Newsletters

04.24.20

Options for Increasing Medicaid Provider Payments During COVID-19 Crisis

As the COVID-19 pandemic continues to progress, providers across the continuum of care are experiencing significant changes in utilization resulting in declining revenue and jeopardizing access to care.


12.19.19

CMS Proposes Rule With Significant Medicaid Financing Implications

Over the past several years, federal Medicaid oversight and advisory bodies, including the Government Accountability Office (GAO) and the Medicaid and CHIP Payment and Access Commission (MACPAC), have issued reports calling on the Centers for Medicare & Medicaid Services (CMS) to strengthen its ...


11.20.18

North Carolina Waiver With ‘Healthy Opportunities’ Pilots Approved

On October 24, 2018, North Carolina received approval from the federal Centers for Medicare & Medicaid Services (CMS) of its 1115 waiver for a five-year demonstration period.


08.30.18

CMS Releases Guidance Formalizing Budget Neutrality Policies

On August 22, 2018, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director Letter (SMDL) memorializing its long-standing budget neutrality policies requiring that waivers under Section 1115 of the Social Security Act (1115 waivers) cost no more to the federal ...


12.12.17

North Carolina: Amended 1115 Waiver Application

On November 20, 2017, North Carolina submitted an amended 1115 waiver application to the Centers for Medicare & Medicaid Services (CMS) seeking authority to invest $1.2 billion over five years in a range of targeted initiatives that, taken together with a transition from fee-for-service to ...


03.16.17

Repealing the Medicaid Expansion: Implications for Montana

Federal decisions regarding Medicaid expansion would affect access to healthcare for more than 71,000 Montanans covered under Montana’s bipartisan Health and Economic Livelihood Partnership (HELP) Act.


03.02.17

Capped Federal Medicaid Funding: Implications for Texas

Under the current system, the federal government matches state spending on Medicaid so long as the state follows federal Medicaid rules.


12.21.16

Capping Federal Medicaid Funding: Key Financing Issues for States

President-elect Donald Trump and Republican congressional leadership have called for a repeal of the Affordable Care Act (ACA) and a fundamental overhaul of the Medicaid program that would include imposing caps on federal funding to states.


12.16.16

Special Edition: Comparison of Key Repeal and Replace Proposals

As the incoming Congress and administration develop plans to “repeal and replace” the Affordable Care Act (ACA), analysis of five earlier repeal and replace proposals provides insights into the key features likely to appear in any forthcoming repeal and replace legislation.


08.24.16

Section 1332 Waivers: Will We See More State Innovation?

Stakeholders across the country are focused on effectively implementing the Affordable Care Act (ACA) and making incremental—not radical—changes to it.