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CMS Administrator Seema Verma Testifies on Health Care Sabotage Before House Subcommittee

October 24, 2019

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Over the last several years, the Center for Medicare Advocacy (the Center) has written at length about the Trump Administration’s detrimental changes to the Affordable Care Act (ACA), Medicare, Medicaid, and other vital health care programs. On October 23, 2019, the House Committee on Energy & Commerce, Subcommittee on Oversight and Investigations, held a hearing to address the Administration’s health care sabotage. Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma was the sole witness before the Subcommittee.

In her written testimony, Administrator Verma defended the Administration’s health care efforts and touted those efforts as “putting patients first.” Administrator Verma argued that the Administration has lowered costs and improved access for patients, despite – among many other things – approving Medicaid work requirement waivers that have resulted in thousands losing coverage. Subcommittee Members questioned Administrator Verma about the Administration’s commitment to patients, given the Administration’s efforts to invalidate the ACA in Texas v. U.S. and promote junk plans. Administrator Verma indicated that the Administration is prepared to protect patient access to health care if the ACA is struck down, but failed to provide any details on how it would do so.

As noted in our jointly filed Amicus Curiae Brief in Texas v. U.S., invalidating the ACA will also negatively affect the financial health and efficiency of the Medicare and Medicaid programs, and most families. The ACA contains about 165 provisions that affect Medicare, touching on issues including preventive benefits, prescription drug costs and reimbursement for nursing home care. The Center asked the Fifth Circuit Court of Appeals to reverse the lower court’s decision and uphold the ACA.

  • To view a recording of the hearing, please visit: https://www.youtube.com/watch?v=OT-egpXPGno.

October 24, 2019 – D. Valanejad

Filed Under: Article Tagged With: ACA, The Fight, Weekly Alert

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A recent @statnews article revealed a federal review showing the major Medicare Advantage insurers denied long-term care hospital prior auths 71–80% of the time, while industry peers averaged 42%.

Some denials were later overturned 92–99.7% of the time. A denial is not always

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
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💙It's Wellness Wednesday!💙 ⠀

One crucial component of being well is being able to afford healthcare. Join us June 16 at 2p ET for a free webinar covering Medicare Savings Programs and how they may be able to help you receive and afford the care you need and deserve.

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
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Medicare Savings Programs (MSPs) can be a gamechanger.

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CMAorg avatar Center for Medicare Advocacy @CMAorg ·
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There are certainly some upsides to AI. A study found 55% of healthcare workers intended to switch jobs in 2026, largely in part to burnout. But there are clearly risks that need further scrutiny, particularly around biases.

How do you feel about AI in healthcare?

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Ambient #AI scribes now #automate documentation and #clinical assessments, offering time savings and reduced burnout, but raise important questions about oversight, automation bias, and accountability.

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