Tag: Medicaid

Health Policy News – Summer 2020

As the nation remains in the throes of the COVID-19 pandemic, PCG’s Health Policy News team continues to provide readers with updates regarding pandemic-related health policy developments. This year’s summer edition features the latest news from the federal level related to COVID-19 coverage, state waivers and efforts relative to health disparities. In light of a ...

COVID-19-Related Policy Developments Continue at the Federal Level

As the country continues to deal with the COVID-19 pandemic, Federal agencies continue to provide guidance to states and providers as they respond to the pandemic. As in our March, April and May articles, this post aggregates the latest updates from the federal pandemic response, including those relative to Medicare, Medicaid and Children’s Health Insurance ...

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 ...