Tag: Massachusetts

1115 Waiver Decisions issued by CMS

As we addressed in our report this past Spring, the use of Section 1115 Medicaid Waivers to address rising drug costs was a notable feature of the Federal administration’s recent drug proposal, and is an emerging policy trend.[1] The Federal administration’s 2019 budget proposes providing five states with Medicaid demonstration authority to test “drug coverage ...

Health Policy News October Edition

 Introduction This month’s edition of Health Policy News focuses on recent developments relative to drug policy, which has been an ever-growing focus at the State and Federal level. We continue our coverage of efforts relative to drug cost control with short summaries of recent decisions on Section 1115 Waivers submitted by Massachusetts and Oklahoma, and ...

Health Policy News Hosts Round Table Discussion of Public Option Programs

On October 9th, Health Policy News held the second event in our 2018 Fall Webinar Series. This webinar featured a round table discussion on the history of public options, and the various design and programmatic options available to states crafting such programs. The webinar summarized and updated information included in the HPN report released this ...

Health Policy News September Edition

With late-breaking summer developments at the federal level on Association Health Plans (AHPs) and Short Term Limited Duration Insurance (STLDI), and additional guidance rolling out at the state level, it was a busy end of summer for states and health policy SMEs alike.  To assist states, this edition includes an overview of recent state activity ...

PCG Health Team Attends National Academy for State Health Policy Conference (#NASHPCONF18)

Members of the PCG Health team spent last week meeting many of our clients and colleagues at the 31st annual National Academy for State Health Policy (NASHP) conference in Jacksonville, FL. This conference provides the opportunity to learn from attendees about innovative projects underway at the state level. #NASHPCONF2018 highlighted policy changes that many states ...

States Are Increasingly Turning to Uniform Prior Authorization Forms

Background Prior authorization is a common tool for utilization management and controlling health care costs. While the approach to the process is similar across payers, each insurance carrier and public program has its own forms – with variations on questions asked, how they are asked, and the order in which they are asked – and ...