Friday Five – February 16, 2018

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February 16, 2018
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In this week’s Friday Five, MAXIMUS is reading about how the Trump Administration’s 2019 budget proposal could impact health care, the new CMS scorecard for reporting Medicaid data, potential time limits for Medicaid recipients, and possible work requirements in Virginia.

1. Trump budget calls for ACA repeal, cuts to Medicare and Medicaid

Earlier this week, the Trump Administration released its 2019 budget proposal. Fierce Healthcare reports that it calls for repeal and replace of the Affordable Care Act, redistribution of funds, and cuts of $1.4 trillion from Medicaid and $5 billion from Medicare.

2. Drug prices, Medicaid reform major themes in Trump’s HHS budget

In addition to changes proposed for the Affordable Care Act, Medicaid, and Medicare, RevCycle Intelligence reports that the 2019 budget proposal also focuses on the opioid epidemic and prescription drug prices. Congress is unlikely to pass the budget as is, but it typically showcases the priorities of an Administration.

3. Trump administration drafting ‘scorecard’ for Medicaid changes

The Centers for Medicare and Medicaid Services are working with states to develop a scorecard that would use data to track health outcomes from state programs. According to the Washington Examiner, the scorecard is expected to be released later this year.

4. Trump officials face decision on lifetime limits for Medicaid

Five states have applied for Medicaid waivers that would limit the amount of time that Medicaid recipients could receive benefits. The Hill reports that the proposals vary but are tied to the implementation of work requirements and would include some exemptions. Time limits have never previously been imposed on Medicaid recipients.

5. Virginia House passes Medicaid work requirements at session midpoint

The Virginia House of Delegates passed a bill that would impose Medicaid work requirements, but it has yet to be considered by the Senate. According to the Washington Post, Republicans appear willing to potentially expand Medicaid to 400,000 additional residents if work requirements are part of the package.