Category: CMS Guidance

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 ...

Health Policy News – May 2021

This month’s edition features two articles that examine the Exchange-related guidance and future policy priorities recently announced by the Centers for Medicare and Medicaid Services (CMS) in the second final Notice ...

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 ...

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 ...

Health Policy News – February 2021

In the month since the presidential inauguration, the Biden administration has been busy putting its mark on U.S. health policy. A new Marketplace Open Enrollment Period has begun, and the ...

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 ...