Newsletters

05.17.23

CMS Proposes Significant Medicaid Policy Changes for Access Monitoring, Managed Care, and HCBS

On Thursday, April 27, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated proposed rules.


05.04.23

DEA Issues Statement on Continuing PHE Telehealth Prescribing Flexibilities Beyond May 11

On May 3, the Drug Enforcement Administration (DEA) issued a statement from Administrator Anne Milgram on COVID-19 telemedicine flexibilities for prescribing controlled substances in which the DEA noted that it has “decided to extend the current [public health emergency (PHE)] flexibilities ...


04.27.23

A First Look: Highlights From North Carolina’s Healthy Opportunities Pilots

Over the past year, the North Carolina Department of Health and Human Services (NCDHHS) has tested the health impacts of providing services to address certain social drivers of health—the conditions in which people live, work, learn and play—to qualifying Medicaid enrollees through its ...


04.26.23

Health Information Technology and Exchange Opportunities and Priorities for Older Adults

Editor’s Note: Data exchange is crucial to coordinating care and services for older Californians, particularly those who have an array of health and social needs and require multidisciplinary teams to manage care and transitions between settings.


04.25.23

The Pennsylvania Rural Health Model: Lessons Learned and What’s Next for Rural Payment Policies

Since 2010, a reported 140 rural hospitals have closed their doors, including a record 19 hospitals in 2020 alone as a result of the financial pressures of COVID-19 compounded by many other long-standing challenges facing these health systems.


01.31.23

CMS Approves First-in-Nation Justice-Involved Reentry Section 1115 Demonstration

On January 26, 2023, the Centers for Medicare & Medicaid Services approved California’s request to amend the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration.


01.26.23

Oregon Leads the Way for States to Provide Continuous Coverage in Medicaid

Disruptions in Medicaid coverage, and losing coverage altogether despite remaining eligible, are common occurrences for individuals enrolled in Medicaid.


01.25.23

New Federal Guidance on In Lieu of Services

On January 4, the Centers for Medicare & Medicaid Services issued a new State Medicaid Director letter on how states can make expanded use of ILOS authority, including to address social drivers of health.


01.19.23

CMS Authorizes Medicaid/CHIP Coverage and Reimbursement for eConsults

On January 5, the Centers for Medicare & Medicaid Services (CMS) issued guidance for State Health Officials clarifying that Medicaid and CHIP coverage and payment of interprofessional consultations (commonly and hereafter referred to as “eConsults”) is permissible, even when the ...


01.18.23

Realizing the Promise of All-Payer Claims Databases

In 2020, health care spending in the United States increased by nearly 10% to reach $4.1 trillion, or 20% of the U.S. economy.