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 [...]
MACPAC Meets
The Medicaid and CHIP Payment and Access Commission met for two days last week in Washington, D.C. The following is MACPAC’s own summary of the sessions. The October 2018 MACPAC meeting covered a range of front-line issues in Medicaid, leading [...]
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 [...]
Medicaid Expansion Didn’t Hurt Access After All
The expansion of Medicaid in nearly two-thirds of the states has not affected access to care for Medicare participants in those states. According to a new analysis by the National Bureau of Economic Research, Medicare patients had no more trouble [...]
House Members Protest Site-Neutral Payment Proposal
138 members of the House of Representatives have written to Centers for Medicare & Medicaid Services administrator Seema Verma to protest CMS’s proposal to extend Medicare outpatient site-neutral payment policies to off-campus, provider-based outpatient departments specifically exempted from such policies [...]
New Report Looks at Medicaid Buy-In
While there has been a great deal of public discussion of late about “Medicare for all,” less attention has been paid to the concept of permitting people to buy into their state’s Medicaid program. Now, the Rockefeller Institute of Government [...]
Medicaid APMs Moving in New Directions
For the most part, states’ use of alternative payment models in their Medicaid programs so far have focused on the work done by primary and acute-care providers. Now, a number of states are starting to extend their use of APMs [...]
Proposed “Public Charge” Regulation Could Hit Medicaid, Hospitals
If a regulation proposed by the Department of Homeland Security to redefine what constitutes a “public charge” is adopted, millions of people currently enrolled in the Medicaid and Children’s Health Insurance Program might choose to disenroll from those programs rather [...]
MedPAC Meets
Last week the Medicare Payment Advisory Commission met in Washington, D.C. to discuss a number of Medicare payment issues. The issues on MedPAC’s October agenda were: managing prescription opioid use in Medicare Part D opioids and alternatives in hospital settings: [...]
“Public Charge” Proposal Raises Potential Issues for Safety-Net Hospitals
A proposal by the Department of Homeland Security could make it more difficult for some immigrants to stay in the U.S. permanently by scrutinizing more closely whether they might become a “public charge” if they remain in the country and [...]

