Newsletters

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 ...


07.25.17

Affordability and Policy Implications of the BCRA

The Senate is poised to vote today on a motion to proceed (MTP) to debate on repealing and possibly replacing the Affordable Care Act (ACA).