Tag: Medicaid

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 ...

The Federal Administration Continues to Release Guidance and Waivers in Response to the COVID-19 Pandemic

Health Policy News continues tracking federal-level action aimed at addressing the broad impact of the COVID-19 pandemic with a focus on actions to support states and providers in their efforts to respond to the pandemic and its impact. As in our March and April articles, this post aggregates the latest updates from the federal level, ...

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 ...

Care During a Crisis: How to Leverage Critical Incident Management Systems to Ensure Health and Welfare When It Matters Most

State Medicaid agencies have been hit hard during the COVID-19 crisis.  Over the last several weeks, there has been an unprecedented increase in member enrollments, as well as significant disruptions in care delivery due to stay-at-home orders.  As states shift their focus to implementing new policies to ensure continuity of services and mitigate the risk ...

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 ...

Health Policy News – October 2019

Introduction This month, we are featuring a new report by the Health Policy News Team: “Innovative Approaches to Accountable Care”. This report aims to assist those states that are thinking about integrating alternative care delivery methods into their Medicaid program or commercial insurance marketplace. To accompany this report, HPN will host an overview of the ...

Innovative Approaches to Accountable Care

In 2018, it was estimated that 10 percent of the population was receiving care under an Accountable Care Organization (ACO) approach to health care delivery. Recent enrollment data from 2019 indicated that ACO enrollment is composed of 55% commercial ACO models, 7% Medicaid and 38% Medicare, which indicates a diverse approach to ACO integration across ...

Health Policy News – September 2019

Introduction Since publishing our summer edition, the Health Policy News team has attended various conferences. We were thrilled to see many subscribers in person at the National Conference of State Legislatures Legislative Summit, as well as the National Academy of State Health Policy annual conference. In this edition, we share our insights (and relevant fact ...

CMS Issues New Regulations to Enhance Program Integrity

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a final rule in the September 10, 2019 Federal Register to implement program integrity enhancements to the provider enrollment process under Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP).  The CMS rule will be effective November 4, ...

Tennessee Releases Its Block Grant Plan

This month, Tennessee continued its pursuit of a Medicaid block grant, unveiling its draft Medicaid waiver amendment application on September 17th. Underpinning Tennessee’s months-long exploration of this model is the current federal administration’s interest in supporting these types of proposals—with implementation guidance expected to be released, but still under review, by the Office of Management ...