As efforts continued at the beginning of 2022 to implement the No Surprises Act aimed at preventing surprise medical bills that patients are often unable to pay, the Kaiser Family Foundation published a report that estimates nearly one in 10 adults have medical debt, and that Americans’ total medical debt could be as high as $195 billion. About a week later the nation’s top three debt collection firms announced planned changes to medical debt practices designed to reduce the strain of medical debt on patients and appease a Consumer Financial Protection Bureau that has made credit reporting and medical debt a priority. Less than a month later, the Biden Administration announced several initiatives aimed at alleviating issues related to medical debt for Americans.
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The PHE is continuing—what’s next for Medicaid?
On May 16, 2022, no announcements were made concerning the impending end of the COVID-19 Public Health Emergency (PHE) declaration. What does this mean for state Medicaid programs and stakeholders, including consumers? When will the PHE declaration expire?
May 18, 2022
The PHE is Continuing—What’s Next for Medicaid?
KFF predicts Medicaid implications of end of PHE
This week, our In Focus reviews the Kaiser Health Foundation (KFF) analysis, Fiscal and Enrollment Implications of Medicaid Continuous Coverage Requirement During and After the PHE Ends, published on May 10, 2022.
May 11, 2022
KFF Predicts Medicaid Implications of End of PHE
CMS hospital inpatient rule proposes novel methods for calculating 2023 payment rates
This week, our In Focus section reviews the policy changes included in the Centers for Medicare & Medicaid Services’ (CMS) Fiscal Year (FY) 2023 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Acute Care Hospital (LTCH) Proposed Rule (CMS-1771-P). This year’s IPPS Proposed Rule includes several important policy changes that will alter hospital margins and change administrative procedures, beginning as soon as October 1, 2022.
May 4, 2022
HMA Conference on the New Normal for Medicaid, Medicare, and Other Publicly Sponsored Programs to Feature Insights from Health Plan Leaders, State Medicaid Directors, Providers
HMA 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
HMA 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 HMA’s 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.
April 20, 2022
Nebraska Releases Medicaid Managed Care RFP
Webinar replay: New York State 1115 waiver amendment and the federal climate for waiver approval
This webinar was held on April 26, 2022.
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’s 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
HMA Speakers
Josh Rubin, Principal, New York, NY
Cara Henley, Senior Consultant, Albany, NY
Andrea Maresca, Principal, Federal Policy, Washington, DC