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CMS Leasing Fees For 'Supported' Exchanges May Drive Nevada, Others To Scrap Model

The executive director of one health insurance marketplace that operates as a “supported state-based exchange” said language in a rule HHS proposed Friday (Nov. 20) to codify that particular kind of exchange could drive his marketplace to drop the model.

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Clinical laboratories urge CMS to include hospitals labs in price reports it collects to determine pay rates under a new reimbursement system, and they want the agency to consider protein biomarkers as advanced diagnostic laboratory tests.

CMS waives the requirement that Medicare beneficiaries spend three days as an inpatient before going to a nursing home as part of the recently finalized hip and knee replacement bundle demo -- one of a number of demonstrations that waive that policy.

Urban Institute reports that some sort of individual mandate for long-term care insurance will be necessary if Congress wants to control Medicaid spending when large numbers of baby boomers need long-term care in the coming decades.

The IRS is working to patch holes in Affordable Care Act-related verification system security as a Treasury Department inspector general report calls for stronger protections ahead of next year's tax filing season as well as other recommendations.

Democratic lawmakers in the House and Senate introduced legislation Monday (Nov. 23) calling for more consistent food labels and clearer definitions of “healthy” and “natural,” coming soon after FDA asked stakeholders if it should define the term “natural” for use on food product labels.

Democratic presidential candidate and former Maryland Gov. Martin O'Malley is targeting the 40-percent excise tax on high-cost health plans, high deductibles, the “family glitch” and the gap in coverage for potentially Medicaid-eligible residents in states that have not expanded Medicaid in a new 10-page health care policy blueprint released this week.

FDA lays out in newly released guidance documents why it will not mandate unique labeling for genetically engineered foods, and why it prefers manufacturers not use the terms genetically modified and genetically modified organism in any voluntary labeling.

FDA plans to collect 1,600 samples of cucumbers and hot peppers starting in November due to outbreaks related to each commodity and conduct whole genomic sequence testing on any samples that test positive for Salmonella, E. coli, and other contaminants.