Health Policy News Hosts Round Table Discussion of Public Option Programs

On October 9th, Health Policy News held the second event in our 2018 Fall Webinar Series. This webinar featured a round table discussion on the history of public options, and the various design and programmatic options available to states crafting such programs. The HPN team was joined by a buy-in expert from the PCG Health ...

States Respond to Recent Federal Regulations

States across the country have spent the past few months reviewing and considering two significant rules promulgated at the Federal level over the summer: the final rule on Association Health Plans (AHPs) issued by the Department of Labor in June, and the final rule on Short Term Limited Duration Insurance (STLDI) issued by the Departments ...

PCG Health Team Attends National Academy for State Health Policy Conference (#NASHPCONF18)

Members of the PCG Health team spent last week meeting many of our clients and colleagues at the 31st annual National Academy for State Health Policy (NASHP) conference in Jacksonville, FL. This conference provides the opportunity to learn from attendees about innovative projects underway at the state level. #NASHPCONF2018 highlighted policy changes that many states ...

Federal Departments Finalize Rule to Expand Access to Short Term Health Plans that are not ACA-Compliant

On August 1, 2018, the Department of the Treasury, the Department of Labor, and the Department of Health and Human Services (together, “the Departments”) jointly promulgated a final rule on Short-Term Limited-Duration Insurance (“final rule”). The final rule further amends the proposed rule released in February and seeks to carry out the directions given in ...

States Are Increasingly Turning to Uniform Prior Authorization Forms

Background Prior authorization is a common tool for utilization management and controlling health care costs. While the approach to the process is similar across payers, each insurance carrier and public program has its own forms - with variations on questions asked, how they are asked, and the order in which they are asked - and ...

Association Health Plans: Final Rule Fact Sheet

Background: On June 19, 2018, the Department of Labor (DOL) issued a final rule on Association Health Plans (AHPs), which culminated a nine-month effort by the Federal administration to expand access to such plans. The Federal activity began on October 12, 2017 with the President’s signing of Executive Order 13813 “Promoting Healthcare Choice and Competition ...

Looking to the Future of Workers’ Compensation

Several members of the PCG Health team recently attended the Workers Compensation Research Institute’s Annual Issues & Research Conference in Boston. The conference convenes researchers, regulators, and other workers’ compensation professionals from around the country to discuss trends they are seeing within the industry. Below we share a couple of highlights from this year’s conference, ...

Movement on drug cost containment at both the state and federal level

Health Policy News has devoted significant attention to State and Federal efforts to contain drug costs, including recently issuing a report and legislative tracking tool entitled “ Rising Prescription Drug Costs: A report on state and federal efforts to contain costs”. As we head into the summer we offer readers a few short updates on ...

States Pursue Unique Approaches to Permit Non-Compliant Health Plans

While much of the attention over the debate over the Affordable Care Act (ACA) has centered at the Federal level, states continue to act as the laboratories for innovation. Last year Health Policy News featured a series of updates on activity around Section 1332 State Innovation Waivers in the states – with a focus primarily ...

Health Policy News April 2018

After months of uncertainty and waiting, guidance on various regulatory and policy changes have been issued this month by the federal administration. While we still await final guidance on association health plans and short term limited duration plans, the Centers for Medicare & Medicaid Services (CMS) has released the final Benefit and Payment Parameters, and ...

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