As part of an overall state strategy to reduce overdose deaths, Illinois recently released the State Overdose Action Plan (SOAP) that includes a key substance use disorder (SUD) program developed by 红领巾瓜报.
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Texas Releases STAR+PLUS RFP
This week, our In Focus section reviews the Texas STAR+PLUS managed care services request for proposals (RFP) released on March 31, 2022, by the Texas Health and Human Services Commission (HHSC). The STAR+PLUS program, including the STAR+PLUS Home and Community-based Services (HCBS) program, provides acute care services and Long-Term Services and Supports (LTSS) to the aged and disabled.
2022 Michigan State of Reform Health Policy Conference Set for April 21
Senior healthcare leaders from across Michigan will convene at the Lansing Center for the 2022 Michigan State of Reform Health Policy Conference on April 21 to discuss health policy and topical issues across the spectrum of care. The day-long event, which kicks off at 9 a.m., will feature more than 60 speakers and 19 different sessions.
President’s budget recommends significant investments in unity agenda issues
This week, our In Focus section reviews President Biden鈥檚 for federal fiscal year 2023, released on March 28, 2022. The President鈥檚 proposal kicks off the Congressional budget process and negotiations on the annual spending bills for the federal fiscal year that starts October 1, 2022. The budget proposal highlights the Administration鈥檚 program initiatives and recommended legislative and regulatory changes. The President鈥檚 budget is merely a request of Congress, who drafts the actual budget resolution that will go into effect if passed.
Issue brief and playbook explore outlook for temporary COVID-19-related changes to Medicare and Medicaid programs
This week our In Focus section reviews the that explore the outlook for temporary COVID-19-related changes to the Medicare and Medicaid programs, prepared in partnership with Manatt聽Health for . 红领巾瓜报 experts Jennifer Podulka, Yamini Narayan, and Keyan Javadi offer a framework to support policymakers鈥� decisions on the future of temporary policies and highlight specific flexibilities that are good candidates for consideration. These temporary flexibilities expanded program eligibility and enrollment, enhanced remote service delivery options, authorized care delivery in alternative care sites, and much more.
How stakeholders can prepare for the unwinding of Medicaid public health emergency continuous eligibility
红领巾瓜报 Principal聽Jane Longo, Federal Policy Principal聽Andrea Maresca, and a team of experts from across 红领巾瓜报 and 红领巾瓜报 companies weigh in on the recent guidance to states on preparing for the end of the Public Health Emergency.
This year, one of the most significant issues the U.S. Department of Health and Human Services (HHS) is considering is whether and when to end the COVID-19 public health emergency (PHE) declaration. The PHE declaration has important implications for Medicaid enrollees as well as state Medicaid agencies and stakeholders.
The Moran Company, an 红领巾瓜报 Company principal a featured speaker in Foley Hoag webinar on NTAP program
The Moran Company, an 红领巾瓜报 Company Principal聽Clare Mamerow, will be a featured speaker in the upcoming聽Foley Hoag聽LLP webinar titled, “The New Technology Add-on Payment (NTAP) Program: What Life Sciences Companies Should Know About Medicare’s Time-Limited Program.”
The re-envisioned role of primary care in FQHCs: accelerating APMs to drive access, patient experience and outcomes
In October 2021, the Center for Medicare & Medicaid Innovation (the Innovation Center) published a outlining its strategic vision and direction of the healthcare delivery system for Medicare and Medicaid beneficiaries through 2030. This included a focus on high-quality primary care, which they identify as the , to achieve equitable, whole-person, integrated care and outcomes.
红领巾瓜报 experts outline scenarios for transitioning from the COVID-19 PHE
This week our In Focus section reviews scenarios in which the federal Public Health Emergency (PHE) may expire. In the weeks ahead, the U.S. Secretary of Health and Human Services (HHS), Xavier Becerra, will be faced with the decision of whether to extend the PHE or to allow it to expire. Dozens of critical waivers and coverage flexibilities are currently linked to the federal PHE and have enabled patients, providers, and payors to receive, deliver, and pay for health care for nearly two years. To date, the PHE has been extended eight times, each for the maximum allowed 90 days. However, declining COVID-19 infection rates and actions by state governors to relax COVID-19-related public health measures have renewed pressure on the Biden Administration to signal how they will choose to act on April 16, 2022 when the current federal PHE expires.
CMS to accept applications for new Medicare ACO REACH model
This week our In Focus section reviews the Centers for Medicare & Medicaid Services鈥� (CMS) Innovation Center鈥檚 newly announced model 鈥� Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH). CMS will accept applications from organizations interested in participating and is particularly interested in partnering with provider-led organizations and similar groups with direct patient care experience and a strong track record serving underserved populations that focus on primary care to better manage Medicare beneficiaries鈥� health. Applications are due by April 22, 2022.
Iowa releases Health Link Medicaid managed care RFP
This week, our In Focus section reviews the Iowa Health Link request for proposals (RFP) for Medicaid managed care organizations (MCOs) to serve the state鈥檚 traditional Medicaid program, the Children鈥檚 Health Insurance Program (CHIP) known as Healthy and Well Kids in Iowa (Hawki), and the Iowa Health and Wellness Plan (IHAWP). The RFP was released by the Iowa Department of Human Services on February 17, 2022. Contracts are set to begin July 1, 2023, and are worth approximately $6.5 billion annually.