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CMS releases more Marketplace guidance
Weeks after releasing proposed Marketplace regulations, the Centers for Medicare & Medicaid Services (CMS) released its annual Draft Letter to Issuers in the Federally-facilitated Exchanges (Letter) for the 2019 plan year on November 27th. As is typical, the draft Letter provides operational and...
/news-perspectives/cms-releases-more-marketplace-guidance/American Hospital Association files lawsuit against the Department of Health and Human Services
On November 13, 2017, the American Hospital Association (AHS) and associated entities filed a lawsuit in the U.S. District Court for the District of Columbia challenging certain provisions of a final rule issued on November 1, 2017... On November 13, 2017, the American Hospital Association (AHS) and...
/news-perspectives/american-hospital-association-files-lawsuit-against-the-department-of-health-and-human-services/CHIP funding crisis remains unresolved
Congressional authorization of Federal funds for CHIP expired on September 30, 2017. Nine million children depend on this program. States are now operating CHIP on carryover and redistribution payments from prior years. Congressional authorization of Federal funds for CHIP expired on September 30, 2...
/news-perspectives/chip-funding-crisis-remains-unresolved/Public Consulting Group Selected for UK Government Framework for Management Consulting
The RM3745 Framework provides central government and public sector customers with a compliant route to market for acquiring consultancy advice and audit services directly from select providers, including PCG, through 2021. Boston, MA [November 27, 2017 – Public Consulting Group (PCG) today announced...
/news-perspectives/public-consulting-group-selected-for-uk-government-framework-for-management-consulting/Impact of recent federal policy changes on open enrollment
The fifth open enrollment period (OEP 5) kicked off on November 1, 2017, with a shortened enrollment window compared to previous years. With only until December 15th to make eligibility and enrollment changes, states have been urging consumers to make selections early and seek assistance from applic...
/news-perspectives/impact-of-recent-federal-policy-changes-on-open-enrollment/U.S. District Court in Connecticut certifies nationwide class of Medicare beneficiaries in challenge to “observation status”
On July 31, 2017, the U.S. District Court for the District of Connecticut certified a nationwide class of Medicare beneficiaries who desire to challenge their placement on “observation status” during their hospital stays. Alexander v. Price, No. 3:11-cv-1703 (D. Conn. July 31,2017). On July 31, 2017...
/news-perspectives/us-district-court-in-connecticut-certifies-nationwide-class-of-medicare-beneficiaries-in-challenge-to-observation-status/CMS proposes reductions in Medicaid allotments to states for hospitals’ uncompensated care
On July 28, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to implement $43 billion in reductions in federal Medicaid allotments to state Medicaid agencies for payment adjustments to hospitals serving a disproportionate share of low-income persons. The reductions i...
/news-perspectives/cms-proposes-reductions-in-medicaid-allotments-to-states-for-hospitals-uncompensated-care/Upgrading Training in Child Welfare Agencies – Five Steps to Creating a Learning Organization
After the hiring process, training is the most important aspect in the development of a good case manager. Training is understood to be an important first step by management of administration in understanding the philosophy of child welfare and child protection, the policies and practices of the age...
/news-perspectives/upgrading-training-in-child-welfare-agencies-five-steps-to-creating-a-learning-organization/Governors outline market stabilization strategy
On August 30, 2017, a bipartisan coalition of Governors issued a letter to Congress on steps needed to restore stability and affordability in coverage to 22 million Americans served through individual health insurance markets under the Affordable Care Act (ACA). On August 30, 2017, a bipartisan coal...
/news-perspectives/governors-outline-market-stabilization-strategy/Senators introduce ACA repeal legislation
On September 13, 2017, U.S. Senators Lindsey Graham, Bill Cassidy, Dean Heller, and Ron Johnson introduced legislation to scrap many provisions of the Affordable Care Act (ACA) while imposing funding caps on the traditional Medicaid program. On September 13, 2017, U.S. Senators Lindsey Graham, Bill ...
/news-perspectives/senators-introduce-aca-repeal-legislation/