• 09.18.19

    CMS Promotes Community Paramedicine in Medicare and Medicaid

    Earlier this year, the Department of Health and Human Services (HHS) announced a new Center for Medicare & Medicaid Innovation (CMMI) payment model for community paramedicine.

  • 08.01.19

    Congress and Administration Consider Significant Drug Pricing Policy Changes

    In both chambers of Congress, passing legislation to bring down drug prices is a policy priority—and the savings from such possible legislation is slated to offset other healthcare legislative proposals (such as addressing impending Medicaid Disproportionate Share Hospital (DSH) allotment ...

  • 06.19.19

    With 2020 in View, Democrats Outline Healthcare Reform Positions

    As the 2020 elections near, federal and state policymakers are sharpening their plans for healthcare reform—an issue that proved important to voters in the 2018 midterm elections and is on track to be a core issue in the 2020 race.

  • 05.02.19

    Marketplace Roundup: Recent Federal Marketplace Activity Promotes State-Level Policymaking

    In late March, the Centers for Medicare & Medicaid Services (CMS) released its Marketplace open enrollment report showing that 11.4 million people selected Affordable Care Act (ACA) Marketplace plans in 2019—a 4% decline in the 39 states that use Healthcare.gov and a 1% increase in the 11 ...

  • 04.05.19

    What’s the Leading Cause of Accidental Deaths?

    Deaths due to opioid-related overdoses, including prescription opioids, other synthetic opioids and heroin, reached almost 50,000 in 2017—and have now exceeded other leading causes of accidental death, including car crashes (37,133) and gun deaths (38,551).

  • 03.20.19

    New Medicare Advantage Tools Address Social Determinants of Health

    Social determinants of health (SDOH) are conditions in the environments in which people are born, live, learn, work, play, worship and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

  • 02.26.19

    Medicaid Buy-In and Public Option: The State of Play

    Lawmakers across the country are proposing legislation to stabilize the Affordable Care Act (ACA) insurance market, make coverage more affordable for consumers, and improve access to care by leveraging the bargaining power and administrative savings of public programs.

  • 02.14.19

    HHS Proposes Revising Anti-Kickback Safe Harbor on Pharmaceutical Rebates

    On January 31, the Department of Health & Human Services (HHS) Office of Inspector General (OIG) issued a proposed rule to fundamentally change the system for negotiating drug prices under Medicare Part D and, potentially, for other government and private payers.

  • 01.17.19

    What’s Ahead for Health Policy in 2019

    The new year begins with a divided Congress, which is already gridlocked over a funding agreement to end the partial government shutdown now entering its fourth week.

  • 12.19.18

    CMS Promotes New 1332 Waiver Models, States Weigh Options

    With a divided Congress that will struggle to reach agreement about major health policy legislation, states will continue to serve as the drivers and testing ground for new healthcare reforms in at least the next two years.