Category: Medicaid
Health Policy News April 2016
Last summer, the Centers for Medicare and Medicaid Services (CMS) proposed a comprehensive overhaul of the regulations governing Medicaid and Children’s Health Insurance Program (CHIP) Managed Care. With the final ...
CMS announces extension of SHOP direct enrollment transition
On April 18, 2016, CMS released guidance entitled “Extension of state-based SHOP Direct Enrollment Transition,” which extends the option of direct enrollment until the end of 2018 giving state based ...
Final Medicaid Managed Care Rules
CMS released a proposed overhaul of the regulations governing Medicaid and CHIP Managed Care last May and accepted comments through July. In addition to their sweeping impact, these rules are ...
CMS announces CPC+ primary care model
On April 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced the Comprehensive Primary Care Plus (CPC+) model. The CPC+ model, which builds on the CPC model ...
Health Policy News March 2016
March was another big month in Federal health policy – with the Centers for Medicare and Medicaid Services (CMS) issuing final guidance on the 2017 certification standards for Qualified Health ...
Behavioral Health’s Move Toward Value-Based Purchasing
“Alternative payment models are not an option for behavioral health providers,” Arizona Medicaid Director Tom Betlach said, “They are your growth strategy.” Betlach’s point was very clear and it resonated ...
Health Policy News February 2016
Quality has been top of focus across the health care world. Whether it be related to coverage, care or other consumer services, there has been ongoing movement to advance quality. ...
CMS and AHIP announce alignment in physician quality measures
On February 16, 2016, the Centers for Medicare and Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP) announced multi-payer alignment and simplification of core quality measures to be used ...
CMMI announces AHC grant opportunities
On January 5, 2016, the Center for Medicare and Medicaid Innovation (CMMI) released a funding opportunity announcement (FOA) soliciting grant applications to test whether identifying health-related social service needs, and ...