HHS Report Updates ACA Impact on Medicaid/CHIP Enrollments

 

The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), released on February 23, 2015 a report showing that 27 jurisdictions (26 states and the District of Columbia) which implemented Medicaid expansion under the Affordable Care Act (ACA) by December 2014 saw on average a 27.01 percent increase in Medicaid/CHIP enrollments for December 2014, as compared to their average monthly enrollments in a July – September 2013 baseline period. [More]

Tags: , , , , , , , , , ,

Categories:Health and Human Services

 

U.S. Supreme Court Hears Oral Argument in Significant ACA Case of KING v. BURWELL

 

On Wednesday, March 4, 2015, the U.S. Supreme Court heard oral arguments in the case of King v. Burwell. This case considers the issue of whether the language in the Affordable Care Act (ACA), “an Exchange established by the State,” requires a finding that the subsidies established by the ACA may only be provided in states where the health insurance exchange is founded by the states themselves and not by the federal government. [More]

 

CMS Issues Final Rule for ACA Marketplace Standards in 2016

 

In the February 27, 2015 Federal Register, the Centers for Medicare & Medicaid Services (CMS) published a final rule establishing new consumer standards as well as requirements for issuers in the Affordable Care Act (ACA) marketplaces for 2016. (80 Fed. Reg. 10750). Pursuant to current requirements, health insurance issuers seeking a rate hike of 10% or more in the individual or small group market must publicly disclose and justify the increases. [More]

 

AL Medicaid Agency Awards TC Significant Contract Amendment

 

The State of Alabama is leveraging both the Affordable Care Act (ACA) regulations and the A-87 exception to create a single centralized eligibility system to replace multiple antiquated less functional systems. This approach will lower costs to both the state and its federal partners while improving the experience for users as well as creating a more flexible, easily configurable system. This expanded effort for the AL eligibility system will impact 12 legacy systems. [More]

Tags: , , , ,

Categories:Technology Consulting

 

OMB Releases Proposed FY 2016 Budget

 

President Obama’s Executive Office of Management and Budget (OMB) released the President’s proposed federal fiscal year 2016 budget on February 2, 2015. The $4 trillion budget includes $944 billion for Social Security and $1.107 trillion for health care unrelated to veterans’ programs, including $589 billion for Medicare and $365 billion for Medicaid and the Children’s Health Insurance Program (CHIP). [More]

Tags: , , , , , , , ,

Categories:Health and Human Services

 

Hawaii DHS Extends PCG Technology Consulting's IV&V Contract through December 2015

 

In 2012, the Hawaii Department of Human Services (DHS) decided to replace its legacy Medicaid eligibility system with a solution to modernize its system and support the Affordable Care Act requirements. The first phase of the project, known as the Kauhale (Community) Online Eligibility Assistance (KOLEA) project, went live on Oct. 1, 2013 when the state converted a majority of the Medicaid functionality from the legacy system to KOLEA. [More]

Tags: , , , , , ,

Categories:Technology Consulting

 

U.S. Supreme Court Denies Review of Another ACA Individual Mandate Challenge

 

On January 12, 2015, the U.S. Supreme Court refused to review a D.C Circuit case challenging the Affordable Care Act’s (ACA’s) individual mandate. See, ASSOCIATION of AM. PHYSICIANS & SURGEONS v. BURWELL, No. 14-350 (U.S. REVIEW DENIED JAN. 12, 2015). [More]

Tags: , , ,

Categories:Health and Human Services

 

U.S. Supreme Court Will Hear Oral Arguments in ACA Subsidy Case on March 4, 2015

 

On December 22, 2014, the U.S. Supreme Court announced that it will hear oral arguments in KING v. BURWELL, No. 14-114, in the case challenging the position that subsidies under the Affordable Care Act (ACA) are permitted in states with federally facilitated marketplaces as well as in states with state-based marketplaces. [More]

Tags: , , , ,

Categories:Health and Human Services

 

Human Services Legislation in the 114th Congress

 

The 114th Congress was sworn in January 5, 2015 and will be in place until January 8, 2017. During this time, multiple bills and resolutions will be brought forward for discussion, hearings, and debate, possibly eventually becoming law. If the 114th follows in the tradition of the 113th there will be relatively few bills passed this year. Only 297 bills were passed and made into law during the 113th Congress – the lowest number since the Congress of 1947. [More]

 

CMMI Announces $666 Million in State Health Care Innovation Awards

 

The U.S. Department of Health and Human Services (HHS), Center for Medicare and Medicaid Innovation (CMMI) announced on December 16, 2014 that it is authorizing $623 million in “model testing” awards to 11 states and $43 million in “model design” awards to 17 states, three territories, and the District of Columbia. CMMI has approved the awards under section 3021 of the Affordable Care Act (ACA). These “model testing” and “model design” awards complete “round two” in CMMI’s State Innovation Models (SIM) initiative. [More]

Tags: , , ,

Categories:Health and Human Services