Category: Medicaid

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 While the COVID-19 public health emergency (PHE) is expected to last through 2021, the Centers for Medicare and Medicaid Services (CMS) released a ...

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 ...

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 ...

First-of-Its-Kind Tennessee Block Grant Approved by CMS

On January 8th, 2021, the Center for Medicare and Medicaid Services (CMS) announced the approval of Tennessee’s final Medicaid Block grant proposal[1] which the state had originally submitted in 2019. ...

NAMD Conference Offers Reflection on 2020, Contemplation of Health Policy in 2021

Members of PCG’s Health team attended the National Association of Medicaid Directors (NAMD) virtual conference from November 9th – November 11th.  The conference breakout sessions showcased Medicaid Directors sharing various ...

Regulatory Roundup

Final Medicaid Managed Care Rule, Transparency Requirements for Commercial Insurance Carriers and two Georgia Waiver Approvals Announced Over the past few weeks, two anticipated final rules were released by the ...

Continued Federal Responses to the COVID-19 Pandemic

With the country in the throes of yet another surge in the COVID-19 pandemic, states and federal agencies continue to respond to its impacts. As our team has since the ...