All posts by Health Policy News Team

Health Policy News September Edition

With late-breaking summer developments at the federal level on Association Health Plans (AHPs) and Short Term Limited Duration Insurance (STLDI), and additional guidance rolling out at the state level, it was a busy end of summer for states and health policy SMEs alike.  To assist states, this edition includes an overview of recent state activity ...

Health Policy News Summer 2018

As in past years, Health Policy News is publishing one summer edition, featuring a new report entitled “Revisiting the Public Option- Medicaid Buy-Ins” with a legislative tracking overview of recent movement on public health insurance programs at both the State and Federal level. We will be hosting a webinar to present the report, with an ...

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, ...

Health Policy News May 2018

In this edition of Health Policy News, we continue our series of updates on state innovation in health policy. In follow-up to last year's series on 1332 State Innovation Waivers, this year we have focused on other ideas and efforts percolating across the country and aimed at strengthening health insurance markets and expanding access to ...

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 ...

CMS Releases Final Exchange Guidance

On April 9, 2018, the Centers for Medicare & Medicaid Services (CMS) released the long-awaited final Exchange guidance for the 2019 plan year – the final Notice of Benefit and Payment Parameters for 2019 (NBPP) and the final Letter to Issuers in the Federally-facilitated Exchanges (Letter). Together, the NBPP and Letter set forth changes to ...

Health Policy News March 2018

This month's edition focuses on efforts underway across the country to protect consumers from rising prescription drug costs and reduce or cap state drug spending. Health Policy News subject matter experts released a special report and legislative tracking tool outlining state and federal efforts, along with suggestions for states on how to approach this high ...

Tackling Rising Prescription Drug Costs – a report on state and federal efforts

On March 29th, subject matter experts from Health Policy News held a webinar and Q&A to discuss efforts at the state and federal level to address the rising cost of prescription drugs.  Many states are in the midst of their legislative cycles, with the issue of rising pharmaceutical costs on agendas across the country. Topics ...

Health Policy News February 2018

In this month's edition of Health Policy News, we highlight legislative, regulatory, and administrative developments at the federal level. Just last week, on February 20, 2018, several federal departments jointly released a proposed rule seeking to expand access to Short-Term Limited-Duration Insurance (STLDI) plans. Also, on February 9, 2018, the President signed H.R. 1892, the ...

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 fraud and abuse prevention has been increasingly in the ...