Fixing the US healthcare system has often been described as attempting to herd cats. Notoriously independent-minded and resistant to outside…
Learning to Herd Cats: Fixing the US Healthcare System
Market: Physician Groups
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…
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…
Texas 1115 Waiver Demonstration Extension & State Directed Payment Programs
On April 22, 2022, CMS took steps to end a yearlong dispute with Texas over the State’s Medicaid 1115 waiver…
Three Ways to Optimize Managed Care Programs: Approaches for Effective Core Program Administration
According to the National Association of Medicaid Directors (NAMD) in 2021, Medicaid directors spent significantly less time working on strategic initiatives and…
CMS Guidance for States on the Termination of the COVID-19 Public Health Emergency Declaration
The COVID-19 Public Health Emergency (PHE) declaration, issued by the Department of Health and Human Services (HHS) under the authority of…
Centers for Medicare and Medicaid Services (CMS) Goals for 2022: Summary of the January 18 Stakeholder Meeting
CMS held a stakeholder meeting on January 18, 2022, to outline the agency’s priorities for the future. Members of the…
American Rescue Plan Act 2021 Presentation and Highlights
On April 16, 2021, the Centers for Medicare and Medicaid Services (CMS) announced its decision to rescind its earlier approval…
CMS Rescinds Earlier Approval of Texas’ 1115 Waiver Extension
On April 16, 2021, the Centers for Medicare and Medicaid Services (CMS) announced its decision to rescind its earlier approval…
The American Rescue Plan Act 2021 Analysis
On March 10, 2021, Congress passed the American Rescue Plan Act (ARPA) of 2021 and sent it to President Biden,…
TennCare Modified Block Grant Overview
The Modified Block Grant amendment to Tennessee’s Section 1115 waiver was approved on January 8, 2021, with the purpose of…