Newsletters

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10.31.24

How States Support Safety Net Hospitals through Innovative Funding Approaches

10.30.24

Administration Proposes Rules on OTC Contraception and Utilization Management in Preventive Care

On October 21, the Departments of Health and Human Services (HHS), Labor, and the Treasury (the Departments) issued a proposed rule on permissible utilization management techniques for preventive services and the required coverage of over-the-counter (OTC) contraceptives without cost-sharing, in ...

10.30.24

HHS OIG Scrutinizes Medicare Advantage Use of Health Risk Assessments

On October 24, the HHS Office of Inspector General (OIG) released a report titled “Medicare Advantage: Questionable Use of Health Risk Assessments Continues to Drive Up Payments to Plans by Billions.”

10.30.24

Groundbreaking Approvals for Medicaid and CHIP Coverage of Traditional Health Care

On October 16, CMS approved Section 1115 demonstration amendments in four states—Arizona, California, New Mexico, and Oregon—to authorize Medicaid and Children’s Health Insurance Program (CHIP) coverage of traditional American Indian/Alaska Native health care practices.

10.30.24

Humana Becomes Fourth Plan to Challenge Medicare Advantage Star Ratings

On October 18, Humana <a href="https://www.documentcloud.org/documents/25244688-humana_hhs_stars_complaint">filed</a> suit against CMS challenging the 2025 MA Star Ratings assigned to its plans.

10.28.24

Accelerating the Adoption of Value‑Based Care: The Role of Current Procedural Terminology (CPT®)

VBC models—especially those that seek to optimize quality and outcomes while minimizing costs—deliver real value.

10.24.24

Medicaid's Role in Empowering People with Intellectual and Developmental Disabilities

More than seven million people in the United States have an intellectual or developmental disability (I/DD), encompassing conditions like autism spectrum disorder, cerebral palsy, Down syndrome, and other developmental disorders that affect mental and physical functioning. Medicaid plays a crucial ...

10.24.24

How States Support Safety Net Hospitals through Innovative Funding Approaches

Administration Proposes Rules on OTC Contraception and Utilization Management in Preventive Care

HHS OIG Scrutinizes Medicare Advantage Use of Health Risk Assessments

Groundbreaking Approvals for Medicaid and CHIP Coverage of Traditional Health Care

Humana Becomes Fourth Plan to Challenge Medicare Advantage Star Ratings

Accelerating the Adoption of Value‑Based Care: The Role of Current Procedural Terminology (CPT®)

Medicaid's Role in Empowering People with Intellectual and Developmental Disabilities

California Privacy and AI Roundup: What Passed and What Didn’t

Strategies for Meeting Patient Expectations and Improving Patient Experience During Cancer Treatment

California Proposes Expansion of Fees and Obligations for Hazardous Waste Handlers