Category: State Activity

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 ...

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 ...

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 ...

Health Policy News Announces Fall Webinar Series

This fall, subject matter experts from Health Policy News will host a webinar series on State health policy activity. As states plan for their upcoming legislative sessions, we will explore recent State efforts to stabilize and support their insurance markets that could be models across the country. On Tuesday September 25th at 1:30 pm EST, ...

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 ...

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 ...

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 ...

Balance billing – a new report on recent efforts by state

PCG subject matter experts recently completed a survey report entitled “Balance Billing: Report of Recent Efforts to Protect Consumers.” The practice of balance billing is historically commonplace, but increased scrutiny on rising out of pocket health care costs is driving efforts to provide greater transparency into the practice. For those states contemplating crafting consumer balance ...

The latest news from D.C.

Following the failure in the Senate to pass various legislative proposals – the Better Care Reconciliation Act (the Senate version of repeal and replace), the straight repeal option, or the “skinny repeal” bill – last week, Senate leadership has continued to say that they are moving on to other agenda items for now. However, there still seem to be daily updates ...

Section 1332 State Innovation Waiver – Recent developments and the newly-released checklist

In follow-up to its letter to Governors regarding the Section 1332 Waiver opportunity, the Centers for Medicare and Medicaid Services (CMS) and the Department of Treasury released a Section 1332 checklist on May 16 designed to help states pursue ACA State Innovation Waivers. Section 1332 of the ACA allows states to waive specific ACA provisions ...