By David Harlow – Both proponents and opponents of Medicaid expansion under the ACA were concerned about the “woodwork” effect: The expectation was that once the outreach mandated by the ACA kicked into high gear, not only would newly-eligible individuals sign up for Medicaid.
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By Sara Rosenbaum – While preliminary and incomplete, the draft offers the best evidence to date on where lawmakers may go as they work to translate ambiguous policy proposals into legally binding legislation that will determine the future of health insurance coverage for tens of millions of people.
On July 6, CMS released the Calendar Year (CY) 2017 Changes to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule. This rule includes a number of proposed changes that would affect the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs.
By Matt Fisher – It seems as though multiple times per year the Department of Justice, HHS, or some other enforcement agency announces the largest sweep or takedown of health care related fraud. A joint Department of Justice and HHS announcement on June 22, 2016 is the latest example.
By Andy Slavitt – Earlier this year, I announced a new effort to connect new, innovative companies and their investors to the state Medicaid program IT space. Since this announcement, I have been encouraged by the initial interest from companies that may not have otherwise ever thought about participating in this important health insurance program that covers more than 72 million Americans.
By Sara Rosenbaum – The Centers for Medicare and Medicaid Services introduced a final Medicaid managed care rule establishing a new regulatory framework for the next generation of managed care. A policy watershed, the rule ultimately will touch the lives of tens of millions of low-income children and adults, and individuals with disabilities.
By Megan Renfrew – In early May, the Centers for Medicare and Medicaid Services (CMS) finalized a regulation ushering in sweeping reforms to managed care programs within Medicaid and CHIP. This regulation will require states and health plans alike to step up their game with respect to data collection, analysis, and reporting.
By Sara Rosenbaum – Kentucky Governor Matthew Bevin has proposed to end Kynect, his state’s highly popular health insurance marketplace, and replace it with the federal marketplace, HealthCare.gov. HHS recently signaled that the federal government would decide whether the governor may proceed, and under what conditions, by June 1.
By Sara Rosenbaum – It’s fair to say Flint, Michigan, is facing a public health catastrophe: Thousands of city residents, including as many as 9,000 children, may have been exposed to toxic levels of lead through contaminated water. While the problem was entirely preventable, the question now is what will be done for its victims.