Category: Federal Guidance

Unwinding the Continuous Enrollment Requirement
Unwinding the Continuous Enrollment Requirement Although the Public Health Emergency (PHE) end has not been formally announced, the administration has taken steps to start the process of unwinding the ...

Health Policy News Conference Roundup
Highlights from the 2022 National Association of Medicaid Program Integrity Conference; Advancing Medicaid Program Integrity – Chris Richter Several members of Public Consulting Group’s (PCGs) Health Payer Services team recently ...

The Department of Health and Human Services Releases 2023 Final Exchange Rules & Guidance for Health Issuers
As the deadline for submission of Qualified Health Plans (QHPs) approaches, the Department of Health and Human Services (HHS) released the final 2023 Notice of Benefit and Payment Parameters (NBPP) ...

Federal Behavioral Health Plan Released
This month, the Biden administration released a plan for tackling the nationwide behavioral health crisis. Challenges related to behavioral health are not new, but have only worsened during the now ...

The Department of Health and Human Services Releases 2023 Draft Marketplace Rules & Guidance for Health Issuers
On December 28, 2021, the Department of Health and Human Services (HHS) released the Proposed 2023 Notice of Benefit and Payment Parameters (NBPP), along with accompanying technical guidance on risk ...

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 ...

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 ...