• 01.10.18

    What’s Ahead in 2018

    Congress returned from recess with a large agenda for the new year.

  • 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 ...

  • 11.28.17

    CMS Administrator Highlights Medicaid Policy Goals and New Guidance

    Since assuming office last January, the Trump administration has signaled a shift in Medicaid policy.

  • 11.14.17

    2018 Updates to the MACRA Quality Payment Program

    On November 2, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a Final Rule with Comment updating the Quality Payment Program (QPP) under the Medicare and CHIP Reauthorization Act of 2015 (MACRA).

  • 11.14.17

    2019 Notice of Benefit and Payment Parameters

    On October 27, 2017, the Department of Health and Human Services (HHS) released its annual proposed Notice of Benefit and Payment Parameters, containing proposed changes to the regulation of the individual and small group health insurance markets for 2019 and beyond (and in some cases, sooner).

  • 10.26.17

    CMS Approves West Virginia’s Substance Use Disorder Waiver

    On October 6, the Centers for Medicare & Medicaid Services (CMS) approved West Virginia’s “Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders” Section 1115 demonstration.

  • 10.11.17

    Massachusetts Waiver Amendment Requests Partial Expansion and Closed Formulary

    On September 8, 2017, Massachusetts submitted a waiver amendment request to the Centers for Medicare & Medicaid Services (CMS) to modify its MassHealth Section 1115 demonstration.

  • 09.12.17

    1332 Waivers Under Review at CMS

    The Trump administration has approved one 1332 waiver to date, but four more are pending, including a sweeping Iowa waiver. Here is where things stand today:

  • 08.22.17

    CMS Approves Florida 1115 Waiver, Increasing Uncompensated Care Funding

    On August 3, 2017, CMS approved a five-year extension of Florida’s 1115 demonstration through June 30, 2022.

  • 08.08.17

    Next Steps on Healthcare Reform

    Though President Trump has continued to call for action on repeal and replace in the wake of the Senate’s failed vote at the end of July, congressional Republicans have been fairly muted about possible next steps, a sign of conflicting views of whether it is time to move on to other ...

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