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GAO recommends improved Medicaid waiver evaluations
On February 20, 2018, the Government Accountability Office (GAO) released a report recommending changes in federal policies and procedures governing state-operated Medicaid demonstration waiver projects. These projects represent the leading edge in state Medicaid innovation as well as over $109 bill...
/news-perspectives/gao-recommends-improved-medicaid-waiver-evaluations/New federal grant opportunity to support state efforts to strengthen the private health insurance market
On February 5, 2018, the Center for Consumer Information and Insurance Oversight (CCIIO) released a new Notice of Funding Opportunity to support states as they implement several of the market reforms and consumer protections under Title I of the Affordable Care Act (ACA). This grant program is a fol...
/news-perspectives/new-federal-grant-opportunity-to-support-state-efforts-to-strengthen-the-private-health-insurance-market/Administration budget proposal includes health care changes
The administration released its budget proposal on February 12, 2018. As expected, the proposal includes a number of changes related to health care. The budget plan revives the Affordable Care Act (ACA) repeal, with a proposal similar to the Graham Cassidy Heller Johnson bill. Specifically, the budg...
/news-perspectives/administration-budget-proposal-includes-health-care-changes/Insights and suggested activities for State Flexibility Grant Program applications
The State Flexibility to Stabilize the Market Grant Program (“State Flexibility Grant Program”) was developed to support states as they implement several of the market reforms and consumer protections under Title I of the Affordable Care Act (ACA). This new funding opportunity builds upon many of th...
/news-perspectives/insights-and-suggested-activities-for-state-flexibility-grant-program-applications/Federal departments put out proposed rule to expand access to short-term health plans that are not ACA-compliant
On February 20, 2018, the Department of the Treasury (Treasury), the Department of Labor (DOL), and the Department of Health and Human Services (HHS) jointly promulgated a proposed rule on Short-Term, Limited-Duration Insurance (STLDI) plans. The proposed regulatory changes seek to carry out the dir...
/news-perspectives/federal-departments-put-out-proposed-rule-to-expand-access-to-short-term-health-plans-that-are-not-aca-compliant/U.S. District Court in Missouri invalidates Final Rule of CMS dealing with reduction of disproportionate-share payments
On February 13, 2013, U.S. District Court Judge Brian Wimes in Missouri ruled that a CMS final rule that would require Missouri Hospitals’ DSH allotments to be reduced by any Medicare or commercial insurance was invalid. This ruling is one of several decisions in an ongoing battle by states in respo...
/news-perspectives/us-district-court-in-missouri-invalidates-final-rule-of-cms-dealing-with-reduction-of-disproportionate-share-payments/President Signs Bipartisan Budget Act
On February 9, 2018, President Trump signed H.R. 1892, the Bipartisan Budget Act of 2018. The new law reauthorizes federal funding for many health programs, modifies scheduled reductions in Medicaid disproportionate share hospital (DSH) allotments to states, tightens third party liability (TPL) bill...
/news-perspectives/president-signs-bipartisan-budget-act/EPIC Summer Camp brings fun—and learning—to Dallas ISD students
Elementary and middle-school students from nine Dallas Independent School District (ISD) schools participated in PCG’s EPIC Summer Camp from July 16-26. EPIC is a science, technology, and mathematics learning program that aims to prevent the “summer slide,” or loss of learning that can otherwise und...
/news-perspectives/epic-summer-camp-brings-fun-and-learning-to-dallas-isd-students/Federal Court in Tennessee invalidates billing threshold for enhanced Medicaid payments to physicians
On January 24, 2018, a Federal District Court in Tennessee held that the Centers for Medicare and Medicaid Services (CMS) improperly included a billing threshold requirement in a final rule concerning whether physicians received an enhanced Medicaid rate for primary care services under a provision o...
/news-perspectives/federal-court-in-tennessee-invalidates-billing-threshold-for-enhanced-medicaid-payments-to-physicians/Federal lawsuit filed challenging Kentucky’s Medicaid work requirement
On Wednesday, January 24th, a lawsuit was filed in the Federal District Court, District of Columbia, challenging the implementation by Kentucky of the nation’s first work requirement in a Medicaid program. The suit was filed by three organizations on behalf of 15 Kentucky citizens claiming to be at ...
/news-perspectives/federal-lawsuit-filed-challenging-kentucky-s-medicaid-work-requirement/