All posts by Health Policy News Team

21st Century Cures Act

By Margot Jones, Jay Peck and Margot Thistle, with assistance from EVV Workgroup Implementing the 21st Century Cures Act On December 7, 2016 Congress passed the 21st Century Cures Act (the “Act”), which was signed into law on December 14, 2016. The Act is aimed at modernizing health care delivery, improving quality and targeted improvements ...

Health Policy News March 2017

The primary focus of this month’s edition of Health Policy News is the recently-introduced American Health Care Act. The bill has received much attention in D.C. and nationwide as it moves quickly through the U.S. House of Representatives. To help you understand what the bill would mean for private health insurance and Medicaid going forward, PCG ...

Health Policy News February 2017

PCG subject matter experts are working hard to keep up with the fast-moving action related to the Affordable Care Act (ACA), Medicaid, Medicare, prescription drug pricing, and other topics under debate at the federal level, as we are sure our readers are as well. Health Policy News seeks to be a source of reliable information ...

Health Policy News December 2016

With the end of 2016 and the change in administration fast approaching, it is no surprise we are seeing a flurry of activity and discussion across the health policy landscape. As state regulators and policy-makers, current and future Federal health care policy reforms directly affect your day to-day-operations and we hope to assist you by ...

Health Policy News November 2016

This issue of Health Policy News focuses on recent developments in payment and delivery system reform.  After receiving more than 4,000 comments on its proposed rules, the Centers for Medicaid and Medicare Services (CMS) promulgated final rules implementing the new Quality Payment Program, advancing performance-based measures under Medicare, as required by the Medicare Access and ...

New York’s Delivery System Reform Incentive Payment (DSRIP) program: Transitioning to payments based on performance measures

On April 14, 2014, the Centers for Medicaid and Medicare Services (CMS) approved New York state’s groundbreaking DSRIP program through their Medicaid 1115 waiver amendment, allowing the state’s Department of Health (DOH) to reinvest $8 billion of federal savings generated by Medicaid Redesign Team (MRT) reforms. NY’s DSRIP incentive payments promote community-level collaborations in the ...

Health Policy News September 2016

Today’s special edition of Health Policy News focuses on the Proposed Notice of Benefit and Payment Parameters (NBPP) for 2018 issued by the Centers for Medicare & Medicaid Services (CMS) on August 29th. PCG subject matter experts are hosting a webinar about the proposed regulations tomorrow, Thursday, September 15th at 3:00pm EST. See below for information ...

Health Policy News August 2016

As states across the country prepare for another year of open enrollment for the health insurance marketplace, they must assess the past three years of operation while adjusting to the changes brought on by evolving federal regulations. This issue of Health Policy News touches upon efforts being made at both the state and federal level ...

Bridging the electronic health information highway and promoting interoperability for Medicaid providers

The Centers for Medicare and Medicaid Services (CMS) recently expanded the scope of the Health Information for Economic and Clinical Health Act (HITECH) 90/10 funding available to encourage the adoption and promote the use of electronic health record (EHR) technology and health information exchange (HIE). This new funding source provides Medicaid agencies with the ability ...

Health Policy News June 2016

The Centers for Medicare and Medicaid Services (CMS) announced a new grant opportunity for states last week.  State insurance regulators across the country are eligible to apply for funding to support planning and implementation of health insurance market reform provisions of the Affordable Care Act (ACA). The first article in this edition of Health Policy ...