The Department of Health and Human Services Finalizes Third Exchange Rule for 2022

The Department of Health and Human Services (HHS) finalized the third part of the Notice of Benefit and Payment Parameters for 2022 (NBPP) this month. As the Summer Edition of ...

NASHP Conference Features COVID-19 Updates and Forward-Looking Policy Discussions

Nearly every panel at this year’s annual National Academy of State Health Policy (NASHP) conference—which took place from September 20-22—inevitably included some focus on the implications and impact of the ...

NAMPI 2021: Advancing Medicaid Program Integrity in the Current Environment

Along with approximately one-thousand state and federal Program Integrity professionals and experts, PCG’s Health team sponsored, attended and presented at the 2021 National Association of Medicaid Program Integrity (NAMPI) virtual ...

Following the Supreme Court’s Decision upholding the Affordable Care Act, the Department of Health and Human Services issues Proposed Regulations on the Exchange and the No Surprises Act

Exchange Guidance As expected and previewed in Part 2 of the final Notice of Benefit and Payment Parameters for 2022 (NBPP), the Biden Administration issued its first independent Exchange rule ...

Summer 2021 COVID-19 Updates

The summer months have seen a downturn in the spread of COVID-19 throughout the United States, with 56.1% of the total population having received at least one dose of a ...

Post-Pandemic Telehealth Utilization

Background The last year saw a significant increase in the use of alternative health care delivery methods (especially telemedicine, or telehealth1), as patients either avoided or were unable to access ...

ARP Includes Significant Funding Opportunity for States to Invest in HCBS

This special, two-part piece is dedicated to Section 9817 of the American Rescue Plan, which provides funding for home and community-based services (HCBS) programs. In part one, view a guide ...

Analyzing the Effects of Public Health Messaging on Vaccine Hesitancy

Introduction To date, the COVID-19 vaccination effort has been largely successful for the United States; however, vaccine hesitancy is a major factor preventing the nation from reaching herd immunity. The ...

CMS Foreshadows Policy Areas for Future Rulemaking

As we noted in the recent recent Health Policy News overview of the second Final Notice of Benefit and Payment Parameters (NBPP) for 2022, the process of finalizing Exchange guidance ...

CMS Issues Further Exchange Guidance: Second Final Notice of Benefit and Payment Parameters for 2022 and 2022 Final Letter to Issuers in the Federally-facilliated Exchanges

On April 30th, The Centers for Medicare and Medicaid Services (CMS) released the second final Notice of Benefit and Payment Parameters for 2022 and Pharmacy Benefit Manager Standards (NBPP), as well ...

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