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Health Care Roundup: NCCS on Proposed OPPS Changes; Bipartisan Proposal to End ‘Surprise Billing’; Medicaid Work Req’s; Financial Toxicity Survey; More

September 28, 2018/in Cancer News, Cancer Policy Blog Access to Care, Affordable Care Act, Financial Toxicity, Health Care Coverage, Health Equity, Payment Reform, Quality Cancer Care NCCS News

In order to bring you the latest cancer-related health care policy and news, we at NCCS combined our ACA Updates and What Caught Our Eye (WCOE) content into a weekly email and blog post. We aim to make this a concise, one-stop summary of what you need to know as we continue working together to make cancer care better for everyone.

Your feedback is always welcome to make our content more useful to you. Please send comments to feedback@canceradvocacy.org.

Subscribe to our email list and receive these updates in your email box each week »


HEALTH CARE HIGHLIGHTS

NCCS Submits Recommendations to CMS Regarding Proposed Changes to Hospital Outpatient Prospective Payment System (OPPS)

NCCS submitted a letter to the Centers for Medicare and Medicaid Services (CMS) on the proposed update to the hospital outpatient prospective payment system, known as OPPS, for calendar year 2019.

In the letter, NCCS addressed the proposed “site neutral” payments, which would reduce patient cost-sharing but could have other unintended consequences for patient access. NCCS also commented on the topic of price transparency and the value of price information for patients, as well as on a proposal to reform the drug acquisition system with a Competitive Acquisition Program (CAP).

Read the full letter »

Bipartisan Proposal to End Surprise Billing

Recently, a bipartisan group of Senators developed a draft bill, the Protecting Patients from Surprise Medical Bills Act, to address surprise medical bills. There has been significant media attention to patients who received surprise bills from out-of-network providers at in-network facilities, such as emergency rooms. Vox’s Sarah Kliff, who has written extensively about emergency room bills and surprise billing, explains the legislation, which would require out-of-network doctors to bill insurance companies, rather than billing patients directly.


CHART OF THE WEEK

Surprise medical bills could be a powerful campaign issue

Article: Drew Altman, Axios
Chart: Kaiser Family Foundation


IMPORTANT READS

One Big Problem With Medicaid Work Requirement: People Are Unaware It Exists

Via New York Times Upshot

This article highlights the impact of implementing work requirements for Medicaid beneficiaries in Arkansas, the first state to adopt these types of requirements. As Margot Sanger Katz points out, the results are very concerning:

In the first month that it was possible for people to lose coverage for failing to comply, more than 4,300 people were kicked out of the program for the rest of the year. Thousands more are on track to lose health benefits in the coming months. You lose coverage if you fail to report three times, and the program, in effect for three months, is slowly phasing in more people.

Despite thousands of people having health care coverage taken away, more states continue to pursue adoption of similar policies and CMS remains dedicated to approving them.

Read More »

Paying for Cancer Care At All Costs

Via CURE Today

Financial toxicity, and the short- and long-term impact that it has on patients’ well-being, continues to gain more and more attention. This article discusses new survey results that provide further insights into how much patients are willing to sacrifice, including 49% of respondents saying they’re willing to declare bankruptcy. It is further evidence that while some progress is being made, a lot of work still continues to protect more patients and their families from the high costs of cancer care.

Read More »

Threat to ACA Turns Up the Heat On Attorney General Races

Via Kaiser Health News

It’s not often that attorneys general races throughout the country garner national attention. But that is exactly what is happening in large part due to the recent filing by 20 attorneys general of a lawsuit seeking to deem the Affordable Care Act (ACA) unconstitutional. In races up and down ballots, the issue continues to motivate individuals on both sides, especially when it comes to pre-existing condition protections:

But the idea that insurers would no longer have to cover those with preexisting conditions has proven explosive, offering Democrats a powerful rallying cry beyond even attorney general races. In Missouri and West Virginia, states that Trump won in 2016 but are represented by Democratic senators, the issue has followed the Republican attorneys general — Missouri’s Josh Hawley and West Virginia’s Patrick Morrisey — as they run for Senate.

Read More »

ACA Premiums Stabilizing

Washington Post, Health 202

It was reported recently that after years of turmoil, premiums for the ACA are expected to stabilize for 2019. This article sheds light on the real reasons that is occurring.

Read More »


Related Posts

https://canceradvocacy.org/blog/health-care-roundup-sept-14-2018/

https://canceradvocacy.org/blog/health-care-roundup-sept-7-2018/

Tags: aca update, affordable care act, cancer care, financial toxicity, Medicaid, Medicare, payment reform, What Caught Our Eye
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Latest News

NCCS Letter to HHS

NCCS Urges CMS to Preserve Access to DIEP Flap Breast Reconstruction

June 1, 2023
Today, the Centers for Medicare and Medicaid Services (CMS) hosted a public meeting, in which they sought input on its decision to…
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Webinar – Survivorship at Atrium Health Wake Forest Baptist Comprehensive Cancer Center: Creating a Practical Workflow

May 12, 2023
The National Coalition for Cancer Survivorship (NCCS) hosted a Survivorship Champions webinar about survivorship care implementation,…
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Sandra Finestone, PsyD: Be Bold and Don’t Hesitate – A 30-year Survivor’s Advice on Advocacy

May 8, 2023
Advocate Spotlight: Sandra Finestone, PsyD A cancer diagnosis can be overwhelming and life-changing, but for Sandra Finestone, it…
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  • About
    • Our Mission
    • Our History
    • The 1986 Club
    • Our Team
      • Policy Advisors
    • Employment
    • Partnerships
    • Financial Information
  • Policy
    • Quality Cancer Care
    • Access to Care
    • Health Equity
    • Redefining Functional Status (RFS)
    • State of Survivorship Survey
      • 2022 Survey
      • 2021 Survey
      • 2020 Survey
    • Cancer Care Planning and Communications Act (CCPCA)
  • Get Involved
    • What is Advocacy?
    • Cancer Policy and Advocacy Team (CPAT)
    • Advocate Engagement Opportunities
    • Survivorship Champions
    • Subscribe to NCCS Updates
    • Elevating Survivorship
    • Survivor Stories
    • Cancerversary
    • State-Based Cancer Advocacy
  • Resources
    • COVID-19 Resources for Cancer Survivors
    • Survivorship Checklist
    • Cancer Survival Toolbox
    • Cancer Rehabilitation
    • Integrative Oncology
    • Publications
      • Talking With Your Doctor
      • Self Advocacy
      • Employment Rights
      • Remaining Hopeful
    • Telehealth
    • Taking Charge of Your Care
    • Care Planning for Cancer Survivors
    • Tools For Care Providers
    • Order Our Resources
  • News
  • Events
    • Ellen L. Stovall Award
      • 2022 Winners
      • Awardees
      • Reception and Sponsorship
      • Committees
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    • Cancer Policy Roundtable (CPR)
      • Fall 2022 CPR
      • Spring 2022 CPR
      • Fall 2021 CPR
      • Spring 2021 CPR
      • Fall 2020 CPR
      • Spring 2020 CPR
    • Cancer Policy and Advocacy Team (CPAT) Virtual Symposium 2022
    • 2022 State of Survivorship Survey Results
    • Webinars
  • Contact Us

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Harmar Brereton, MD

Founder
Northeast Regional Cancer Institute

 

“Perhaps one of the most impactful collaborations in Dr. Brereton’s extraordinary career remains his early work and long friendship with Ellen Stovall. Through him, and in turn through the thousands of lives he has touched, Ellen’s work continues, and her mission lives on.”

—Karen M. Saunders
President, Northeast Regional Cancer Institute