CMS announces CPC+ primary care model

 

On April 11, 2016, the Centers for Medicare and Medicaid Services (CMS) announced the Comprehensive Primary Care Plus (CPC+) model. The CPC+ model, which builds on the CPC model launched in October 2012, is designed to align Medicare, state Medicaid agencies, and commercial insurance payers to achieve comprehensive, coordinated primary care, especially for patients with complex medical and behavioral health needs. [More]

 

NEJM examines Medicare physician reimbursement system

 

On April 7, 2016, the New England Journal of Medicine (NEJM) published an article entitled, “Finding Value in Unexpected Places – Fixing the Medicare Physician Fee Schedule.” The NEJM article notes that the Medicare physician fee schedule (MPFS) may: affect how physicians spend time with patients, drive unneeded tests and procedures, influence physicians’ specialty choices, and worsen shortages of much-needed primary care physicians and geriatricians. [More]

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NAS issues report on improving health outcomes for at-risk populations

 

On April 7, 2016, the National Academies of Sciences, Engineering, and Medicine (NAS) issued a report entitled, “Systems Practices for the Care of Socially At-Risk Populations.” The report cites research and case studies showing that collaboration between health care delivery systems and community-based social service organizations can achieve improvements in health care outcomes for at-risk, low income populations afflicted by social isolation and limited health literacy. [More]

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NAS issues report on improving health outcomes for at-risk populations

 

On April 7, 2016, the National Academies of Sciences, Engineering, and Medicine (NAS) issued a report entitled, “Systems Practices for the Care of Socially At-Risk Populations.” The report cites research and case studies showing that collaboration between health care delivery systems and community-based social service organizations can achieve improvements in health care outcomes for at-risk, low income populations afflicted by social isolation and limited health literacy. [More]

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Categories:Health and Human Services

 

ESSA regulations are underway

 

According to a March 31, 2016, POLITICO Pro posting, the U. S. Department of Education (USDE) plans to introduce regulations very soon on accountability under the Every Student Succeeds Act (ESSA). The regulations will apply to state accountability and reporting systems. Up to seven states will be allowed to participate in a pilot program to experiment with innovative tests. [More]

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Categories:Education

 

CMS finalizes mental health parity rules

 

On March 30, 2016, the Centers for Medicare and Medicaid Services (CMS) published final rules on mental health/substance use disorder parity requirements applicable to Medicaid managed care organizations (MCOs), Medicaid alternative benefit plans (ABPs), and the Children’s Health Insurance Program (CHIP). The final Medicaid/CHIP rules are based on the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA), which generally prohibits more restrictive cost-sharing (e.g., co-payments and deductibles), quantitative limitations (e.g., visit limits), and non-quantitative limitations in mental health/substance use disorder benefits under a health plan than in medical/surgical coverage under the same plan. [More]

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HHS issues report on behavioral health benefits of Medicaid expansion

 

On March 28, 2016, the U.S. Department of Health and Human Services (HHS), Assistant Secretary for Planning and Evaluation (ASPE) issued a report entitled, “Benefits of Medicaid Expansion for Behavioral Health.” The report estimates that about 1.9 million low-income uninsured persons with mental illness or substance use disorders live in states that have not yet expanded Medicaid under the Affordable Care Act (ACA). [More]

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Supreme Court requests supplemental briefs in contraceptive case

 

On March 30, 2016, the Supreme Court garnered extensive media coverage after making what is described as an “unusual” request for supplemental briefs in the challenge to the contraceptive mandate contained in the Affordable Care Act (ACA). [More]

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PCG continues yearlong anniversary campaign – announces second “30 for 30” grant

 

To commemorate our 30th year of service, and to offer some very humble thanks to our clients and the communities that we serve, PCG kicked off its “30 for 30” donation campaign in February 2016, with our first $30,000 grant going to support Rodman Ride for Kids (read the full announcement here). [More]

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Categories:Corporate | PCG Cares

 

Brief - Child Welfare / Child Neglect

 

Neuroscience shows us that by redressing child neglect, child welfare agencies can not only reduce human suffering, but equip generations of children to become productive members of society. State policymakers can now build on scientific facts to raise the odds of success for youth born into challenging circumstances, break the inter-generational cycle of child neglect, and ease the burden on our systems of child welfare, education, and criminal justice. [More]

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Categories:Corporate | Health and Human Services