Ross Erlebacher
Expertise: Medicaid Managed Care
D-SNP Integration – Built for a Standard Most Health Plans Are Still Chasing
For years, Dual Eligible Special Needs Plans (D-SNPs) have been positioned as the industry’s most promising vehicle for coordinating care…
Kathy Moses
Summary of Updated CMS Guidance to Strengthen Oversight of Medicaid State Directed Payments
CMS issued updated guidance on State Directed Payments (SDPs) under Section 71116 of the Working Families Tax Cuts Legislation through…
Why Counties Are Central to California’s Health, Behavioral Health, and Public Health
California’s 58 counties sit at the heart of the state’s healthcare system, delivering public health services, providing mental health and…
Rural Health Transformation Program Awards: State-by-State Summary of Year 1
The Rural Health Transformation (RHT) Program is a landmark $50 billion federal initiative designed to stabilize rural health systems, expand…
Rural Health Transformation Program Summary of State Applications
The Rural Health Transformation Program (RHTP) is a landmark $50B fund established by H.R.1 to support the delivery and modernization of healthcare services in rural areas.
The Risk Ready Hospital: Preparing to Take on Risk in an Evolving Healthcare Landscape
Hospitals are an essential part of the healthcare landscape. They are responsible for providing critical care, filling key care gaps,…
Honoring National Adoption Month
Raising awareness to support children in foster care and families brought together through adoption November is National Adoption Month, and…
Celebrating 60 Years of Medicaid: Dually Eligible Beneficiaries in Medicare and Medicaid
As Medicaid marks its 60th anniversary, this issue brief explores the evolving landscape of dual-eligible beneficiaries—individuals enrolled in both Medicare…
Emergency Medical Services for Undocumented Immigrants under Medicaid Managed Care
On September 30, 2025, CMS issued a State Medicaid Director Letter (SMD # 25-003) updating states on a change in…
CMS Issues Notice of Funding Opportunity for the Rural Health Transformation Program
On September 15, CMS issued the Notice of Funding Opportunity (NOFO) for the Rural Health Transformation (RHT) Program, laying out…