Category: All Posts

CMS releases 2018 draft Letter to Issuers in the Federally-Facilitated Marketplaces (FFM) early

The Centers for Medicare and Medicaid Services (CMS) released a draft of its 2018 Letter to Issuers in the Federally-Facilitated Marketplaces (Letter) on November 10, 2016. The Letter – updated ...

Health Policy News November 2016

This issue of Health Policy News focuses on recent developments in payment and delivery system reform.  After receiving more than 4,000 comments on its proposed rules, the Centers for Medicaid ...

New York’s Delivery System Reform Incentive Payment (DSRIP) program: Transitioning to payments based on performance measures

On April 14, 2014, the Centers for Medicaid and Medicare Services (CMS) approved New York state’s groundbreaking DSRIP program through their Medicaid 1115 waiver amendment, allowing the state’s Department of ...

Insights from the annual National Academy of State Health Policy Conference #NASHPCONF16

From October 17th to 19th, members of PCG’s Health Policy team attended the annual National Academy of State Health Policy (NASHP) Conference in Pittsburg, PA. The theme for this year’s ...

CMS finalizes rules on new Medicare payment methodologies for clinicians

On October 14, 2016, the Centers for Medicare and Medicaid Services (CMS) issued final rules to implement a new Quality Payment Program which includes the Merit-Based Incentive Payment System (MIPS) ...

Health Policy News September 2016

Today’s special edition of Health Policy News focuses on the Proposed Notice of Benefit and Payment Parameters (NBPP) for 2018 issued by the Centers for Medicare & Medicaid Services (CMS) ...

Health Policy News August 2016

As states across the country prepare for another year of open enrollment for the health insurance marketplace, they must assess the past three years of operation while adjusting to the ...

Bridging the electronic health information highway and promoting interoperability for Medicaid providers

The Centers for Medicare and Medicaid Services (CMS) recently expanded the scope of the Health Information for Economic and Clinical Health Act (HITECH) 90/10 funding available to encourage the adoption ...

Consumer assistance for open enrollment 2017

This year, for the first time since the health insurance marketplace began, states will not have the support of consumer assistance funding from the Centers for Medicare and Medicaid Services ...

CMS releases report on Affordable Care Act (ACA) health insurers’ payment trends

The Centers for Medicare and Medicaid Services (CMS) released a report on August 11, 2016, entitled, “Changes in ACA Individual Market Costs from 2014 to 2015: Near-Zero Growth Suggests an ...