Category: Medicaid

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 ...

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 ...

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 ...

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 ...

Migrating Incentives from Measurement to Learning

Over the past three decades, an overreliance on quality measures as a material driving factor in value-based payment (VBP) arrangements has created an adverse trade-off within delivery systems: achieve short ...

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 ...

Prescription Drug Pricing Reform Efforts Continue

This post marks the first in a planned series of updates from Health Policy News on prescription drug cost control measures. In this month’s installment, we highlight ongoing efforts through ...

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 ...