Pat Brady
Expertise: Medicaid Managed Care
Karen Brach
John Benz
Chris Bailey
CMS In Lieu of Services and Settings Guidance
On January 4, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director letter, SMD# 23-001, to provide additional…
Innovations in Medicaid: Driving System Transformation
One of the key strengths of the Medicaid program is its built-in capacity for variation and innovation. Within broad parameters,…
1115 Waiver Approvals Addressing Health-Related Social Needs
On September 28, 2022, the Centers for Medicare and Medicaid Services (CMS) approved two monumental 1115 waiver extensions – MassHealth…
DIRECTED PAYMENT PROGRAMS IN VALUE-BASED PURCHASING: Aligning with CMS on Improving Healthcare Outcomes
Improving access and quality in healthcare is a key focus area of the Centers for Medicare and Medicaid Services (CMS)….
Summary of CMS’ Proposed Rule: Streamlining the Medicaid, CHIP, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes
On August 31, 2022, CMS announced a proposed rule for Streamlining Eligibility and Enrollment. CMS notes that the provisions set…
Empowering the Partnership Between States and Managed Care Organizations
In the most recently published MACStats: Medicaid and CHIP Data Book, the Medicaid and CHIP Payment and Access Commission (MACPAC) estimates that…
PRIORITIZING CRUCIAL HEALTHCARE IN RURAL COMMUNITIES: Urgent Needs and Opportunities for Growth
Rural hospitals are a lifeline to essential healthcare for countless communities throughout the U.S., but many rural providers are struggling…
Addressing Social Determinants of Health Through Medicaid (SDOH)
Sellers Dorsey Director Nancy Smith-Leslie recently sat down with AIS Health’s Health Plan Weekly to discuss insights and implications of the proposed Medicaid expansion…