Tag: Centers for Medicare & Medicaid Services

Health Policy News – May 2020

The much-anticipated final Payment Notice and Letter to Issuers in the Federally-facilitated Marketplaces was released early this month, with states’ concerns about the impact of COVID-19 evident in many of the finalized policy changes. The first post this month details the Centers for Medicare and Medicaid Services’ (CMS) final changes and includes an updated fact ...

State Mitigation of COVID-19 Related Costs

On April 25, 2020, Health Affairs published a piece by one of the editors of Health Policy News, entitled “States Should Act Now To Mitigate Commercial Insurance Costs Associated With COVID-19”[1]. The piece focuses on actions states can take to potentially mitigate costs associated with COVID-19—specifically, examining the impact that COVID-19-related health insurance expenditures in ...

Payment Notice and Letter to Issuers in the Federally-facilitated Marketplaces Finalized for the 2021 Plan Year  

With filing deadlines quickly approaching, the Centers for Medicare and Medicaid Services (CMS) released final versions of the Notice of Benefit and Payment Parameters (NBPP) for 2021 and the 2021 Letter to Issuers in the Federally-facilitated Exchanges (Letter) on May 7, 2020. At the same time, CMS released accompanying guidance: Key Dates for Calendar Year ...

Updates on the Federal Response to COVID-19

As the COVID-19 pandemic continues to impact the country, Congress and the Centers for Medicare and Medicaid Services (CMS) continue to advance funding opportunities, temporary policy changes and waivers to support states, providers, and the public in their efforts to address the pandemic and its broad impact. This article aggregates the latest updates on the ...

Health Policy News – April 2020

Last month, Health Policy News brought you breaking news about the legislation and guidance aimed at providing greater flexibility to states and providers as they struggle to meet health and service demands during this global pandemic; requirements relative to COVID-19-related health coverage; and examples of action at the state level to address local need. As ...

Health Policy News – March 2020 Special Edition

  Introduction Health Policy News had planned content for the month of March, but given the unprecedented times we are all living through, we thought it best to dedicate this month’s entire edition to recent federal and state efforts to support consumers, providers, and health insurance carriers in combating COVID-19. Just in the past week, ...

Health Policy Responses to COVID-19

In this unprecedented time, much attention has been paid to Congressional response to the clinical and economic needs resulting from the COVID-19 pandemic. At the same time, Congress, the Centers for Medicare and Medicaid Services (CMS) and other federal agencies have actively put forth legislation and guidance aimed at providing greater flexibility to states and ...

Health Policy News – February 2020

Introduction On January 31, 2020, the Centers for Medicare and Medicaid Services (CMS) released the proposed Notice of Benefit and Payment Parameters (NBPP) and the draft Letter to Issuers in the Federally-facilitated Exchanges, as well as accompanying guidance and timelines. The March 2nd deadline for comment on the proposed policy changes included in the annual ...

An Interview with Retired Deputy Fire Chief Ken Riddle, PCG’s Emergency Medical Services Subject Matter Expert

Health Policy News often features Medicaid-related policy topics; this month, we are featuring the first in a series of pieces that touch on Medicare policy—specifically, Emergency Medical Services (EMS). PCG is fortunate to have retired Las Vegas Deputy Fire Chief Ken Riddle leading our work in this area. We spent time with Ret. Deputy Chief ...

Medicaid Updates: Regulations, Guidance and Litigation

The last several weeks saw a number of Medicaid policy-related developments. In our round-up below, we share key takeaways from each. Centers for Medicare and Medicaid Services Block Grant Guidance As we shared in our newsletter last month, CMS recently released a State Medicaid Director Letter with long-awaited guidance on Medicaid block grants. Earlier this ...