This week—two weeks before the inauguration of a new President—the self-proclaimed “Good Guidance Practices” regulation issued by the outgoing Secretary of the Department of Health and Human Services (HHS) takes effect. As proposed in August, the regulation was not so good for Medicaid and CHIP. In its final form, published on December 7, the regulation […]
$100 billion—with a “b”—is a large number. So when the headline on the op-ed in the New York Post screams “Medicaid hemorrhaging $100B on Americans ineligible for the program” most readers will understandably frown and think: “This doesn’t sound good, even in a pandemic. What’s going on here?” The author, Brian Blase, is not a […]
On November 4, the Department of Health and Human Services proposed to require itself to review almost every regulation it has ever issued, including those affecting Medicaid and CHIP. It did so by proposing a new regulation, which has the misleading acronym “SUNSET” (Securing Updated and Necessary Statutory Evaluations Timely). A more appropriate acronym would […]
St. Louis Post-Dispatch By: Samantha Liss Health care advocates in Missouri are closely watching successful efforts to put Medicaid expansion on the ballot in other red states. Last year, voters in Maine approved expanding Medicaid through a ballot initiative, the first state to gain approval through a public vote. … “Interestingly, Medicaid has always polled […]
Recognizing the importance of technology in health care, the federal government provides a 90% match for development of Medicaid eligibility and claims payment systems, as well as the advancement of Health Information Technology (HIT) that supports the exchange of health information and adoption of electronic health records (EHR). Of note, HIT enhanced funding expires in […]
In March, CMS proposed changes to the Medicaid Access Rule. That Rule, in effect only since 2016, establishes procedures that states must meet to demonstrate that they are complying with the Medicaid statute’s requirement that provider payment rates be sufficient to ensure Medicaid beneficiaries have access to care. We recently shared our comments on the […]
