Health Policy News December 2017

As 2017 comes to a close, we take a look back at health policy developments from the last 12 months in this edition of Health Policy News, beginning with a close-up on health care provisions in the tax bill being negotiated in Congress as of publication. The remainder of this edition will reflect upon major ...

Health Policy News November 2017

Along with the changing weather, this time of year brings some typical health policy events, which are the focus of this month’s edition of Health Policy News. We start with our in-depth analysis of the Proposed Notice of Benefit and Payment Parameters (NBPP) for 2019, which the Centers for Medicare & Medicaid Services (CMS) released ...

Impact of recent federal policy changes on open enrollment

Open Enrollment Period (OEP) The fifth open enrollment period (OEP 5) kicked off on November 1, 2017, with a shortened enrollment window compared to previous years. With only until December 15th to make eligibility and enrollment changes, states have been urging consumers to make selections early and seek assistance from application assisters, insurance agents or ...

CMS releases several major policy changes and expanded roles for states in its Proposed NBPP for 2019

At the end of October, the Centers for Medicare & Medicaid Services (CMS) released its annual Proposed Notice of Benefit and Payment Parameters (NBPP) for 2019 (along with accompanying guidance, including a Draft 2019 Actuarial Value Calculator). As in past years, the NBPP for 2019 addresses a breadth of issues related to health plan regulation, Exchange operations (including ...

CHIP funding crisis remains unresolved

Congressional authorization of Federal funds for CHIP expired on September 30, 2017.  Nine million children depend on this program.  States are now operating CHIP on carryover and redistribution payments from prior years.  CMS estimates that at least one state will exhaust such funding in this month.  Most states could exhaust such funding by March 2018. ...

White House releases report on opioid crisis

On November 1, 2017, the White House released a report drafted by the President’s Commission on Combatting Drug Addiction and the Opioid Crisis.  The report offers 56 recommendations for action by Congress, federal agencies, state governments, health care provider organizations, and health care payers. Those include: New training programs on screening patients for substance use ...

Insights from the annual National Academy for State Health Policy (#NASHPCONF17)

PCG subject matter experts were in Portland, Oregon last week at the 30th annual #NASHPCONF17. With a focus on guiding state policy makers though the changing health policy landscape, #NASHPCONF17 provided a break from the day to day, reactionary work to adjust to federal policy. The conference served as an opportunity for state health policy ...

Recent Federal health policy developments

There were several significant health policy developments at the Federal level this month, including a Presidential Executive Order, the announcement that the administration will no longer fund Cost Sharing Reductions (CSRs) and the release of the bipartisan effort to stabilize health insurance markets known as the Alexander-Murray bill. In follow-up to our post on these developments earlier this month, ...

Health Policy News October 2017

The editors of Health Policy News spent this week at the annual National Academy for State Health Policy (#NASHPCONF17) in Portland, Oregon and had the opportunity to meet with many of our readers in person. #NASHPCONF17 provides the opportunity for state leaders from all aspects of health policy, including legislative and administrative leaders and other ...

Developments in Section 1332 State Innovation Waivers

Progress has continued on state efforts to secure Section 1332 State Innovation Waivers. Oregon submitted a waiver application at the end of August, seeking support for a state-based reinsurance program, and that application has since been determined complete. Iowa submitted two recent updates to its pending waiver application, which it initially submitted in June. Its ...

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