Pat Brady
Expertise: Medicaid Policy
Tanya Boone
Priya Baliga
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,…
December 2022 Omnibus Spending Bill – Key Medicaid Provisions Summary
Background: On December 23, the 117th Congress passed the $1.7 trillion ”Consolidated Appropriations Act of 2023” – or omnibus bill – which will…
2022 Gubernatorial Election Results, Analysis, and Impact on Budgets (FY2024)
There were 36 governorships on the ballot in 2022. Twenty-eight states have incumbent governors who are eligible and running for…
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…
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…