US Senate Completes Congressional Approval of Medicare Physicans’ Fee Legislation

 

On Tuesday, April 14, 2015, the U.S. Senate gave final congressional approval to a bill which changes the manner in which physicians are paid under Medicare. The bill eliminates the Sustainable Growth Rate formula, which year after year threatened to slash physician fees by significant amounts, unless Congress prevented the impact by continuous short term fixes. [More]

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Categories:Health and Human Services

 

HHS Proposes New Rules for Eligibility IT Systems

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) published proposed rules in the Federal Register on April 16, 2015 which would authorize 90 percent Medicaid federal financial participation (FFP) for the design, development, installation or enhancement of Medicaid eligibility and enrollment (E&E) systems; and 75 percent Medicaid FFP for the maintenance and operation (M&O) of such systems. The proposed rules would also update requirements for federal prior approval of State Medicaid agencies’ Advance Planning Documents (APDs) for system enhancements, contract solicitation, and contract execution. [More]

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Categories:Health and Human Services

 

1332 Waivers Will Allow State-Specific Variation to Health Care Reform Efforts

 

State Innovation Waivers authorized under Section 1332 of the Affordable Care Act will allow state-specific variations to health insurance marketplace rules. This PCG report, prepared for the Policy Innovations Committee of the Arkansas Health Insurance Marketplace Board, examines the role that so called ‘1332 Waivers’ could play in shaping future Arkansas health care reforms. [More]

 

Senators Propose Reauthorization of NCLB

 

After a bill proposed by House Republicans to reauthorize the No Child Left Behind Act (NCLB) was tabled amid widespread opposition in February 2015, two U.S. Senators announced on April 7 a bipartisan agreement for rewriting the Act. The reauthorization of NCLB has been stalled in Congress since 2007, and a Special Ed Connection article called the Senators’ announcement a “breakthrough,” although many hurdles remain. [More]

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Categories:Education

 

U.S Supreme Court Issues Ruling That Providers Cannot Sue States for Higher Medicaid Rates

 

On March 31, 2015, the U.S. Supreme Court ruled, 5 to 4, “that neither the Constitution nor federal law authorizes doctors and other health care providers to go to court to enforce the law’s directive that the reimbursement rates set by states be ‘sufficient to enlist enough providers so that care and services are available’ to Medicaid recipients just as they are to the general population.” [More]

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Categories:Health and Human Services

 

HHS Proposes New Mental Health Parity Rules

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS) issued proposed rules on April 7, 2015 on mental health/substance abuse treatment coverage requirements applicable to Medicaid managed care organizations (MCOs), Medicaid alternative benefit plans (ABPs), and the Children’s Health Insurance Program (CHIP). [More]

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Categories:Health and Human Services

 

School Officials Convicted of Cheating on State Tests

 

On April 1, 2015, 11 former Atlanta Public Schools (APS) officials were convicted of racketeering and other charges stemming from allegations of widespread cheating on state tests by giving answers to students and/or changing students’ incorrect answers. One official was acquitted of all charges. Ten of the convicted officials were immediately jailed pending sentencing on April 8; the remaining convicted official was released on bail pending sentencing, due to her pregnancy and the immediacy of her delivery date. [More]

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Categories:Education

 

HHS Initiates Health Care Payment Learning and Action Network

 

On March 25, 2015, U.S. Department of Health and Human Services (HHS) Secretary Sylvia M. Burwell announced the creation of the Health Care Payment Learning and Action Network, a collaborative public, private initiative emphasizing quality of care and alternative payment models. According to a fact sheet published on that date at CMS.gov, “More than 400 Medicare ACOs participating in the Shared Savings Program and the Pioneer ACO Model have generated a combined $417 million in savings for Medicare.” Under the new Network project, the goals are to move 30 percent of Medicare payments into alternative payment models by the end of 2016 and 50 percent into alternative payment models by the end of 2018. [More]

 

House Passes Medicare Payment Reform and CHIP Reauthorization Legislation

 

The U.S. House of Representatives voted 392-37 on March 26, 2015 to pass the “Medicare Access and CHIP Reauthorization Act of 2015.” This bipartisan legislation would repeal the “sustainable growth rate” (SGR) Medicare fee-for-service payment formula and replace it with a Merit-Based Incentive Payment System (MIPS) for physicians and other medical professionals recognized under Medicare Part B. The legislation would also offer new Medicare payment incentives: to provide care management for persons with chronic conditions; to reauthorize Medicare Advantage (Medicare Part C) programs for special needs populations; and to increase Medicare Part B and Part D premiums for certain beneficiaries with high incomes. [More]

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Categories:Health and Human Services

 

Now Available: The Achieving Better Life Expectancy (ABLE) Act Fact Sheet

 

The Achieving Better Life Expectancy (ABLE) Act was signed into law on December 19, 2014. What happens next? Read our new fact sheet to learn more about what states are doing. [More]

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Categories:Health and Human Services | Public Partnerships