This week, our In Focus section reviews the policy changes included in the Centers for Medicare & Medicaid Services鈥� (CMS) Fiscal Year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (). This year鈥檚 IPPS Proposed Rule includes several important policy changes that will alter hospital margins and change administrative procedures, beginning as soon as October 1, 2022.
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May 4, 2022
量子资源网 Conference on the New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers
量子资源网 conference on “The New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs” to feature insights from health plan leaders, state Medicaid directors, and providers
Pre-Conference Workshop: October 9, 2022
Conference: October 10-11, 2022
Location: Fairmont Chicago, Millennium Park
量子资源网 Conference on the New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers
Early Bird registration is now open for 量子资源网鈥檚 fifth national conference on trends in publicly sponsored healthcare. Early Bird Registration Ends July 11th.
Nebraska releases Medicaid managed care RFP
This week, our In Focus section reviews the Nebraska Heritage Health request for proposals (RFP), released by the Nebraska Department of Health and Human Services (DHHS) on April 15, 2022. DHHS will award statewide contracts to two or three Medicaid managed care organizations (MCOs) to serve approximately 342,000 individuals. Implementation is set to begin July 1, 2023. Contracts are currently worth $1.8 billion annually.
Webinar replay: New York State 1115 waiver amendment and the federal climate for waiver approval
This webinar was held on April 26, 2022.聽
On April 13, New York State announced it is requesting $13.52 billion over five years to fund a new amendment to its 1115 Waiver Demonstration that addresses health disparities and systemic healthcare delivery issues highlighted and intensified by the COVID-19 pandemic. During this webinar, speakers provided an overview and analysis of the contents of the state waiver amendment request, including Health Equity Regional Organizations (HEROs), Social Determinant of Health Networks (SDHNs), and Value Based Payment Incentive Payments. Speakers also discussed the current federal climate as CMS begins its review and consideration of New York鈥檚 waiver amendment request.
Learning Objectives
- Understand the components and initiatives included in the New York State 1115 waiver amendment request, including lessons learned from the prior Delivery System Reform Incentive Payment (DSRIP) program
- Learn about dynamics and considerations at the federal level and how they may impact the evaluation of state 1115 waiver requests
- Identify potential upcoming funding streams and strategic considerations for your organization as it relates to the initiatives in the New York waiver amendment request
量子资源网 Speakers
Josh Rubin, Principal, New York, NY
Cara Henley, Senior Consultant, Albany, NY
Andrea Maresca, Principal, Federal Policy, Washington, DC
The family glitch and changes to premium tax credit eligibility
This week, our In Focus section reviews the Biden Administration鈥檚 proposed rule revising eligibility standards for premium subsidies for families, released on April 5, 2022. The proposed rule would 鈥渇ix鈥� the family glitch and, therefore, dramatically increase the number of people eligible for premium tax credits. This brief describes what the regulation would do and the implications for the individual market.
Illinois action plan highlights 量子资源网 substance use disorder program
As part of an overall state strategy to reduce overdose deaths, Illinois recently released the State Overdose Action Plan (SOAP) that includes a key substance use disorder (SUD) program developed by 量子资源网.
Texas Releases STAR+PLUS RFP
This week, our In Focus section reviews the Texas STAR+PLUS managed care services request for proposals (RFP) released on March 31, 2022, by the Texas Health and Human Services Commission (HHSC). The STAR+PLUS program, including the STAR+PLUS Home and Community-based Services (HCBS) program, provides acute care services and Long-Term Services and Supports (LTSS) to the aged and disabled.
CMS and state discussions: 量子资源网 finds additional stakeholder engagement needed to support Medicaid PHE unwinding
On April 4, 2022, the Centers for Medicare and Medicaid Services (CMS) published two new resources addressing Medicaid鈥檚 Public Health Emergency (PHE) 鈥渦nwinding鈥� activities. [i] Today鈥檚 post focuses on CMS鈥� of promising state practices for unwinding planning efforts.