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policy

The May 5 webinar will feature CMS experts sharing how the end of the PHE will affect current health care waivers and flexible policies.

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webinar

America’s Essential Hospitals, the American Hospital Association, the Association of American Medical Colleges, and the Federation of American Hospitals are pleased to invite you to a call with the Centers for Medicare & Medicaid Services.

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state-action

CMS approved Colorado's Section 1332 waiver application to create a state-based standard health benefit plan.

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policy

The Centers for Medicare & Medicaid Services announced the Acute Hospital Care at Home program to further increase hospital capacity during the COVID-19 crisis, in response to a rising number of hospitalizations nationwide. The program builds on the Hospitals Without Walls initiative.

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policy

The Centers for Medicare & Medicaid Services on April 30 issued a second round of waivers and rule changes to provide flexibility to hospitals and improve access to testing for beneficiaries. These changes update waivers issued March 30 to address patient surge.

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policy

CMS issued several checklists and templates for state Medicaid and the Children's Health Insurance Program agencies to request regulatory relief and flexibility to respond to the COVID-19 outbreak.

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policy

This decision is the latest of several court cases invalidating work requirements policies in Medicaid; Utah now is the only state with these requirements in effect. It is unknown at this time if Michigan or the Department of Health and Human Services will appeal the decision.

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policy

In the unanimous decision, the United States Court of Appeals for the District of Columbia Circuit found that the Department of Health and Human Services failed to adequately assess the potential impact of work requirements on coverage under Arkansas' Section 1115 demonstration waiver.

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policy

CMS issued guidance outlining how states can receive a block grant or per-capita cap in exchange for additional administrative flexibility. Through a Section 1115 demonstration waiver, these new financing arrangements would apply to coverage of optional Medicaid patient populations.

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policy

The tools include a checklist of required waiver elements and model templates to help states better understand their options and the waiver approval process.

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policy

In a new request for information, the agency seeks ideas for innovative programs and waiver concepts states could consider in developing Section 1332 waivers. The request follows October 2018 guidance aimed at increasing state flexibility.

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policy

The court ruled that the Department of Health and Human Services overstepped its authority and failed to show that work requirements would help promote the purpose of the Medicaid program

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policy

The guidance allows states additional flexibility to waive certain provisions of the Affordable Care Act while preserving access to affordable, comprehensive coverage.

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policy

The Centers for Medicare & Medicaid Services is waiving program requirements and suspending enforcement activities in Florida and Georgia.

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policy

The Centers for Medicare & Medicaid Services waived program requirements in Virginia, North Carolina, and South Carolina; the Centers for Disease Control & Prevention issued guidance for treating carbon monoxide poisoning in hurricane victims.

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policy

The decision strikes down the state's overall Section 1115 waiver, which included community engagement and work requirements, but it upholds as a separate waiver a portion allowing Medicaid reimbursement for substance use disorder treatment in institutions for mental disease.

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policy

CMS approved Oklahoma's proposal to advance Medicaid value-based arrangements with drugmakers in negotiating supplemental rebate agreements; The agency rejected Massachusetts' request to institute a closed formulary for Medicaid outpatient prescription drugs.

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policy

The waiver extensions fund Texas' uncompensated care pool and delivery system reform incentive payment program and provide family planning services for low-income individuals in Mississippi for 10 years.

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policy

A publicly released set of slides describes dramatic restrictions to CMS' budget neutrality policy for Section 1115 waivers.

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policy

This is the second Section 1332 State Innovation Waiver to receive approval; Alaska is pursuing the waiver to stabilize the state's individual health care market.

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policy

The new checklist tool helps states compile the necessary documents to apply to waive ACA provisions and pursue alternative reforms.

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policy

The letter encourages states to pursue Section 1332 State Innovation Waivers, especially those including high-risk pool/state-operated reinsurance programs.

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policy

Congressional staff continue negotiating omnibus appropriations package, which is expected to go to a vote by Dec. 11; Sen. Wyden asks HHS for update on progress of state 1332 waivers.

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webinar
institute

The third in a series of waiver-related briefs, this research brief summarizes perspectives from hospital leaders in Massachusetts, California, and Texas.

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policy

Pennsylvania will expand Medicaid through a private option, requiring some enrollees to pay premiums.

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webinar

Learn how Texas' approach to DSRIP waivers fosters partnerships and increases the focus on community needs

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policy

America’s Essential Hospitals released a policy brief that discusses approaches to extending the reach of health care transformation through Medicaid waiver incentive programs.

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policy

CMS will not approve SPAs that include non-bona fide donations as a portion, or all, of the non-federal share of Medicaid payments. Payment methodologies contingent upon the receipt of a non-bona fide donation would also be grounds for disapproval of an SPA.

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webinar

Learn how delivery system transformation initiatives helped BMC improve quality

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webinar

An overview of existing delivery system reform incentive pools and similar models

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policy

ACOs are responsible for quality, cost, and overall care of Medicare beneficiaries

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policy

Section 1115 projects give states additional authority to design, improve Medicaid and CHIP programs

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