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Federal departments put out proposed rule to expand access to short-term health plans that are not ACA-compliant
On February 20, 2018, the Department of the Treasury (Treasury), the Department of Labor (DOL), and the Department of Health and Human Services (HHS) jointly promulgated a proposed rule on Short-Term, Limited-Duration Insurance (STLDI) plans. The proposed regulatory changes seek to carry out the dir...
/news-perspectives/federal-departments-put-out-proposed-rule-to-expand-access-to-short-term-health-plans-that-are-not-aca-compliant/U.S. District Court in Missouri invalidates Final Rule of CMS dealing with reduction of disproportionate-share payments
On February 13, 2013, U.S. District Court Judge Brian Wimes in Missouri ruled that a CMS final rule that would require Missouri Hospitals’ DSH allotments to be reduced by any Medicare or commercial insurance was invalid. This ruling is one of several decisions in an ongoing battle by states in respo...
/news-perspectives/us-district-court-in-missouri-invalidates-final-rule-of-cms-dealing-with-reduction-of-disproportionate-share-payments/President Signs Bipartisan Budget Act
On February 9, 2018, President Trump signed H.R. 1892, the Bipartisan Budget Act of 2018. The new law reauthorizes federal funding for many health programs, modifies scheduled reductions in Medicaid disproportionate share hospital (DSH) allotments to states, tightens third party liability (TPL) bill...
/news-perspectives/president-signs-bipartisan-budget-act/EPIC Summer Camp brings fun—and learning—to Dallas ISD students
Elementary and middle-school students from nine Dallas Independent School District (ISD) schools participated in PCG’s EPIC Summer Camp from July 16-26. EPIC is a science, technology, and mathematics learning program that aims to prevent the “summer slide,” or loss of learning that can otherwise und...
/news-perspectives/epic-summer-camp-brings-fun-and-learning-to-dallas-isd-students/Federal Court in Tennessee invalidates billing threshold for enhanced Medicaid payments to physicians
On January 24, 2018, a Federal District Court in Tennessee held that the Centers for Medicare and Medicaid Services (CMS) improperly included a billing threshold requirement in a final rule concerning whether physicians received an enhanced Medicaid rate for primary care services under a provision o...
/news-perspectives/federal-court-in-tennessee-invalidates-billing-threshold-for-enhanced-medicaid-payments-to-physicians/Federal lawsuit filed challenging Kentucky’s Medicaid work requirement
On Wednesday, January 24th, a lawsuit was filed in the Federal District Court, District of Columbia, challenging the implementation by Kentucky of the nation’s first work requirement in a Medicaid program. The suit was filed by three organizations on behalf of 15 Kentucky citizens claiming to be at ...
/news-perspectives/federal-lawsuit-filed-challenging-kentucky-s-medicaid-work-requirement/Insights from PCG’s Josh Ellis: Solving the Teacher Shortage
What is EdForce and how does it address the current shortage of K-12 teachers? From California to Virginia, states are experiencing a severe shortage of K-12 teachers. According to the Learning Policy Institute’s most recent data (2009-14), enrollment in teacher education programs have dropped from ...
/news-perspectives/insights-from-pcg-s-josh-ellis-solving-the-teacher-shortage/The Government Accountability Office issues recommendations on fraud prevention
On December 5, 2017, the Government Accountability Office (GAO) issued a a report on Centers for Medicare and Medicaid Services (CMS) fraud prevention efforts, recommending that CMS more closely align its approach with the Fraud Risk Framework put forth by the GAO in 2015. Medicaid and Medicare frau...
/news-perspectives/the-government-accountability-office-issues-recommendations-on-fraud-prevention/CMS issues guidelines on mandating work and community engagement under Medicaid and approves the first work requirement waiver
On January 11, 2018, the Centers for Medicare and Medicaid Services (CMS) distributed a State Medicaid Director letter outlining new guidelines for states about mandating work and other community engagement activities for adult Medicaid beneficiaries who are not aged, disabled, or pregnant. CMS defi...
/news-perspectives/cms-issues-guidelines-on-mandating-work-and-community-engagement-under-medicaid-and-approves-the-first-work-requirement-waiver/Trends defined through most recent Adoptions and Foster Care Analysis Reporting System (AFCARS) data
The latest compilation of data from the AFCARS report demonstrates a double digit increase in the number of children within the foster care system over the last 10 years. A critical factor in that increase relates to the current opioid epidemic, which is affecting all states and their child welfare ...
/news-perspectives/trends-defined-through-most-recent-adoptions-and-foster-care-analysis-reporting-system-afcars-data/