Tag: Health Policy Research

CMS Releases Final Exchange Guidance

On April 9, 2018, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited final Exchange guidance for the 2019 plan year – the final Notice of Benefit and Payment Parameters for 2019 (NBPP) and the final Letter to Issuers in the Federally-facilitated Exchanges (Letter). Together, the NBPP and Letter set forth changes to ...

Tackling Rising Prescription Drug Costs – a report on state and federal efforts

On March 29th, subject matter experts from Health Policy News held a webinar and Q&A to discuss efforts at the state and federal level to address the rising cost of prescription drugs.  Many states are in the midst of their legislative cycles, with the issue of rising pharmaceutical costs on agendas across the country. Topics ...

Health Policy News December 2017

As 2017 comes to a close, we take a look back at health policy developments from the last 12 months in this edition of Health Policy News, beginning with a close-up on health care provisions in the tax bill being negotiated in Congress as of publication. The remainder of this edition will reflect upon major ...

Health Policy News November 2017

Along with the changing weather, this time of year brings some typical health policy events, which are the focus of this month’s edition of Health Policy News. We start with our in-depth analysis of the Proposed Notice of Benefit and Payment Parameters (NBPP) for 2019, which the Centers for Medicare & Medicaid Services (CMS) released ...

Impact of recent federal policy changes on open enrollment

Open Enrollment Period (OEP) The fifth open enrollment period (OEP 5) kicked off on November 1, 2017, with a shortened enrollment window compared to previous years. With only until December 15th to make eligibility and enrollment changes, states have been urging consumers to make selections early and seek assistance from application assisters, insurance agents or ...

Insights from the annual National Academy for State Health Policy (#NASHPCONF17)

PCG subject matter experts were in Portland, Oregon last week at the 30th annual #NASHPCONF17. With a focus on guiding state policy makers though the changing health policy landscape, #NASHPCONF17 provided a break from the day to day, reactionary work to adjust to federal policy. The conference served as an opportunity for state health policy ...

Health Policy News October 2017

The editors of Health Policy News spent this week at the annual National Academy for State Health Policy (#NASHPCONF17) in Portland, Oregon and had the opportunity to meet with many of our readers in person. #NASHPCONF17 provides the opportunity for state leaders from all aspects of health policy, including legislative and administrative leaders and other ...

Developments in Section 1332 State Innovation Waivers

Progress has continued on state efforts to secure Section 1332 State Innovation Waivers. Oregon submitted a waiver application at the end of August, seeking support for a state-based reinsurance program, and that application has since been determined complete. Iowa submitted two recent updates to its pending waiver application, which it initially submitted in June. Its ...

Balance billing – a new report on recent efforts by state

PCG subject matter experts recently completed a survey report entitled “Balance Billing: Report of Recent Efforts to Protect Consumers.” The practice of balance billing is historically commonplace, but increased scrutiny on rising out of pocket health care costs is driving efforts to provide greater transparency into the practice. For those states contemplating crafting consumer balance ...

Health Policy News Early Fall 2017

We hope that you enjoyed a restful and relaxing end to your summer, returning energized for what is looking like a busy legislative and regulatory season. We held this edition of Health Policy News for the final outcome of the Congressional push to make changes to the Affordable Care Act (ACA) by the September 30th ...