CMS will not cover partial Medicaid expansion | Obama administration nixes support for Medicaid "blended rate" | 6 states get preliminary approval to set up health exchanges
December 11, 2012
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CMS will not cover partial Medicaid expansion
CMS will not provide full funding for states that expand Medicaid coverage limits to less than 133% of the federal poverty level under the Affordable Care Act. States that do so will only get federal matching funds at current levels. MedPage Today (free registration) (12/10), The Washington Post (tiered subscription model) (12/10)
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Legislative & Regulatory News
Obama administration nixes support for Medicaid "blended rate"
The Obama administration dropped support for a proposal designed to cut about $100 billion in federal Medicaid spending by combining calculations used to determine the federal portion of program funding. The Hill/Healthwatch blog (12/10)
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6 states get preliminary approval to set up health exchanges
HHS announced on Monday that Colorado, Connecticut, Maryland, Massachusetts, Oregon and Washington state were granted tentative approval for the work they have done to get health insurance exchanges operational by 2014. The New York Times (free-article access for SmartBrief readers) (12/10), Workforce online (12/10)
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Pre-existing condition fee likely to be passed on to consumers
Employees are likely to cover most of a $63 per capita fee in the Affordable Care Act meant to help cover the cost of providing health insurance to people with pre-existing conditions. The annual fee will be levied for three years, beginning in 2014 and declining thereafter, the Obama administration says. Yahoo/The Associated Press (12/10)
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Drug Industry Spotlight
Reminders boost statin adherence
Patients prescribed cholesterol-lowering statins were more likely to pick up their initial prescription when they received reminders via telephone or mail, according to a study published in the Archives of Internal Medicine. PharmaTimes (U.K.) (12/11)
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FDA moves deadline of GDUFA self-identification process to Dec. 18
The FDA extended the mandatory self-identification process timeline under the Generic Drug User Fee Amendment to Dec. 18 as more than 17,000 manufacturing facilities worldwide still haven't acted. The extension allows the industry to "clarify issues for the right implementation of the guidelines," said Kaushik Desai, former chairman of the Indian Pharmaceutical Association's Industrial Pharmacy Division. (India) (12/11)
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Put a grain of boldness into everything you do."
-- Baltasar Gracián,
Spanish writer
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PCMA is the national association representing America's pharmacy benefit managers (PBMs), which administer prescription drug plans for more than 216 million Americans with health coverage provided through Fortune 500 employers, health insurance plans, labor unions, and Medicare Part D. PCMA is dedicated to enhancing the proven tools and techniques pioneered by PBMs that generate savings and access for consumers and payors.

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