Amy Lotven

2 days ago | insidehealthpolicy.com | Sigi Ris |Amy Lotven

With Republican senators now open to cuts to Medicare, and some already suggesting that upcoding by Medicare Advantage plans should be stemmed, the lobby representing MA plans warns that going after the program would “break a promise to the more than 34 million seniors who rely on it.”

3 days ago | insidehealthpolicy.com | Dorothy Mills-Gregg |Amy Lotven |Sigi Ris

Several GOP senators who have raised concerns about the House-passed reconciliation bill say they support Medicaid work requirements, but are split when it comes to the freeze on provider taxes, with Missouri Senator Josh Hawley suggesting a moratorium would harm rural hospitals while others argue the House didn’t go far enough to stop the practice and warn the provision must be retroactive to prevent state legislatures from trying to squeeze in increases before it goes into effect.

4 days ago | insidehealthpolicy.com | Dorothy Mills-Gregg |Amy Lotven |Sigi Ris

Several GOP senators who have raised concerns about the House-passed reconciliation bill say they support Medicaid work requirements, but are split when it comes to the freeze on provider taxes, with Missouri Senator Josh Hawley suggesting a moratorium would harm rural hospitals while others argue the House didn’t go far enough to stop the practice and warn the provision must be retroactive to prevent state legislatures from trying to squeeze in increases before it goes into effect.

1 week ago | insidehealthpolicy.com | Amy Lotven

AHIP, the nation’s largest insurer lobby, tells Inside Health Policy it welcomes CMS’ plan to audit all Medicare Advantage plans but is cautioning that the methodology must be transparent, statistically valid and legally sound, while ACHP, the lobby representing non-profit community-based plans, is blasting as inefficient and potentially a waste of taxpayer dollars what it’s calling a “one-size-fits-all” approach to auditing.

2 weeks ago | insidehealthpolicy.com | Amy Lotven

Stakeholders aiming to boost the number of kidney transplants want CMS or Congress to establish in the upcoming 2026 Medicare physician fee schedule a new program designed to guide living organ donors and potential recipients through the transplant process -- a move that experts say could save the federal government about $6.6 billion while achieving better outcomes.