Archive for: Medicaid

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new and updated materials to the QPP Resource Library.

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Payment Innovation: Innovation Center

CMS Releases Webinar Discussing Changes Made to the CJR Model

On May 13, CMS hosted a webinar covering changes made to the CJR model. This model tests whether bundled payments and quality measures can improve quality and reduce costs for an episode of care associated with hip and knee replacements.

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Payment Innovation: Innovation Center

CMS Shares Early Insights from the Accountable Health Communities Model

CMS released a summary document of key takeaways from a meeting on the AHC model.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

House Approves HEROES Act

The US House of Representatives on May 15, 2020, approved the HEROES Act a massive new relief and stimulus measure assembled by House Democrats and advanced on party lines, with only one Republican voting in favor.

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Payment Innovation: Quality Payment Program

CMS Delays QCDR Measure Testing and Data Collection

On April 30, CMS released a second Interim Final Rule and additional waivers that provide increased regulatory relief and flexibility for healthcare providers during the public health emergency. Through this rulemaking, CMS delayed the implementation of the QCDR measure testing and data collection approval criteria by 1 year.

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Payment Innovation: COVID-19

MACPAC Urges HHS to Provide Relief to Medicaid Providers

On April 30, MACPAC sent a letter to the Secretary of HHS urging the Administrator to speed relief to Medicaid providers across the nation.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new and updated materials to the Quality Payment Program QPP Resource Library.

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Payment Innovation: Quality Payment Program

CMS Promotes COVID-19 Clinical Trials Improvement Activity in Letter to Clinicians

CMS encouraged clinicians who participate in the QPP to contribute to scientific research and evidence through clinical trials to help fight the COVID-19 pandemic.

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Payment Innovation: Innovation Center

CJR Proposed Rule Comment Period Extended to June 23

CMS has extended the comment period deadline to June 23, 2020, for stakeholders to submit comments on the CJR Model Three-Year Extension and Changes to Episode Definition and Pricing proposed rule.

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Payment Innovation: Innovation Center

CMS Offers Additional Flexibilities and Supports to CPC+ Participants during the PHE

CMS has implemented changes to the CPC+ payment model to ensure participating providers have the supports and the flexibility necessary to provide care during the current Public Health Emergency.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

CMS Suspends the Advance Payment Program for Part B Suppliers

On April 26, CMS announced that it is suspending its Advance Payment Program to Part B suppliers effective immediately.

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Payment Innovation: COVID-19

CMS Creates Telehealth Toolkit for Medicaid and CHIP Providers

CMS released a toolkit to help states evaluate their Medicaid program’s capacity to expand telehealth capabilities and coverage policies.

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Payment Innovation: Innovation Center

CMS Releases Final Ratebook and Actuarial Methodology for VBID Hospice Benefit

On Wednesday, April 15, 2020, CMS released the final 2021 Hospice Capitation Ratebook and Actuarial Methodology.

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Payment Innovation: COVID-19

CMS Issues Guidance for States as They Emerge from Public Health Emergency Restrictions

On April 19, 2020, CMS released guidelines and recommendations for providers and facilities as they emerge from public health emergency restrictions.

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Payment Innovation: COVID-19

HHS Delays Implementation of Interoperability Rules in Response to COVID-19

On April 21, 2020, the Department of Health and Human Services announced delays to the implementation of certain provisions of the interoperability final rules released on March 9, 2020, in response to COVID-19.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

CMS Announces Plan to Reprocess IPPS and LTCH Claims for 20% Increase for COVID Discharges

On April 15, 2020, CMS announced plans for reprocessing IPPS hospitals and LTCHs claims to account for payment increases for COVID-19 discharges authorized under the Coronavirus Aid, Relief, and Economic Security (CARES) Act.

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Payment Innovation: Other

CMS Releases FY 2021 IPF, SNF, and Hospice Payment and Policy Changes

On April 10, 2020, CMS issued three different proposed rules updating payment and policy changes for FY 2021 for the IPF, Skilled Nursing Facility, and Hospice Prospective Payment Systems.

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Payment Innovation: Other

Pre-Rulemaking Measure Specification Deadline Extended to June 30, 2020

CMS has extended the deadline for the submission of measure specifications and supporting documentation until June 30, 2020. The agency took this action to extend the deadline in light of the current global pandemic.

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Payment Innovation: Innovation Center

ET3 Model Delayed Until Fall 2020

CMS announced that it is delaying the start of the Emergency Triage, Treat, and Transport (ET3) Model from May 1, 2020, until an unspecified date this fall.

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Payment Innovation: COVID-19

Ventilator Exchange Program Announced

On April 14, 2020, the Administration announced a national ventilator exchange program led by Adam Boehler, former Director of the Center for Medicare and Medicaid Innovation.

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Payment Innovation: COVID-19

CMS Approves $51 Billion in Accelerated and Advance Payments

Last week, CMS announced they had distributed more than $51 billion in advanced payments to healthcare providers.

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Payment Innovation: COVID-19

CMS Increases Payment for High Throughput COVID-19 Lab Tests

On April 15, 2020, CMS announced that they will pay $100, nearly doubling payment, for certain lab tests that use high-throughput technologies to rapidly diagnose COVID-19 cases.

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Insurance Coverage: Waivers

New Jersey Section 1115 Waiver Amendment

On February 27, 2020, New Jersey submitted to the CMS a request to amend the state’s existing Section 1115 demonstration program.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

CMS Issues Recommendations to Nursing Homes, State and Local Governments

On April 2, 2020, the CMS issued recommendations to state and local governments, as well as nursing homes, to help mitigate the spread of the 2019 Novel Coronavirus (COVID-19) in nursing homes.

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Insurance Coverage: Waivers

New Hampshire Draft 1332 Waiver Application

On March 25, 2020, New Hampshire released a draft Section 1332 waiver application that the state plans to submit to the CMS for the purpose of creating a state-based reinsurance program.

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Payment Innovation: Other

MACPAC Publishes Agenda and Moves April Public Meeting Online

MACPAC posted the agenda for their April 2 public meeting which will be hosted online. Registration for the online meeting can be accessed here.

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Payment Innovation: Innovation Center

Pharmaceutical Manufacturers Announced for the Part D Senior Savings Model

On March 23, CMS announced the three participating pharmaceutical manufacturers for the new Part D Senior Savings Model. The pharmaceutical manufacturers participating in the model include Eli Lilly and Company, Novo Nordisk, and Sanofi-Aventis.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Insurance Coverage: Waivers

Oklahoma Draft Block Grant Waiver Application

On March 16, 2020, Oklahoma Governor Kevin Stitt issued a draft Section 1115 waiver application to expand the state’s Medicaid program (SoonerCare) and make other modifications

ORIGINAL ANALYSIS

Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new and updated materials to the QPP Resource Library.

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Payment Innovation: COVID-19

CMS Approves 11 Additional Medicaid Section 1135 Waivers

This announcement from the Centers for Medicare and Medicaid Services (CMS) brings the total number of approved Section 1135 waivers for states to 13.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions Update

As part of the ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: Other

MACPAC Publishes March 2020 Report to Congress

MACPAC released its March 2020 Report to Congress on Friday, March 13, 2020.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new and updated materials to the QPP Resource Library.

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Payment Innovation: Innovation Center

CMS Schedules Office Hours for MA VBID Model

On Thursday, March 19, the Centers for Medicare and Medicaid Services will host office hours on the MA VBID Model.

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Payment Innovation: COVID-19

Trump Administration Expands Medicare Telehealth Benefits

On March 17, 2020, CMS and other agencies released further guidance on the use of telehealth during the declared national emergency related to the coronavirus (COVID-19) pandemic.

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Payment Innovation: COVID-19

COVID-19 Activities and Actions

As part of ongoing White House Coronavirus Task Force efforts, CMS and other agencies have issued several resource documents, refocused activities related to state survey agencies and accrediting organizations, and taken other related actions.

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Payment Innovation: COVID-19

CMS Approves First State Request for 1135 Medicaid Waiver in Florida

On March 13, 2020, President Trump declared the COVID-19 situation a national emergency which enables the CMS to waive certain requirements in Medicare, Medicaid, and CHIP under Section 1135 authority.

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Payment Innovation: Other

CMS COVID-19 Activities and Actions

As part of ongoing White House Coronavirus Task Force efforts, the CMS has issued a number of resource documents, refocused activities related to state survey agencies and accrediting organizations; and taken other related actions.

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Payment Innovation: Other

MACPAC Commissioners Support VBP State Comparison Report

MACPAC held a public meeting on February 27-28, 2020.

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Payment Innovation: Innovation Center

Independence at Home Demonstration: Year Five Evaluation Report Posted

CMS posted the evaluation report and a summary of the findings for Year Five of the IAH Demonstration.

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Payment Innovation: Innovation Center

Maryland All-Payer Model Resulted in $975 Million in Total Savings

CMS released the final evaluation report and a summary of the findings for the MDAPM.

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Payment Innovation: Other

MACPAC Releases Agenda for February 2020 Public Meeting

MACPAC posted the agenda for their next public meeting scheduled for February 27, 2020.

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Payment Innovation: Other

Trump Administration Announces Medicaid Block Grant Proposal

The initiative, called the HAO initiative, would allow states to submit a Section 1115 waiver to implement a block grant or per capita cap alternative for certain Medicaid populations while being granted increased flexibility to administer their Medicaid program.

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Payment Innovation: Innovation Center

House Introduces Legislation to Increase Oversight of CMMI

A bipartisan group of Representatives introduced the Strengthening Innovation in Medicare and Medicaid Act (H.R. 5741), a bill aimed at increasing transparency and accountability of the CMMI.

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Payment Innovation: Innovation Center

Hospice Benefit in Value Based Insurance Design Model Webinar on Jan 30

Medicare Advantage Value-Based Insurance Design (VBID) Model team will host a webinar on Thursday, January 30, 2020, on the hospice benefit component recently added to the VBID Model.

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Payment Innovation: Innovation Center

Direct Contracting Office Hours on Feb 4

Center for Medicare and Medicaid Innovation (Innovation Center) will host office hours on the Direct Contracting model’s payment methodology.

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Insurance Coverage: Waivers

Georgia 1115 Waiver Application

Governor Brian Kemp of Georgia signed and enacted Senate Bill 106, otherwise known as the Patients First Act. This legislation authorizes the Georgia Department of Community Health to submit a Section 1115 Demonstration waiver to the Centers for Medicare and Medicaid Services (CMS).

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Insurance Coverage: Waivers

Idaho 1115 Waiver Summary – Institutions for Mental Diseases

Idaho submitted a new section 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS).

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new materials to the QPP Resource Library.

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Payment Innovation: Quality Payment Program

Hospital Quality Star Rating Program: Summary from Listening Session Posted

CMS published the final summary report of the September 19, 2019 public listening session on the Hospital Quality Star Rating program.

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Payment Innovation: Other

CMS Finalizes Hospital Transparency Requirements and Proposes Similar Policies for Certain Health Plans

In the latest response to the President’s Executive Order on Improving Price and Quality Transparency in American Healthcare, the Department of Health and Human Services released two rules related to requiring increased price transparency for hospitals and health plans.

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Payment Innovation: Quality Payment Program

Call for Nominations: MIPS Improvement Activities Validation TEP

CMS is currently accepting nominations for a TEP on the validation criteria for the Improvement Activities for the 2020 performance year of the MIPS.

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Payment Innovation: PTAC

CMMI Hosts Primary Care First Office Hours on Dec. 5

CMMI will host office hours on the recently announced Primary Care First Model.

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Payment Innovation: Innovation Center

Report to Congress: Response to 21st Century Cure Act MEPD Demonstration

CMS Center for Medicare & Medicaid Innovation posted the final report to Congress providing the results of the MEPD.

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Payment Innovation: Other

LAN Sets Goal of Tying 100% of Traditional Medicare and MA Payments to Shared Accountability Models by 2025

The Health Care Payment Learning and Action Network (LAN) hosted its annual Summit.

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Payment Innovation: Other

LAN Hosts Annual Summit on October 24

The Health Care Payment LAN is hosting its annual Summit on October 24th.

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Payment Innovation: Innovation Center

Data-Driven Quality Improvement Strategies Highlighted in Accountable Health Communities Model Case Study

CMS posted a case study describing how St. Joseph’s Hospital Health System (St. Joseph), a participant in an Accountable Health Communities (AHC) Model, leveraged data to implement quality improvements in their screening strategies.

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Payment Innovation: Innovation Center

Part D Enhanced MTM Model: Year Two Results Fact Sheet

CMS has posted a fact sheet summarizing the results of the second year of the Part D Enhanced MTM Model.

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Payment Innovation: Quality Payment Program

CMS Updates QPP Resources

CMS uploaded new materials to the Quality Payment Program Resource Library.

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Payment Innovation: Other

GAO Report Finds Changes Needed in Order for CMS to Assess the Effectiveness of its Quality Measurement Activities

On Thursday, September 19, 2019, the GAO released a report on quality measurement activities of the Centers for Medicare and Medicaid Services titled, “CMS Could More Effectively Ensure Its Quality Measurement Activities Promote Its Objectives.”

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Insurance Coverage: Waivers

Tennessee 1115 Waiver Application

On September 17th, 2019, Tennessee released its proposal to implement a black grant for Tennessee’s Medicaid program, otherwise known as TennCare.  This 1115 waiver, referred to as “Amendment 42,” would convert the federal share of the state’s Medicaid funding for most services into a block grant.

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Payment Innovation: Other

GAO Releases Report on Managing High Cost Medicaid Beneficiaries

The GAO has released a report on identifying, predicting, and managing high-cost beneficiaries in Medicaid.

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Insurance Coverage: Waivers

Montana 1115 Waiver Application Summary

Montana submitted a new 1115 waiver application to CMS on August 30, 2019. The waiver is pending approval.

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Insurance Coverage: Regulation

Recent State Action Relating to Medicaid Expansion

We have highlighted recent state grassroots, legislative and executive action to expand Medicaid.

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Insurance Coverage: Waivers

Utah Medicaid Waivers

CMS has approved Utah’s 1115 waiver, implementing a “bridge plan” while the state submits additional waivers.

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Insurance Coverage: Waivers

New York 1115 Waiver Application Summary

On August 9, 2019, New York announced it will submit a Section 1115 Medicaid Demonstration waiver application to CMS to provide Medicaid services to certain incarcerated individuals about to be released from county jails and New York State prisons.

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Prescription Drug: Legislation

Summary of Senate Finance Prescription Drug Package

Senate Finance Committee posts description of the Chairman’s mark of its legislation addressing prescription drug pricing.

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Payment Innovation: Other

2020 Medicaid and CHIP Core Set Open for Comments Through August 5

Recommendations for the 2020 Medicaid and CHIP Core Set are open through August 5.

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Payment Innovation: Other

CMS Updates Medicaid and CHIP Scorecard

On July 18, 2019, CMS updated the data within the Medicaid and CHIP Scorecard.

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Prescription Drug: Pricing

Administration Withdraws Rebate Overhaul Proposal

The Administration has announced it is no longer pursuing its drug pricing proposal that would have required pharmacy benefit managers to pass rebates directly on to the patient.

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Payment Innovation: Other

CMS Commits $50 Million to Assist States with Substance Use Disorder Treatment and Recovery

CMS released a Notice of Funding Opportunity for planning grants to address the opioid crisis.

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Insurance Coverage: Waivers

South Carolina 1115 Waiver Application Summary

On May 8, 2019, South Carolina submitted a new 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS). The waiver includes work requirements, expands coverage for children, pregnant women and parents, and expands coverage for certain individuals with substance use disorders, who are chronically homeless or who are involved in the justice…

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Insurance Coverage: Waivers

Utah Per Capita Cap 1115 Waiver Summary

On May 31, 2019, Utah released its 1115 waiver proposal, “Per Capita Cap.” This waiver requests authority to implement the provisions of Senate Bill 96 “Medicaid Expansion Adjustments”, which passed during the 2019 Utah legislative session.  Provisions of the waiver include implementing a per capita cap, seeking enhanced Federal Medical Assistance Percentages (FMAP) for the…

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Payment Innovation: Other

GAO Recommends CMS Improve Transparency Policy for Section 1115 Waivers

On May 17, the GAO released a report recommending an improved transparency policy for Section 1115 waivers.

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Payment Innovation: Innovation Center

Reminder: Applications for the InCK NOFO are due June 10, 2019

The Innovation Center released updated FAQs for the InCK Notice of Funding Opportunity.

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Payment Innovation: Innovation Center

Innovation Center Hosts Webinar on InCK Model on May 15

The Innovation Center will host a webinar on the InCK model on May 15.

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Insurance Coverage: Legislation

Senate Dems Introduce Choose Medicare Act, Public Option

Senators Jeff Merkley (D-OR), Chris Murphy (D-CT), and Dianne Feinstein (D-CA) introduced the Choose Medicare Act, which would allow for any individual who is not already enrolled in Medicare or Medicaid to enroll in Medicare as an individual. This would be known as Medicare Part E and would be offered on all state and federal…

EXTERNAL LINK

Insurance Coverage: Legislation

House Dems Introduce Medicare for America Act, Expanding Coverage in Medicare and Medicaid

Representatives Rosa DeLauro (D-CT) and Jan Schakowsky (D-IL) introduced the Medicare for America Act. The bill would expand coverage in Medicare and Medicaid to include prescription drugs, dental, vision, hearing, and long-term support services. Those who are uninsured or do not have employer-sponsored health insurance, including those in the individual marketplace, would be auto-enrolled into…

EXTERNAL LINK

Payment Innovation

CMS Issues Letter to State Medicaid Directors

On April 24, 2019, CMS sent a letter to State Medicaid Directors inviting states to partner with CMS to test innovative approaches to better serve those who are dually eligible for Medicare and Medicaid.

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Payment Innovation: Innovation Center

Innovation Center Holds Second Webinar on InCK Funding Opportunity

The Innovation Center is holding its second webinar on the InCK Model Notice of Funding Opportunity.

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Insurance Coverage: Waivers

Utah Medicaid 1115 Waiver Summary

On June 22, 2018, Utah submitted an 1115 waiver amendment to CMS seeking to implement a partial and capped Medicaid expansion, as well as Medicaid work requirements for certain populations. Following that waiver amendment, on February 6, 2019, Utah submitted an additional 1115 waiver amendment lifting the Medicaid Institution for Mental Disease (IMD) exclusion for…

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Payment Innovation: Innovation Center

Innovation Center Hosts Webinar on MOM Model Application Process

The Innovation Center will hold a webinar on the MOM Model application process on April 4, 2019.

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Insurance Coverage: Waivers

Ohio Section 1115 Waiver Approval

On March 15, 2019, CMS approved Ohio’s Medicaid 1115 waiver, allowing the state to implement work requirements for certain Medicaid recipients.

ORIGINAL ANALYSIS

Payment Innovation: Other

CMS Publishes Guidance on 1115 Waiver Evaluations

CMS published guidance for states on 1115 waiver evaluations.

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Payment Innovation: Other

CMS Updates Drug Spending Dashboards

CMS updated its drug spending dashboards with 2017 data.

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Insurance Coverage: Stakeholder Engagement

Actuaries Weigh in on Expanding Public Insurance

An American Academy of Actuaries report out today breaks down criteria and implications for “Medicare for All” and less sweeping approaches, including Medicare and Medicaid buy-ins.

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Payment Innovation: Other

CMS Approves Drug Price Negotiations for Colorado Medicaid

Colorado has become the latest state to receive approval from CMS for negotiating drug prices for Medicaid recipients using value-based contracting arrangements.

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Payment Innovation: Innovation Center

Innovation Center Hosts Webinar on MOM Model Application Process

CMMI is holding a webinar on February 21 from 2:00 to 3:15 pm ET to review the Maternal Opioid Misuse (MOM) model Notice of Funding Opportunity and Grants.gov application process.

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Insurance Coverage: Legislation

Medicaid Expansion Bill Introduced

On February 14, 2019, Senator Brian Schatz (D-HI) introduced the State Public Option Act (S. 489) which allows states to provide a public option through Medicaid for individuals not otherwise covered under Medicaid or enrolled in other insurance.

EXTERNAL LINK

Payment Innovation: Innovation Center

InCK Model: Notice of Funding Opportunity and Webinar on February 19

The CMS Innovation Center has announced a funding opportunity for the Integrated Care for Kids model and a webinar on Feb. 19.

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Payment Innovation: Innovation Center

Maternal Opioid Misuse Model Funding Opportunity Announced

The CMS Innovation Center will execute up to 12 cooperative agreements with states whose Medicaid agencies will implement the Maternal Opioid Misuse model with one or more “care-delivery partners” in their communities. The Notice of Funding Opportunity is now available.

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Payment Innovation: Other

HHS and OIG Releases Proposal Targeting PBMs

HHS and OIG release proposed rule targeting pharmacy benefits managers.

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Payment Innovation: Innovation Center

McDermottPlus Launches 2019 CMS/CMMI Payment Model Tracker

This handy CMMI payment model tracker will allow you to easily follow changes and help you better understand the evolution of value-based payment in the Medicare and Medicaid program.

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Insurance Coverage: Legislation

Medicaid Extenders Act of 2019

On January 24, 2019, the Medicaid Extenders Act of 2019 (H.R. 259) was signed into law. This law extends the Money Follows the Person program, among other things.

EXTERNAL LINK

Payment Innovation: Other

Institute for Medicaid Innovation Survey Finds Medicaid MCOs Are Increasingly Using Value-based Payment Models

Survey results released by the Institute for Medicaid Innovation find that around half of Medicaid managed care organizations launched population-specific value-based purchasing models last year, and around 10 percent of plans had extensive value-based purchasing arrangements in place.

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Payment Innovation: Innovation Center

CMS Announces MOM Model

CMS announces the Material Opioid Misuse (MOM) model as part of the agency’s strategy for combating the opioid crisis.

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Payment Innovation: Other

LAN Releases Updated Report on APM Adoption

Health Care Payment Learning and Action Network released a new report on alternative payment model adoption.

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Payment Innovation: Innovation Center

CMS Announces Integrated Care for Kids Model to Address the Opioid Crisis

On August 23, 2018, CMS announced a new model that is intended to address the opioid crisis for children.

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Insurance Coverage: Budget Information

House GOP Proposes 2019 Budget Plan

The Republican House Budget Committee released a FY 2019 budget roadmap, The Budget for A Brighter American Future, on June 19.

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Insurance Coverage: Stakeholder Engagement

Republican Governors Criticize American Health Care Act

On March 16, 2017, four Republican governors (John Kasich of Ohio, Rick Snyder of Michigan, Brian Sandoval of Nevada and Asa Hutchison of Arkansas) sent congressional leaders a letter criticizing the American Health Care Act and proposing an alternative framework for reforming the Medicaid program. The four governors endorse per capita caps and block grants,…

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Insurance Coverage: Stakeholder Engagement

The Commonwealth Fund: Medicaid’s Future: What Might ACA Repeal Mean?

January 12, 2017 report examining how repeal legislation could affect Medicaid.

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Insurance Coverage: Congress

Senate Finance Committee Letter to RGA on Jan 2017 Medicaid Roundtable

In a letter to the Republican Governors Association dated December 13, 2016, the Senate Finance Committee announced that it will convene a Governor Roundtable in January 2017 to discuss the sustainability and future of the Medicaid program.

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Insurance Coverage: Stakeholder Engagement

What Would Block Grants or Limits on Per Capita Spending Mean for Medicaid?

November 18, 2016 report from the Commonwealth Fund examining the President-elect Trump and some congressional leaders’ calls for absolute limits on the federal government’s spending on Medicaid.  This report explores the two most common proposals for reengineering federal funding of Medicaid: block grants that set limits on total annual spending, regardless of enrollment; and caps…

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