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Alternative Medicaid Financing Proposals Could Jeopardize Cancer Care; Increase States’ Medicaid Costs
... curative care under alternative Medicaid financing models being considered by Congress. The American Cancer Society Cancer Action Network (ACS CAN) today sent a letter detailing the organization’s concerns to select governors invited to attend a Medicaid meeting led by the Senate Finance ... current system, fixed federal payments would not adjust automatically to account for increased enrollment, unexpected health emergencies or the cost of new breakthrough treatments. Instead, such financing would shift the cost to states, which would then likely implement restrictions to make up ...
ACS CAN Announces Support for Senate Health Care Reform Bill
After months of negotiations and weeks of floor debate, the U.S. Senate has begun a series of critical votes on health care reform legislation that should lead ... the bill. In a letter to Senate leaders and communications to the news media, the American Cancer Society Cancer Action Network SM (ACS CAN) strongly opposed the filibuster and urged senators to approve the bill, which includes several strong provisions that would significantly ... to emphasize prevention; Guaranteeing quality, affordable coverage regardless of pre-existing conditions; Reducing the cost burden on families; Covering routine health costs for those who enroll in clinical trials; and Emphasizing patients’ ...
Healey Signs Bill to Address Breast Cancer Screening Inequities
... requires that health plans regulated by the Commonwealth cover medically necessary screening and diagnostic breast imaging with no out- of-pocket costs. The following statement can be attributed to Marc Hymovitz, Massachusetts director of government relations for the American Cancer Society Cancer Action Network (ACS CAN): “Cost is a known barrier to completing follow up cancer screenings. By eliminating the potential for unexpected costs, we can increase the ...
1-18-13 Affordable Care Act Update
Policy Update Proposed Rule Medicaid, CHIP and State Based Health Exchange Coordination Under the Affordable Care Act (ACA), millions of Americans will gain access to affordable health coverage through health insurance exchanges and improvements in Medicaid and the Children's ... lay out a structure and options for coordinating Medicaid, CHIP, and exchange eligibility notices and appeals; provide additional benefits and cost-sharing flexibility for state Medicaid programs; and codify several provisions included in the ACA and the law reauthorizing CHIP. ACS CAN is reviewing the proposed changes to determine if there are areas where we should comment from the cancer perspective. Network Adequacy for ...
5-25-12 Affordable Care Act Update
... would have diverted additional funding from the Prevention and Public Health Fund that was established in the Affordable Care Act (ACA). ACS CAN has consistently opposed legislative attempts to eliminate or divert funding for prevention services and fortunately, the amendment received ... the current fee-for-service payment system, which reimburses providers for every visit or procedure, with global or flat payments to cover the cost of providing all care given to individual patients or groups of patients for a particular illness. Providers who remain within a set budget and ...
7-15-10 Affordable Care Act Update
... Care Act. As always, thank you for all you do every day to support laws and policies that help cancer patients and their families. Department of Health and Human Services Releases Rules on Prevention Benefits Yesterday the Department of Health and Human Services (HHS) released interim ... and insurance companies that offer group or individual health insurance coverage provide beneficiaries with certain preventive benefits at no cost starting September 23, 2010. Preventive services with a rating of "A" or "B" in the current recommendations of the United States Preventive ... at no cost. The rules will encourage millions of people to protect their health by taking advantage of lifesaving preventive measures. Read ACS CAN’s press release and a New York Times story about the rules. ACS CAN will submit comments on the rules within the 60-day public comment ...
2-6-13 Affordable Care Act Update
... 1 to state Medicaid directors providing guidance on the 1 percent increase in the federal medical assistance percentage (FMAP) for coverage of preventive services with no co-pay. CMS said the increase applies to services given an A or B rating by the U.S. Preventive Services Task Force, ... benefit plans will be offered to newly eligible Medicaid enrollees and must include preventive care. If states provide preventive care at no cost to the patient, they will also receive the FMAP increase for those services. Tax Credits Last week, the Treasury Department issued a ... of family coverage is 13 percent of wages, neither the worker nor the worker's dependents will be eligible for subsidies in the exchange. ACS CAN and many other consumer groups strongly opposed this policy when it appeared earlier in a proposed regulation, but the administration did not ...
4-26-12 Affordable Care Act Update
... Update This week the House will vote on a measure that diverts funding from the Prevention and Public Health Fund to keep down the costs of student loan interest rates. ACS CAN sent a letter to all House members opposing any legislation that would cut prevention and public health funding for any purpose, including offsetting the cost of student loan program. Read the ACS CAN press release and letter . Medical Loss Ratio - Average Rebate Estimates for 2012 Under the ...
7-20-12 Affordable Care Act Update
... bill defunds most Affordable Care Act (ACA) programs, including state grants that will assist states with establishing marketplaces where people can shop and compare options for quality coverage, and funding for the Prevention and Public Health Fund. The House of Representatives made similar cuts in the L/HHS bill last year to ACA programs. However, the Senate retained funding for ACA in their bill, and ... women by expanding and improving health coverage, including access to preventive services such as breast and cervical cancer screenings without cost-sharing. The Commonwealth Fund expects improved coverage will reduce the percentage of uninsured women from 20 percent to 8 percent. As ...
12/7/12 Affordable Care Act Update
Policy Update On November 30, the US Office of Personnel Management (OPM) published a draft rule that proposes standards for the Multi-State Plan Program (MSPP). The Affordable Care Act (ACA) ... make more health plans available to consumers and to increase competition, particularly in states where there are currently fewer choices. ACS CAN and other patient and consumer groups have been advocating for multi-state plans that operate on essentially the same basis as other plans in a ... related to policies such as risk adjustment, reinsurance and risk corridors programs, advance payments of the premium tax credit, and cost-sharing reductions. Although the proposal is very technical, the matters addressed are critical to stabilizing prices and ensuring policies ...
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