It’s not too soon to think about the 2017 State Innovation Waivers. These Section 1332 waivers are designed to give states additional flexibility in how they implement key elements of the Affordable Care Act (ACA).
In this HMA Q&A, Health Management Associates Principal Tony Rodgers outlines how states can utilize 1332 waivers – ranging from simple fixes that address specific unintended consequences caused by ACA requirements to the potential for creative experiments designed to expand healthcare access.
This week, our In Focus section reviews a wide-ranging and comprehensive final rule released April 4, 2024, by the Centers for Medicare & Medicaid Services (CMS).
In Focus:Roundup:California Medicaid FFS Contracts with Heali’s Food as Medicine Platform Jump to section
Colorado Settles Lawsuit Regarding Mental Health Care for Children, Agrees to Outside Examination of Program Jump to section
Avesis, Elevance Health Partner with Uber to Improve Maternal Health in Georgia Jump to section
Michigan Announces Medicaid Managed Care Awards Jump to section
New York Governor Invests $359 Million to Expand Supportive Housing Options Jump to section
North Dakota Approves Pilot Program for Paid Family Caregivers Jump to section
Vermont Receives Approval for Medicaid Mobile Crisis State Plan Amendment Jump to section
Virginia Governor Vetoes Prescription Drug Affordability Board Legislation Jump to section
CMS Announces Final Rule to Promote Competition, Access to Care in Medicare Advantage, Part D Plans Jump to section
Medicaid Supplemental, Base Payments Vary Among States, MACPAC Finds Jump to section
Lawmakers Call on FTC, DOJ to Block Optum-Steward Acquisition Jump to section
This week, our In Focus section looks at the voluntary Accountable Care Organization Primary Care Flex (ACO PC Flex) Model, which the Centers for Medicare & Medicaid Services (CMS) Innovation Center announced on March 19, 2024.
In Focus:Roundup:Introducing HMA's New Podcast: Vital Viewpoints on Healthcare Jump to section
Alaska Receives Extension for Behavioral Health Reform 1115 Demonstration Jump to section
California Approves Proposition 1 to Provide Funding Addressing Homelessness Crisis, Substance Misuse Jump to section
Florida Governor Signs Legislative Package Aimed at Boosting Healthcare Workforce, Access Jump to section
Georgia Submits Section 1115 Waiver Amendment for Personal Care Services Jump to section
Maryland Submits Section 1115 Waiver Amendment for Pre-release Services Jump to section
Maryland Submits AHEAD Model Application to CMS Jump to section
Nebraska Legislature Passes Provider Tax Bill to Increase Medicaid Hospital Payment Rates Jump to section
New York Announces RFP For Development of 13 Certified Community Behavioral Health Clinics Jump to section
New York Governor Allocates $102 Million to Fund New Mental Health Care Programs Jump to section
Rhode Island Senate Considers Bill to Establish a Prescription Drug Affordability Board Jump to section
Rhode Island Receives CMS Approval for 1115 Waiver Amendment Permitting HCBS in Acute Hospital Settings Jump to section
Vermont Submits AHEAD Model Application to CMS Jump to section
Virginia Rescinds Notice of Intent to Award for Statewide Medicaid Managed Care Procurement Jump to section
Biden Administration Issues Final Rule to Streamline Medicaid, CHIP Enrollment Jump to section
HHS Announces Lower Coinsurance Rate for 41 Medicare Part B Drugs Jump to section
CMS Signals New Guidance on Medicare Part D Coverage of Obesity Drugs Jump to section
Kaiser, Town Hall Ventures Launch PACE Joint Venture Jump to section
United/Optum to Acquire Steward Health Care’s Physician Network Jump to section
This week, our In Focus section highlights the Children’s Behavioral Health (CBH) State Policy Lab, held February 7−9, in Baltimore, MD.
Roundup:HMA Offers a New Way to Approach Grant Funding for Behavioral Health Providers
California Names Tyler Sadwith Medicaid Director
Colorado Plans to Submit 1115 Waiver Expanding SMI Inpatient Mental Health Services
Georgia Senate Advances Bill to Relax Certificate-of-need Regulations, Form Health Commission
Georgia Medicaid Work Requirements Program Faces Low Enrollment, Higher than Projected Admin Costs
Kansas House, Senate Committees to Hold Hearings on Medicaid Expansion
Kentucky Supreme Court Rules Medicaid Managed Care Contracts to Remain in Place
Mississippi Senate Medicaid Expansion Bill Dies; Focus Shifts to House Bill
New York Releases Self-directed Care Initiative RFI
Ohio to Release RFA for FIDE SNPs in Coming Months
HHS Announces New Model to Improve Primary Care Access for Medicare Beneficiaries
U.S. Senators Introduce Bill to Streamline Care Coordination for Dual Eligibles
CMS to Hasten Medicaid Reimbursements for Providers Affected by Cyberattack
States Consider Medicaid Rate Hikes in Fiscal 2025
MedPAC and MACPAC Release Respective March 2024 Reports to Congress
Medicare Billed $101.4 Million for Remote Monitoring Services in 2021, KFF Finds
Elevance to Acquire Kroger’s Specialty Pharmacy Business
UnitedHealth Group Pays $2 Billion to Providers Affected by Cyberattack
This week, our In Focus section covers Congress’s and the Administration’s parallel efforts to finalize fiscal year (FY) 2024 spending bills and begin the budget process for FY 2025.
Roundup:Arizona Medicaid to Reimburse for Community Health Worker Organizations
Arkansas Governor Approves Committee, Strategic Plan to Support Maternal Health
Florida House Passes Bill to Establish Rural Emergency Hospitals
Georgia Senate Committee Advances Bill to Relax Certificate-of-need Regulations
Minnesota House Committee Holds Hearing on Bills to Support HRSNs Through Section 1115 Waiver
Nevada Receives Federal Approval Allowing Medicaid Funds to Cover Housing, Supportive Services
Oregon Awards $17 Million to CBOs Supporting Health Equity
Texas Announces Awards for STAR, CHIP RFP
Texas FQHCs Receive $19.3 Million to Expand Services to Underserved, Uninsured Populations in 2023
Virginia Postpones Several Caregiver Policies
Redetermination Updates: Montana, Texas
States Pause Nursing Home Staffing Penalties Amid Review of CMS Rule
CMS Permits States to Expand Medicaid Behavioral Health Professionals, Claim Federal Match Funding for Nurse Advice Lines
HHS to Investigate Cyberattack at UnitedHealth Group’s Change Healthcare
White House Pressures UnitedHealth Group to Increase Funding for Providers Affected by Cyberattack
