center open. Five months ago, the organization announced the Farmington location would be one of three in the state to close by this fall. “We cannot begin to express our gratitude to the people of Farmington and their commitment to reproductive health care access in New Mexico,” Vicki Cowart, President and CEO of Planned Parenthood of the Rocky Mountains said in a statement. “We know how important access to reproductive care is for our rural communities, and today we celebrate being able to keep this health center open, thus ensuring access to care for women, men, and young people in Farmington and the surrounding areas.”

The health center does not perform surgical abortions. In May, the organization announced it needed to close three health centers in New Mexico, including locations in Farmington, Albuquerque  and Rio Rancho.

Taking a U-Turn on benefits, big employers vow to continue offering health insurance

The shrinking unemployment rate has been a healthy turn for people with job-based benefits. Eager to attract help in a tight labor market and unsure of Obamacare’s future, large employers are newly committed to maintaining coverage for workers and often their families, according to new research and interviews with analysts. Two surveys of large employers — one released Aug. 2 by consultancy Willis Towers Watson and the other out Tuesday from the National Business Group on Health, show companies continue to try to control costs while backing away from shrinking or dropping health benefits. NBGH is a coalition of large employers.

Under Trump, hospitals face same penalties embraced by Obama

Amid all the turbulence over the future of the Affordable Care Act, one facet continues unchanged: President Donald Trump’s administration is penalizing more than half the nation’s hospitals for having too many patients return within a month. Medicare is punishing 2,573 hospitals, just two dozen short of what it did last year under former President Barack Obama, according to federal records released Wednesday. Starting in October, the federal government will cut those hospitals’ payments by as much as 3 percent for a year. Medicare docked all but 174 of those hospitals last year as well. The $564 million the government projects to save also is roughly the same as it was last year under Obama.

Even without Congress, Trump can still cut Medicaid enrollment

 

After the Senate fell short in its effort to repeal the Affordable Care Act, the Trump administration is poised to use its regulatory powers to accomplish what lawmakers could not: shrink Medicaid. President Donald Trump’s top health officials could engineer lower enrollment in the state-federal health insurance program by approving applications from several GOP-controlled states eager to control fast-rising Medicaid budgets. Indiana, Arkansas, Kentucky, Arizona and Wisconsin are seeking the administration’s permission to require adult enrollees to work, submit to drug testing and demand that some of their poorest recipients pay monthly premiums or get barred from the program. Maine plans to apply Tuesday. Other states would likely follow if the first ones get the go-ahead.