All posts by Lisa Kaplan Howe

Lisa Kaplan Howe (J.D.) is a Senior Advisor who has spent her career working in health law and policy. At PCG, she focuses on statutory and regulatory analysis and strategic advising, particularly related to health care policy. Lisa has provided subject matter expertise to support state health care reform efforts, including policy development and regulatory support for health insurance Marketplaces and state insurance plan management efforts, Medicaid expansion and Medicaid Waivers (including DSRIP Waivers) and State Innovation Waivers. Lisa led PCG’s work with the New Hampshire Insurance Department relative the state’s Section 1115 Medicaid Waiver to provide coverage to newly-eligible adults through the Marketplace and continues to support the states’ Marketplace plan management work. In those roles, Lisa has served as the chief advisor and policy expert related to Medicaid and private insurance law to the New Hampshire Insurance Department, helping to identify, analyze and lead strategic consideration of federal opportunities and requirements. Lisa is also part of the team helping to design Colorado’s Delivery System Reform Incentive Payment (DSRIP) program. Ms. Kaplan Howe also provides broad policy and regulatory support to PCG’s other health care clients across the country, analyzing policy and regulatory developments, providing strategic advice relative to regulatory questions, and drafting policy briefs and position papers. Lisa is a managing editor of PCG’s monthly health practice area newsletter, Health Policy News. Prior to joining PCG, Lisa served as Policy Director at New Hampshire Voices for Health, where she led legislative and regulatory analysis, strategic planning, and implementation of the organization’s policy agenda. Her work included drafting bills, amendments, testimony, and communications and testifying at hearings. Lisa also held the positions of Private Market Policy Manager and Consumer Health Policy Coordinator at Health Care for All of Massachusetts. While there, she managed private insurance market policy work and was a member of the organization’s internal health reform team. Lisa also practiced law in the Ropes & Gray health care department, advising health care provider and insurer clients.

The Federal Administration Issues More Guidance on the No Surprises Act

Implementation of the No Surprises Act (NSA) continued this fall with the release of a second interim final rule (IFR) on September 30, 2021. The NSA—which was signed into law ...

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 ...

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 ...

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 ...

Implementation of the American Rescue Plan Kicks off Quickly and the Federal Government Announces its Health Priorities for Discretionary Spending

The past month brought the fifth renewal[1] of the U.S. COVID-19 Public Health Emergency (PHE), as well as the start of the American Rescue Plan Act of 2021 (ARP)’s implementation. ...

American Rescue Plan has Broad Impact on Health Policy

The American Rescue Plan Act of 2021 (the Act) was signed into law on March 11, 2021. This sweeping law provides funding to address the impact of the COVID-19 pandemic ...

States Should Start Planning Now for Adapting Their Medicaid Programs Post-COVID-19

By Peter Cheesman and Lisa Kaplan Howe Update: For more information about considerations for states regarding redeterminations of Medicaid following the end public health emergency, click here. While the COVID-19 ...

Update on the Federal Response to the COVID-19 Pandemic as Leadership Changes

COVID-19 was the top focus of the new federal administration as it entered office this month. With the surge in cases continuing across the nation, President Joseph Biden signed a ...

CMS Finalized Exchange Guidance for 2022

Update: In February, CMS finalized timelines for certification and rate filings of Qualified Health Plans that will be offered in Marketplaces in 2022.  The Centers for Medicare and Medicaid Services ...