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CAT-040 - CA eHealth R6 Administrator - Dump Information

Vendor : CA-Technologies
Exam Code : CAT-040
Exam Name : CA eHealth R6 Administrator
Questions and Answers : 80 Q & A
Updated On : November 16, 2018
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CAT-040 Questions and Answers

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CAT-040 CA eHealth R6 Administrator

Study Guide Prepared by Killexams.com CA-Technologies Dumps Experts


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CAT-040 exam Dumps Source : CA eHealth R6 Administrator

Test Code : CAT-040
Test Name : CA eHealth R6 Administrator
Vendor Name : CA-Technologies
Q&A : 80 Real Questions

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CA-Technologies CA-Technologies CA eHealth R6

CA applied sciences Assures the supply and performance of Integra Telecom's provider beginning Infrastructure | killexams.com Real Questions and Pass4sure dumps

Integra Improves IT efficiency and Enhances service pleasant and Reliability with CA applied sciences provider Assurance options

ISLANDIA, N.Y. - CA applied sciences (NASDAQ: CA) today introduced that Integra Telecom, a number one company of commercial enterprise-grade networking, communications and cloud options to greater than 100,000 business and service consumers in 11 Western states, is the usage of CA Infrastructure administration to assure the availability and efficiency of its service birth infrastructure and the site visitors it supports.

Integra owns and operates a nationally acclaimed, most reliable-in-classification fiber-optic network inclusive of a 5,000-mile high-velocity long haul fiber network and a three,000-mile metropolitan access community, including virtually 1,seven-hundred fiber-fed buildings. The company is continually leveraging this huge network to extend its product portfolio; it these days launched Ethernet features and a Cloud Firewall carrier. CA Infrastructure management enables Integra to maintain its high client loyalty and satisfaction ratings by enhancing its potential to measure and record on community performance and manage advantage carrier-impacting incidents throughout its infrastructure, end-to-end.

"companies fee reliability as the most vital element in deciding on a voice and data communications company," noted Jay Allen, engineering director, Integra Telecom. "We chose CA applied sciences to help ensure the beginning of clear, quickly and dependable hosted and cloud services. With the implementation jointly performed by way of CA features and our personal group, we now have a cost-valuable carrier assurance answer that improves our effectivity and offers more suitable fine and extra reliable carrier to our customers."

the integration of CA Spectrum® and CA eHealth®, key accessories of CA Infrastructure management, offers Integra with 24x7 infrastructure monitoring; computerized signals to skills efficiency complications; and automatic, mannequin-primarily based root trigger evaluation. The carrier Assurance options from CA applied sciences also provide customized historic and true-time reporting for specific customer units that help Integra keep high great service levels.

"Integra engaged CA services to design, installation and configure CA Infrastructure management and provide a quick, effective direction toward time-to-price," stated Matt Strazza, widely wide-spread manager, CA capabilities, CA applied sciences. "Our venture group collaborated with the Integra team to convey an answer that replaces a more costly platform and creates discount rates for Integra. The answer additionally helps the increase of Integra's network and ultimately its company."

Integra soon plans to put into effect CA NetQoS ReporterAnalyzer(TM) in its network Operations center for precise-time visibility and historical analysis of bandwidth utilization. this may enable Integra to supply the equipment their consumers should make reasonably priced decisions for optimizing and improving network carrier beginning.

"we're comfortable that Integra recognized the company price of our options," referred to Mike Sargent, time-honored manager, provider Assurance, CA applied sciences. "Our options are handy to installation and retain and supply a complicated degree of efficiency administration that makes it possible for Integra to recognise colossal initial and lengthy-time period rate reductions, while presenting customers with enhanced best functions."

Jeff Willard, community operations manager, Integra, will talk about the company's use of CA Infrastructure management right through his CA World (Nov. 13 - sixteen, Las Vegas) presentation "CA provider Assurance Suite Manages Integra's significant service issuer community."

About CA technologies

CA applied sciences (NASDAQ: CA) is an IT management utility and solutions enterprise with competencies across all IT environments - from mainframe and disbursed, to virtual and cloud. CA technologies manages and secures IT environments and allows for clients to convey more flexible IT capabilities. CA technologies innovative products and services give the insight and handle standard for IT companies to vigor enterprise agility. the vast majority of the world Fortune 500 depends on CA technologies to manage evolving IT ecosystems. For additional information, talk over with CA applied sciences at www.ca.com.

Copyright © 2011 CA. All Rights Reserved. One CA Plaza, Islandia, N.Y. 11749. All logos, alternate names, provider marks, and symbols referenced herein belong to their respective companies.

Press Contact

David Resnic

CA technologies

cellphone: (508) 628-8426

david.resnic@ca.com

source

CA applied sciences

internet web page: www.ca.com

linked Thomas industry update Thomas For Industry

CA technologies and Cisco Collaborate to Optimize Virtualized facts middle management Capabilities | killexams.com Real Questions and Pass4sure dumps

LAS VEGAS, may also 17, 2010 - CA WORLD - CA applied sciences (NASDAQ: CA) and Cisco these days introduced they are increasing their relationship through collaborative technology integration. Their newest work is designed to enable companies to achieve stronger agility, automation and scale in their statistics middle operations, while accelerating the move towards cloud computing-based functions. Launched nowadays is the unencumber of CA provider Assurance and service Automation options designed to help the Cisco Unified Computing gadget. the integration of Cisco's Unified Computing SystemTM information core platform with the CA programs administration suite allows for purchasers to speed up the deployment of new functions, streamline operations, reduce fees and supply reputable service delivery in public and personal cloud computing environments.

KEY records:  CA technologies and Cisco carry built-in management expertise for Virtualized records centers
  • The potential to manipulate the Cisco Unified Computing device natively from CA applied sciences' leading management software provides unified management capabilities to assist valued clientele see and handle the platform infrastructure and utility stack.
  • CA applied sciences and Cisco these days are saying the mixing of three CA management equipment with the Cisco Unified Computing equipment. making use of the Cisco americamanager open XML API (utility Programming Interface), CA technologies has integrated administration of the Cisco Unified Computing equipment platform into right here options:
  • CA Spectrum® Automation supervisor - A policy-based server provisioning and automation device
  • CA eHealth® performance manager – A efficiency administration answer that monitors gadget health throughout a firm's complete infrastructure
  • CA Spectrum® Infrastructure manager - An integrated management solution for fault isolation and root trigger evaluation, and community configuration management
  • CA technologies has integrated working device provisioning on exact of Cisco Unified Computing device carrier profiles natively in the CA Spectrum Automation supervisor interface, enabling IT corporations to manage components in keeping with predefined carrier-stage agreements for each and every enterprise utility.
  • The CA service Assurance equipment—CA eHealth efficiency manager and CA Spectrum Infrastructure supervisor —additionally find Cisco u.s.a.server and network topology and collect performance and status statistics for reporting and evaluation. CA's 'OneClick' administration interface additional simplifies operational tactics, improving personnel responsiveness and productivity.
  • The integrated solution makes it possible for the deployment of recent computing tactics inside latest strategies, with reduced operational overhead.
  • users of present CA tools and CA-based policies and processes control the Cisco Unified Computing gadget platform without delay from this identical administration suite, enabling accelerated adoption of advantages such as unprecedented flexibility, vigor reductions, extended memory and virtualized I/O.
  • average x86 utility stacks can without problems and reliably be run any place within a Unified Computing gadget environment, with familiar CA technologies options.
  • Cisco is working with business-main agencies comparable to CA technologies to build a finished ecosystem of information middle partners to assist ease consumer transitions to virtualized and cloud environments; the techniques administration area is one of the key technology areas being addressed in this industry ecosystem.
  • helping costs:
  • Chris Gabriel, director of advertising, Logicalis:
  • "the trouble between Cisco and CA technologies is primary to creating deepest cloud computing work for business purchasers," stated Chris Gabriel, director of marketing, Logicalis. "Our resourceful Cooperative business Cloud carrier, a 'inner most and public hybrid cloud service', uses the Cisco Unified Computing gadget and CA carrier Automation and Assurance solutions to provide a superior service for our purchasers."

  • Ed Bugnion, vice president, chief know-how officer, Server entry Virtualization business Unit, Cisco:
  • "The Cisco Unified Computing system become designed from the ground up with an embedded management gadget that exposes all components by way of an open XML API particularly architected to enable the integration with third-birthday party systems administration and automation application such because the CA Spectrum and eHealth suites. This integration provides CA applied sciences' consumers with the capability to manipulate the Cisco Unified Computing gadget from their common single pane of glass. we are joyful to peer that CA technologies' solution will extend to the Cisco Unified Computing methods' tremendously differentiated policies and abstractions, enabling our typical customers to improvement from our innovation. The Cisco Unified Computing equipment and CA applied sciences management options complement each and every different to support IT agencies cut back chance, enhance IT agility and contain expenses across the related business."

  • George Fischer, executive vice president of global income, client capabilities and advertising at CA technologies:
  • "These built-in solutions will assist our joint purchasers reduce information core complexity, reduce prices and obtain a extra agile IT carrier birth mannequin. The tight integration between Cisco and CA applied sciences also will support shoppers enrich service assurance, efficiency, and protection in more and more advanced virtualized environments."

  • Peter Christy, co-founder, primary of web analysis community:
  • "there is outstanding price for clients in CA technologies and Cisco collaborating on techniques administration. Virtualization is altering the online game. The Cisco Unified Computing equipment exemplifies systems designed for virtualization; CA applied sciences' platform-agnostic view of techniques management fits perfectly with virtualized servers capable of similtaneously working applications on numerous OS systems. administration tools that construct on embedded administration capabilities reaching across servers, networks or storage will permit clients to accelerate the transition to and leverage the merits of Cisco's next era information middle technologies."

  • supporting elements: Technorati Tags:

    Cisco, CA applied sciences, information center management, data middle virtualization, Cisco Unified Computing device

    About CA technologies

    CA technologies (NASDAQ: CA) is an IT administration utility and options business with expertise throughout all IT environments – from mainframe and distributed, to virtual and cloud. CA applied sciences manages and secures IT environments and allows for clients to bring more bendy IT functions. CA's inventive items and capabilities deliver the insight and control standard for IT agencies to power company agility. nearly all of the international Fortune 500 depends on CA to manage their evolving IT ecosystems. For additional information, consult with CA at www.ca.com. follow CA on Twitter at www.twitter.com/cainc.


    CA technologies Outfits Rooms to move for advanced IT carrier delivery | killexams.com Real Questions and Pass4sure dumps

    No outcomes found, try new key phrase!Rooms to head at present makes use of an built-in set of CA applied sciences products, including CA eHealth® performance supervisor, CA Spectrum® Infrastructure supervisor, CA NSM, and CA service Desk manager, to increa...

    CAT-040 CA eHealth R6 Administrator

    Study Guide Prepared by Killexams.com CA-Technologies Dumps Experts


    Killexams.com CAT-040 Dumps and Real Questions

    100% Real Questions - Exam Pass Guarantee with High Marks - Just Memorize the Answers



    CAT-040 exam Dumps Source : CA eHealth R6 Administrator

    Test Code : CAT-040
    Test Name : CA eHealth R6 Administrator
    Vendor Name : CA-Technologies
    Q&A : 80 Real Questions

    Feeling issue in passing CAT-040 exam? you obtain to be kidding!
    killexams.com Dumps web page helped me get access to diverse examination education material for CAT-040 exam. i used to be burdened that which one I need to pick out, however your specimens helped me pick the exceptional one. i purchased killexams.com Dumps direction, which tremendously helped me see all the essential ideas. I solved all questions in due time. im completely satisfied to have killexams.com as my tutor. much preferred


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    CA eHealth R6 Administrator

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    New Federal Rules on HRAs and ACA State Innovation Waivers Will Benefit Consumers and Small Employers, Says eHealth CEO | killexams.com real questions and Pass4sure dumps

    No result found, try new keyword!"The administration's proposed rule on HRAs may re-establish HRAs as another option for employers to offer financial assistance to workers to reduce both health insurance premiums and out-of-pocket co...

    Obamacare signup starts Thursday under new Trump rules: Know the risks, limitations of short-term insurance plans | killexams.com real questions and Pass4sure dumps

    Chad Bertanzetti is young, active and healthy at 44. But he bought health insurance three years ago in case he was injured while enjoying outdoor hobbies such as rock climbing, snowboarding and mountain biking.

    So when a high-speed snowboarding accident shattered and dislocated the Colorado Springs man's shoulder in 2016, he thought his hospital stay would be covered by his short-term plan.

    But repeated payment claims for a shoulder-repair operation, doctors’ visits and a follow-up surgery were rejected by his health insurer.

    Bertanzetti has filed a federal lawsuit challenging the refusal of HCC Life Insurance and HCC Medical Insurance to pay his claims. He has amassed tens of thousands of dollars in unpaid medical bills.

    “I’m still able to pay all my (non-medical) bills and take care of my family,” Bertanzetti said. "But they just killed my credit."

    Bertanzetti and other consumers will have more choices when shopping for insurance when the six-week open enrollment period for health plans under the Affordable Care Act begins Thursday.

    Millions of consumers buy coverage through the Obamacare marketplace. New rules created by the Trump administration allow more options, including less-expensive, bare-bones plans that lack the consumer protections found in Obamacare insurance.

    More than 8 in 10 consumers who sign up for Affordable Care Act plans receive federal subsidies that offset the monthly costs of their insurance. But those who earn too much to qualify for the subsidies are left to pay the full monthly premiums. For many Americans, those plans are too costly.

    In August, the Trump administration finalized a rule that allows insurers to sell short-term plans that last up to 364 days. The Obama administration limited those plans' terms to 90 days.

    The plans are usually less expensive, but they often don't cover the minimum set of benefits such as prescription drugs, mental health or maternity care that Obamacare plans must cover. And unlike Obamacare plans, they can also exclude or limit coverage based on pre-existing medical conditions.

    President Donald Trump (L), stands with House Speaker Paul Ryan, R-Wis., and Freedom Caucus Chairman Mark Meadows, R_N.C., after Republicans passed legislation aimed at repealing and replacing ObamaCare, during an event in the Rose Garden at the White House, on May 4, 2017 in Washington, D.C.

    Mark Wilson, Getty Images

    When unveiling the plans, Health and Human Services Secretary Alex Azar said they might appeal to temporary contractors and gig-economy workers who don’t get health insurance through a job.

    Another factor that could steer more healthy consumers to these plans: The elimination of the individual mandate.

    Under legislation approved by Congress and signed by President Donald Trump, consumers in 2019 who don't get health insurance won't have to pay a penalty.

    Most Americans get coverage through an employer or a government insurer such as Medicare or Medicaid. 

    Some consumers who bought less-expensive, short-term plans paid penalties under the Affordable Care Act because these plans were not considered "qualified health plans."

    California, Massachusetts, New York and New Jersey have effectively banned these plans. Another 17 states have imposed stricter limits than the federal government.

    Still, the Congressional Budget Office estimates 2 million people will buy them.

    'There's a reason why they are cheaper' 

    Christina Marsh Dalton is an assistant professor of economics at Wake Forest University.

    Dalton predicts some healthy consumers who buy their own coverage but don’t qualify for ACA subsidies may choose to buy short-term plans.

    “They no longer have to choose between a fine and a plan they don’t need or feel they can’t afford,” Dalton said.

    Dalton says it’s the consumer’s responsibility to know what they are buying.

    “They are cheaper," Dalton said, "And there’s a reason why they are cheaper."

    An April survey of 24 short-term plans by the nonpartisan Kaiser Family Foundation found that 71 percent didn't cover prescription drugs and 62 percent didn't cover substance-abuse treatment.

    In an analysis released this week, Kaiser found that short-term plans charged an average of 54 percent less than Affordable Care Act plans by excluding coverage of preexisting conditions and limiting benefits. 

    Consumers often don't realize what they're buying.

    The Commonwealth Fund analyzed brochures from five companies marketing short-term plans. These plans required customers to fill out a health questionnaire to screen applicants.

    The plans may limit coverage, the fund reported, offering $250 for an ambulance trip that might cost thousands, or $1,000 for a one-day hospital stay that likely would cost far more.

    Short-term plans are sold year-round. But experts predict consumers will be bombarded with ads during the six-week Obamacare enrollment period.

    "Consumers are going to get a lot of ads for these plans," said Sara Collins, the Commonwealth Fund's vice president of health coverage and access. "People really need to read the fine print."

    "They might be cheaper than other plans. That price will reflect the lack of guaranteed protections."

    Companies that sell short-term plans say consumers should be aware of what they are buying.

    Sean Malia is senior director of carrier relations for eHealth, an online marketplace that facilitates the sale of short-term plans and other types of insurance.

    Malia says short-term plans were never intended as a replacement for Affordable Care Act plans. He says some consumers buy short-term plans so they aren't uninsured.

    "People who are buying these plans are people who have already determined they can’t afford an Affordable Care Act plan," Malia said. "Therefore, these plans really serve as an alternative to going uninsured as opposed to an alternative to ACA."

    He says not all short-term policies are cheap, bare-bones plans. Some provide more robust coverage; they tend to cost more.

    Bertanzetti, 44, said he chose his policy after contacting and chatting with a HCC Medical sales representative.

    He says the sales representative asked him a series of questions, and then assured him he had chosen the company's best policy.

    Bertanzetti bought his first plan in late 2015. It was set to expire three days after his snowboarding accident in February 2016. 

    In his federal lawsuit filed in Denver, Bertanzetti's attorneys said the insurance company told him that the first claim was denied because he was not eligible for coverage the date of his hospital stay even though his policy had not expired.

    The insurer also said it did not receive information requested from the medical provider, according to the lawyers.

    The insurer also denied coverage for a followup operation to remove plates and screws and clear up a severe infection in his shoulder, claiming it was a pre-existing condition, according to the lawyers.

    HCC does not comment on pending litigation, said Doug Busker, the company's vice president of financial planning and analysis and public relations. 

    In court papers, the insurer said it acted in good faith, and all claims that were denied or excluded reflected the terms of the plan.

    HCC LIfe Insurance agreed this year to pay $5 million to settle with insurance commissioners in 42 states. The settlement followed a multi-state investigation of the company's marketing and sale of short-term health insurance plans and claims handling.

    The company admitted no wrongdoing. The company said it discontinued selling short-term medical insurance in the 42 states, according to the settlement agreement.

    Busker said that the settlement did not identify deficiencies in the company's sales, marketing or claims practices.

    "HCC Life and MIS (Medical Insurance Services) agreed to the settlement in order to resolve disputed matters associated with this former line of business and agreed to pay $5 million to the settling states for the examination, administrative costs and compliance," Busker wrote in an email. 

    Attorneys representing Bertanzetti advised consumers to request a policy and review details before signing up for a short-term plan. Attorney Jeffrey Hill said Bertanzetti's policy listed 59 separate exclusions.

    "What they have essentially done, they have built in a very broad set of reasons after the fact to justify not paying the medical bill," Hill said. "That is what the average person does not understand."

    Some consumers remain optimistic that cheaper, short-term plans will work for them.

    Chris Barber has bought short-term policies to cover his family in recent years.  His current family plan, purchased through eHealth, costs $220 per month and covers himself, his wife and their three children.

    Because the plan has a $2,500 deductible, the family negotiates directly with their pediatrician for routine visits for their kids. The short-term plan would provide protection in the event of a catastrophic event.

    The Fort Worth, Texas, man said the arrangement worked well until August, when a kidney stone landed him in a hospital emergency room. A week later, he had surgery to remove the kidney stone.

    Now he has $35,000 in medical bills and he's uncertain whether his insurer, Lifeshield National Insurance, will pay for anything.

    Lifeshield did not respond to an initial request for comment. A woman who answered a second phone call to Lifeshield told USA TODAY that the insurer would not comment on Barber's case. She declined to identify herself or forward the inquiry to another person.

    Barber says the insurer rejected his initial claim, and made him fill out a questionnaire about his medical history. The company also asked him to retrieve detailed medical records and doctors' notes from his providers.

    "They are taking a long time to pay out," Barber said. "We are to the point where they may not honor what they said they would ... We're hoping they do the right thing."

    Copyright 2017 USATODAY.com


    The Health 202: Obamacare enrollment starts today. It will test GOP policies. | killexams.com real questions and Pass4sure dumps

    THE PROGNOSIS

    A man fills out an information card during an Affordable Care Act outreach event. (Jonathan Alcorn/Reuters)

    The first Affordable Care Act enrollment season opens today in which GOP-led changes to Obamacare are fully in place. The changes may not be as disastrous to the insurance marketplaces as Democrats would have you believe.

    To be sure, the Trump administration has adopted a sharply different approach than the Obama administration to the insurance marketplaces where about 11 million people get their health coverage. It has opened the door to cheaper, leaner plans. It has slashed spending on advertising and outreach. It has applauded Congress for repealing the penalty for being uninsured.

    In response, Democrats seeking to gain seats in next Tuesday’s midterm election have kept up a drumbeat of criticism slamming the administration for trying to sabotage Obamacare:

    Sen. Patty Murray (Wash.), top Democrat on the Health, Education, Labor and Pensions Committee:

    Senate Minority Leader Charles E. Schumer (D-N.Y.):

    The basic conditions, however, that drove Americans to seek insurance in the marketplaces created by the 2010 ACA remain the same. That includes subsidies, which help about four in five lower-income marketplace shoppers afford plans, and a requirement that plans accept people with preexisting conditions and cover a full range of health services. Republicans still say they want to repeal and replace the ACA --  but in order to try again, the GOP would have to hold its House majority, plus gain some additional Senate seats.

    There are some signs insurers have finally found their sweet spot in the marketplaces. After several years of spiking premiums and insurer exits, the marketplaces appear much more stable at the start of the 2019 enrollment season, which runs Nov. 1 through Dec. 15.

    Recall the widespread surprise last year when marketplace enrollment dropped by only 400,000, despite frequent predictions the Trump administration’s attempt to "sabotage" them would result in a million or more people dropping out of the marketplaces.

    The final enrollment figure for 2018 — 11.8 million — is the benchmark number to keep in mind when the administration releases 2019 signup totals. It will be interesting to see whether enrollment holds steady, decreases or even increases, considering that some marketplace plans actually became cheaper for to buy for next year.

    Top health officials, including Health and Human Services Secretary Alex Azar and Centers for Medicare and Medicaid Services administrator Seema Verma, still regularly criticize Obamacare. 

    Azar and Verma are not terribly eager to talk about Obamacare -- spokespeople for both officials said they have no public events scheduled today as open enrollment launches. And when they do refer to the ACA, they argue they’re making the best of what they view as a bad situation and law.

    And you could view this enrollment period as a test of their actions to put a more conservative stamp on the ACA, as my colleague Amy Goldstein notes in this story.

    “In fostering such new policies, the administration’s senior health officials have been walking a balance beam in the lead-up to the open enrollment: They are claiming credit for causing the marketplaces to be less turbulent than in the past few years, while continuing to argue for an end to the sweeping 2010 health-care law that was President Barack Obama’s prime domestic achievement,” Amy writes.

    We’ll know a lot more about how these changes affected enrollment once the six-week signup period is over. But there’s reason to believe the administration's actions won’t have a huge effect on coverage for the vast majority of customers — at least not yet.

    For one thing, the individual mandate, eliminated in the GOP tax cut overhaul, was less effective in practice than in theory. That's because the fine for people who didn't buy insurance was less than many people might pay in annual premiums. The executive branch also lacked sufficient enforcement mechanisms all along. There are estimates that repealing the penalty caused higher premiums than if it had been left in place, but premiums also haven't skyrocketed as Democrats had predicted.

    And there’s something else: The leaner, cheaper policies being encouraged by the Trump administration — those “junk” plans Democrats keep referring to — aren’t yet widely available.

    Over the summer, the administration finalized two new policies expanding two alternative types of health coverage — short-term health plans and association health plans — that generally cost less but are also exempt from ACA requirements to cover a full slate of services and accept people with preexisting conditions.

    In theory, these plans could put upward pressure on premiums because they would draw healthy people away from the marketplaces, leaving sicker people behind. Plus, some activists and experts fear people might lured into buying these cheaper plans without realizing they might not cover needed benefits.

    The new regulations didn’t go into effect until this fall, so insurance carriers are still working on developing plans that fit these new categories, insurance experts say.

    Sean Malia Sr., director of carrier relations for the web broker eHealth, told me there's interest among insurers in offering expanded short-term plans. But he said they won’t be ready to roll out these plans until early next year and it's uncertain how widely available they’ll be in the end anyway. Plus, Malia noted, 20 states have placed stricter limits on short-term plans than allowed by new federal rules.

    Malia said he’s also hearing some interest from insurers in offering association health plans (referred to by health wonks as AHPs). But he said carriers are still figuring out exactly how such plans would work under the new rules and considering whether it’s worth selling them.

    “The challenge is not a lot of carriers haven’t bought into AHPs as of yet, so they’re not widely available right now,” Malia said. “A lot of it is still very fluid. As more carriers start to get involved, things will start to get more concrete.”

    You are reading The Health 202, our must-read newsletter on health policy. Not a regular subscriber?

    AHH, OOF and OUCH

    Seema Verma, Administrator of the Centers for Medicare and Medicaid Services is interviewed by Paige Winfield Cunningham at a Washington Post live news event. (Kate Patterson for The Washington Post)

    AHH: The Centers for Medicare and Medicaid Services yesterday approved a plan to allow Wisconsin to become the fourth state to implement work requirements for people who receive Medicaid benefits.

    The state will require Medicaid beneficiaries to complete 80 hours a month of work in order to maintain enrollment. Individuals in the program will be locked out of it for six months if they fail to comply with the requirements for 48 months. That appears to be far more lenient than the requirement in Arkansas, which says people will lose insurance if they fail to comply for three months in a year.

    “Four other states have won such permission this year, including Arkansas, which has cut off several thousand people from benefits for failing to meet its ‘community engagement’ requirement,” our colleague Amy Goldstein reports. “A federal judge has blocked the work requirement in Kentucky, the first state to attain permission last winter; Wisconsin becomes the administration’s first new approval since the court ruling early this summer.”

    Verma acknowledged “there are people who disagree with this approach.” “Some believe that our sole purpose is to finance public benefits, even if that means lost opportunity and a life tethered to government dependence,” she said in a statement yesterday. “We will not retreat from this position.”

    Amy also notes that Wisconsin will be the first state to “compel certain poor residents to disclose behavior such as drinking and exercise to qualify for Medicaid — and to charge more to people whose behavior the state judges as risky.”

    From Verma: 

    Wisconsin Gov. Scott Walker (R) touted the announcement: 

    Former Vice President Joe Biden speaks at the Kilcawley Center at Youngstown State University, Monday, Oct. 29, 2018, in Youngstown, Ohio. (AP Photo/Tony Dejak)

    OOF: Former Vice President Joe Biden pulled no punches when he dismissed claims from Trump and the Republicans who say the party wants to protect people with preexisting conditions.

    "They’re either not telling the truth or they’re really stupid," Biden said during a rally to support Lauren Underwood, an Illinois Democrat running for Congress, Politico’s Matthew Choi reports. "Because there's no way you can afford to cover preexisting conditions without everybody being in on the deal."

    The president has repeatedly said that Republicans would defend these protections, again making the claim in a tweet yesterday.

    A volunteer hands out a poster as Vermont independent Sen. Bernie Sanders was set to address a “Medicare for All” rally in downtown Columbia, S.C. (AP Photo/Meg Kinnard).

    OUCH: Verma took a jab at “Medicare-for-all” in a tweet yesterday, using a Halloween-themed post to reiterate her opposition to the idea of a universal, government-run health-care program. The idea has gained momentum among Democrats and has been the subject of attack from Republicans and by the president.

    “Ideas like, ‘Medicare for All’ would only serve to hurt and divert focus from seniors,” Verma said in July during remarks at the Commonwealth Club of California. “In essence, Medicare for All would become Medicare for None. By choosing a socialized system, you are giving the government complete control over the decisions pertaining to your care, or whether you receive care at all.  It would be the furthest thing from patient-centric care.”

    In October, she called it a “bad idea.” Verma followed up with a tweet later in the day saying “Medicare for All isn’t a joke”:

    HEALTH ON THE HILL

    House Minority Leader Nancy Pelosi (D-Calif.) speaks during her weekly news conference on Capitol Hill. (AP Photo/Jose Luis Magana)

    — One of Democrats’ top priorities if they recapture the House majority would be tackling the increasing costs of prescription drugs, the New York Times’s Nicholas Fandos reports. It’s one of a number of agenda items, including campaign and ethics changes and infrastructure investment, that top Democrats told the Times is part of their agenda.

    In an interview with the Times, House Minority Leader Nancy Pelosi (D-Calif.) also said Democrats would work to improve Obamacare instead of looking to immediately replace it with a single-payer system.

    Pelosi predicted a Democratic victory and said it would be a “bitter pill for them all to swallow when they see the election results, if they turn out as we expect.” “I don’t think he himself knows what he is going to do,” she said about the president’s willingness to cooperate if Democrats are successful in the House.

    “Democrats have also prepared detailed, more liberal approaches for a $1 trillion infrastructure package and how to slow the increases in prescription drug costs, but indicated that they would steer proposals through the regular committee process in an effort to try to build a consensus with Republicans first,” Nicholas writes.

    Meanwhile, Pelosi has been declaring victory for Democrats both in public and private, Politico’s John Bresnahan and Caitlin Oprysko report.

    “Pelosi's spiking of the ball — even if her supporters wouldn't call it that — could be risky. House Republicans have spent millions of dollars this cycle trying to tie Democratic candidates and incumbents to the California Democrat, the same tactic they used successfully in 2010,” John and Caitlin write. “Pelosi has been extremely careful to avoid making herself an issue in battleground races, focusing all her attention on President Donald Trump and the Republican legislative record on health care and taxes.”

    “Yet Pelosi — like other party leaders — has taken a hard look at the most recent polling and turnout data, and she feels confident about her call.”

    TRUMP TEMPERATURE

    Secretary of State Mike Pompeo speaks to reporters at a news conference at the State Department in Washington. (AP Photo/Andrew Harnik)

    —Trump’s State Department is considering a plan that would ban U.S. diplomats from using the terms “sexual and reproductive health” and “comprehensive sexuality education,” Politico’s Nahal Toosi and Dan Diamond report.

    The proposal would be for officials to instead use phrases like “reproduction and the related health services.” The proposal from Secretary of State Mike Pompeo is “being pushed by a handful of conservative political appointees at the State Department and other agencies, including Mari Stull, an adviser at State whose alleged mistreatment of career government staffers has already sparked multiple federal investigations,” Nahal and Dan write.

    It’s not clear how such a change would impact policy, if at all.

    “But changing the terms could lead to more contentious negotiations at the United Nations and other forums over language used for resolutions and agreements,” Nahal and Dan write. “At the very least, abandoning the use of the word ‘sex’ would be a symbolic move that aligns with other Trump administration efforts to reduce funding for and focus on women’s reproductive issues — especially anything related to abortion.”

    STATE SCAN

    Democratic Sen. Joe Donnelly, left, shakes hands with Republican former state Rep. Mike Braun following a U.S. Senate Debate, Tuesday, Oct. 30, 2018, in Indianapolis. (AP Photo/Darron Cummings, Pool)

    — Abortion took the stage in Indianapolis this week in the debate between Democratic Sen. Joe Donnelly and his Republican challenger Mike Braun in their competitive matchup. For his part, Donnelly tried to force the issue and coax a response from Braun, the Associated Press’s Brian Slodysko reports.

    Both candidates have said they are opposed to abortion, although Donnelly says he supports exceptions being made in the cases of rape, incest or when there’s a risk to the mother’s health.

    “If your daughter happens to be raped, Mike thinks the government has a role in the middle of that — I don’t,” Donnelly said.

    But Braun seemed to avoid the same gaffe-filled fate of Donnelly’s 2012 opponent, who during a debate said that women who get pregnant after being raped are carrying a “gift from God," Brian writes. “The senator tries to have it both ways. When it comes to the sanctity of life, you cannot say you are pro-life and have your voting record,” Braun said of Donnelly. He added he would “never demonize anyone who disagrees with my point of view.”

    "The politics of abortion are complicated in Indiana, a state so dominated by Republicans that policy fights over the issue are typically waged by differing factions within the party," Brian reports. "In an election that could hinge on support from independents and moderate Republican women, it could also prove to be a volatile electoral issue."

    MEDICAL MISSIVES

    Mourners embrace during a processional outside of Congregation Beth Shalom for the funeral of Joyce Fienberg who was killed at the mass shooting at the Tree of Life Synagogue. (Salwan Georges/The Washington Post)

    — Yet another mass shooting has restarted an ongoing national conversation about American’s gun laws, and this time just days before the midterm elections.

    Our Post colleague Eugene Scott writes that’s in part driven by the president’s own comments about guns on the same day a shooting left 11 people at Tree of Life synagogue in Pittsburgh. Police say the shooter was armed with multiple handguns and an assault rifle. While Trump suggested that an armed guard inside the synagogue could have stopped the shooter, he also said that gun laws have “little to do with it.”

    “Gun laws are among the most politically polarizing issues, but heading into the midterm elections there had not been much talk about them,” Eugene writes. “A week before the shooting, the Pew Research Center published data showing that there are some specific policy proposals that both Republicans and Democrats support broadly. Most Americans say gun laws should be more strict — and the number who say so has increased over the past year. Nearly six in 10 — 57 percent — of Americans think gun laws should be stricter. That number was 52 percent last year.”

    “After mass shootings, it is common to hear questions and concerns about the suspect’s mental health. Perhaps in light of that, overwhelming majorities (89 percent) of Republicans, Democrats and independents who lean toward one of the parties say people who are mentally ill should be barred from buying guns.”

    Trump and Republicans have previously campaigned on protecting gun ownership, but passing any legislation to address limitations on purchasing guns “hasn’t really hinged on public onion in the past, and it’s not likely to anytime soon,” Eugene reports.

    “The gun lobby, including highly influential groups such as the National Rifle Association, holds sway with large swaths of Congress, and voters in the Republican base still generally oppose stricter gun laws. In the Pew survey, Republicans were four times (76 percent) more likely than Democrats (19 percent) to say that gun rights are more important than gun control.”

    — And here are a few more good reads: 

    World

    A massive wave of migrants is transmitting once-rare diseases to other parts of Latin America

    Anthony Faiola, Marina Lopes, Rachelle Krygier, Gui Christ, Joanne Lee and Chloe Coleman

    Rep. Michael Burgess, R-Texas, isn’t shying away from the Obamacare repeal bill that the House passed last year, a stark contrast from some of his colleagues facing tough re-election races this fall.

    Washington Examiner

    The National Rifle Association — long seen as a kingmaker in Republican politics — is taking a lower profile in this year’s high-stakes midterm campaign, a sign of the shifting dynamics of the gun debate as the GOP fights to maintain its grip on Congress

    Associated Press

    Voters in 37 states will decide 155 ballot measures this midterm. In many states ballot measures echo larger national trends.

    Kate Rabinowitz

    A group of Senate Democratic appropriators have asked their Republican colleagues to hold a hearing regarding how the Trump administration has been funding the detention of unaccompanied migrant children.

    The Hill

    INDUSTRY RX

    Fact Checker

    Under attack from Democrats for health-care votes, some Republicans have begun borrowing language from the 2008 Obama campaign

    Glenn Kessler

    Express Scripts revenue surged in the three months through September, even as speculation mounted that the Trump administration will try to revamp a key piece of its business model.

    Washington Examiner

    People can livestream their every move on Facebook and chatter endlessly in group chats. But in most parts of the U.S., they still can’t reach 911 by texting — an especially important service during mass shootings and other catastrophes when a phone call could place someone in danger.

    Compared to open surgery for cervical cancer, the less invasive approach was more likely to result in cancer recurrence and death, new studies found.

    New York Times

    DAYBOOK

    Coming Up

  • HHS Advisory Committee on Heritable Disorders in Newborns and Children holds a meeting on Thursday and Friday.
  • The FDA holds a joint meeting of the Psychopharmacologic Drugs Advisory Committee and Drug Safety and Risk Management Advisory Committee on Friday.
  • SUGAR RUSH

    GOP hopefuls say they fight insurance companies, just like Obama:



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