Entries by NASNH Administrator

Medicare Advantage to Address Social Determinants of Health

Beginning next year, the Centers for Medicare & Medicaid Services will authorize Medicare Advantage plans to pay for some health-related but non-medical benefits for their members – benefits that will help address social determinants of health that affect the health status of many Medicare beneficiaries. As explained by Health and Human Services Secretary Alex Azar […]

HHS Gives States New Options for Medicaid-Covered Behavioral Health Treatment

The U.S. Department of Health and Human Services has informed state Medicaid programs that it is giving them new opportunities to pay for hospitalization to care for recipients with behavioral health problems. For years Medicaid has greatly limited the ability of state Medicaid programs to pay for inpatient care for many behavioral health problems – […]

Medicaid Birthing Model Improves Outcomes

A federal program to improve birth outcomes among Medicaid-covered women has produced positive results:  lower rates of pre-term births, fewer low birthweight babies, fewer C-sections, lower delivery costs, and lower first-year health care spending. The “Strong Start for Mothers and Newborns” program was a four-year initiative established by the Affordable Care Act and developed by […]

CMS Proposes New Medicaid Managed Care Regulation

Just two years after a major overhaul of Medicaid managed care regulations, the Centers for Medicare & Medicaid Services is again proposing changes in how the federal government regulates the delivery of managed care services to Medicaid beneficiaries. Under the newly proposed regulation, states would: be free to implement more changes in their managed care […]

The Changing of the Congressional Health Care Guard

Last week’s elections will bring to office in January a new majority party in the House and changes in the Senate as well. Changes in leadership are coming in all of the House committees with jurisdiction over health care matters:  Energy and Commerce, Ways and Means, Appropriations, and Oversight and Government Reform.  New leadership may […]

MACPAC: Let’s “hit the pause button” on Medicaid Work Requirements

The non-partisan legislative branch agency that advises Congress and the administration on Medicaid issues will ask the administration to delay approving any more state Medicaid work requirements. That was the decision reached by the Medicaid and CHIP Payment and Access Commission when it met last week. MACPAC warned that the work requirement currently being implemented […]

HHS Seeks Feedback on Social Determinants of Health

Following up on a requirement from the Improving Medicare Post-Acute Transformation (IMPACT) Act of 2014, the U.S. Department of Health and Human Services has issued a request for information seeking feedback from providers and insurers about what they do to improve health outcomes for Medicare beneficiaries with social risk factors. The RFI seeks to learn […]