Newsletters

05.19.22

New Policy Opens the Door for States to Address Drivers of Health in Medicaid

States have increasingly sought to use Medicaid to address social drivers of health—factors such as healthy living environments or nutritious food that are outside of traditional health care but are among the largest contributors to health outcomes.


05.18.22

A Focal Point for FDA’s Rare Diseases Efforts: CDER’s New ARC Program

Last week, the Center for Drug Evaluation and Research at the Food and Drug Administration launched a new program to coordinate and centralize CDER’s rare disease activities.


05.09.22

CMS Revives Standardized Plans and Federal Network Adequacy Review

The Centers for Medicare & Medicaid Services released the final 2023 Notice of Benefit and Payment Parameters, the annual rule outlining key policies for the individual and group health insurance markets for plan year 2023 and beyond.


05.05.22

State Policy Levers to Improve Access to Telebehavioral Health

The United States continues to face a behavioral health crisis that has worsened due to the COVID-19 pandemic.


04.28.22

OIG Advisory Opinion Recognizes Legitimacy of Certain Physician-Owned Device Companies

After years of government skepticism and enforcement activity targeting physician-owned medical device companies, a recent favorable advisory opinion by the Office of Inspector General for the U.S. Department of Health & Human Services may offer a degree of comfort to certain manufacturers of ...


04.14.22

CMS Aduhelm Decision: Precedent for Future Coverage or a One-Off?

On April 7, the Centers for Medicare & Medicaid Services released its highly anticipated final National Coverage Determination (NCD) for Aduhelm and other similar therapies in the pipeline for Alzheimer’s disease.


04.13.22

The Value of In-Home Evaluations in Advancing CMS’ Medicare Goals

The IHE’s purpose is to provide early, preventive health risk assessments within the home setting for MA beneficiaries.


04.07.22

Treasury Releases Proposal to Address ‘Family Glitch’ as Biden Administration Touts Coverage Gains

On April 5, President Biden held an event at the White House celebrating coverage gains since the enactment of the Affordable Care Act.


03.28.22

COVID-19-Related Flexibilities: Moving Toward More Person-Centered Medicare and Medicaid Programs

The temporary regulatory flexibilities implemented during the PHE expanded program eligibility and enrollment, enhanced remote service delivery options, authorized care delivery in alternative care sites, and much more.


03.17.22

Congress Includes Medicare, Medicaid and Other Health Policies in Omnibus FY 2022 Spending Bill

After weeks of negotiations and months of temporary stopgap funding bills since the federal fiscal year started in October 2021, on Tuesday, the President signed the Consolidated Appropriations Act, 2022.