A survey conducted by the Root Cause Coalition found that Medicaid recipients are more likely to face food insecurity challenges, such as inability to afford healthy food or enough food, compared with commercially insured Americans. Medicaid recipients are more likely to suffer from nutrition-related health conditions such as obesity and hypertension, so they may require additional support, including integrated dietary and health care services, to improve their health.
A study in Medical Care found that the cost of delivering Medicare diabetes prevention services to a safety-net population may substantially exceed reimbursements. Researchers examined costs and projected reimbursements for MDPP services delivered to 213 primarily minority, low-income Medicare recipients in Denver, and they found that the average expected reimbursement under CMS' coverage rules was around $139 per patient, $661 less than the cost.
Senate Majority Leader Mitch McConnell, R-Ky., said Senate Republicans are not satisfied with how the Affordable Care Act is performing and may attempt again to repeal the law, but the feasibility depends on the results of next month's midterm election. "If we had the votes to completely start over, we'd do it. But that depends on what happens in a couple weeks," McConnell said.
The Trump administration plans to propose rules changing the Medicaid drug rebate system to support outcomes-based contracts and exempt certain drugs from mandatory discounts. Rules are also planned in support of the abbreviated licensure pathway created by the Biologics Price Competition and Innovation Act of 2009, and to make more drugs available without a prescription, according to the HHS and FDA semiannual regulatory agenda.
Congressional Democrats asked AbbVie, Eli Lilly and Co., Merck, Amgen and Pfizer to provide details on how they have used recent tax cuts, price changes since last November, executive compensation and research spending.
Rep. Gus Bilirakis, R-Fla., is among those who signed a letter to HHS Secretary Alex Azar and CMS Administrator Seema Verma asking them to consider adding coverage of medical necessary dental treatment and oral health care to Medicare.
A New York couple was charged with second degree assault for failing to take care of their four children's oral health despite having resources available to do so. "By not doing what was doctor recommended, there was protracted pain and impairment," said Ontario County Chief Deputy John Storer.
Patients undergoing surgery for the placement of dental implants who received a bupivacaine liposome injection at the end of the procedure reported significantly less pain than those who had not received the injection, researchers reported in the International Journal of Oral & Maxillofacial Implants. The patients also used fewer opioids after surgery, though the number was not statistically significant, possibly due to the small study size.
Providers at the AHIP conference outlined concerns about state proposals to allow people who do not qualify for Medicaid to buy into the program. Issues with buy-in programs included the potential for shifting costs to the commercial insurance market and the impact on state budgets and Medicaid physician networks.
The Equal Employment Opportunity Commission has pushed back its update on wellness program regulations from January 2019 until next June, according to its regulatory agenda released this week. Rules on wellness incentives will be vacated in January under a federal court order in a case brought by AARP.