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Dems Optimistic About Common Ground, Talk Need For ACA Improvement

PHILADELPHIA -- Democratic presidential nominee Hillary Clinton’s longtime health advisers and other experts voiced optimism that America will soon move past its bitter divide over the Affordable Care Act, perhaps regardless of who wins the White House, and take steps to improve the law.

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CMS' proposal to count bundled pay models as alternative pay models would help specialists earn more money under the Medicare pay system the agency is developing, but hospitals are wary of the mandatory pay bundle.

The White House Office of Management and Budget is done reviewing CMS proposals on annual pay rates and policies that are the agency's first steps toward site-neutral and value-based pay reforms in post-acute care.

CMS expects a 2.2 percent increase in Medicare pay to inpatient psychiatric facilities next year, according to the notice on pay rates and policies for the sector that CMS published Thursday (July 28).

Three trade associations jointly wrote to FDA Senior Science Advisor Julie Dohm on July 15 seeking carve-outs for Long Term Care (LTC) pharmacies under the agency's draft repackaging guidance released in February 2015.

Anthem, one of the few plans that had once been profitable in the exchange business, announced Wednesday that it expects losses in the mid-single digits.

CMS released the overall hospital star ratings on the Hospital Compare site Wednesday (July 27), emphasizing consumer groups' desire for the information and the outreach to hospitals undertaken by the agency following the original delay of the star ratings' publication.

CMS says some drug manufacturers are incorrectly reporting their quarterly “best price” as higher than the Average Manufacturer Price for the product, and in recently released guidance asks companies to verify the accuracy of their best price before submitting that information to the Drug Data Reporting for Medicaid system.

CMS says in recently released guidance that some states are not reporting accurate drug use data to the agency and aren't fixing that data in a timely way.