Newsletters

11.17.23

Request for Applications for the Guiding an Improved Dementia Experience (GUIDE) Model Now Available

CMS is now accepting applications for the GUIDE Model, which aims to support people living with dementia and their caregivers.


11.16.23

HHS OIG Unveils First New Compliance Program Guidance for Health Care Stakeholders Since 2008

Many health care stakeholders have long relied on the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) guidance regarding an effective compliance program when developing their own compliance programs, especially when contracts and less prescriptive federal and ...


11.14.23

Final CY 2024 Medicare Physician Fee Schedule Extends Many Telehealth Flexibilities Through 2024

Prior to the COVID-19 public health emergency (PHE), the Centers for Medicare & Medicaid Services (CMS) evaluated changes to the Medicare Telehealth Services List (the List) through an annual rulemaking process.


11.14.23

Proposed Rule Intended to Smooth No Surprises Act Independent Dispute Resolution Operations

On October 27, the Departments of Health and Human Services (HHS), Labor and the Treasury and the Office of Personnel Management (the Departments) released a proposed rule to revamp certain aspects of the No Surprises Act’s (NSA) independent dispute resolution (IDR) process for out-of-network ...


11.06.23

Leveraging Medicaid to Support Children and Youth Living With Complex Behavioral Health Needs

The COVID-19 pandemic exacerbated the already-growing mental health and substance use disorder (SUD) (behavioral health) crisis gripping children and youth in the United States.


11.02.23

Issue Spotting Common Policy and Operational Barriers to Ex Parte Renewals: State Assessment Tool

Many states are actively working to make changes to their systems to enable ex parte renewals at the individual level and implement mitigation strategies to ensure eligible Medicaid and Children’s Health Insurance Program (CHIP) enrollees retain coverage until those system changes are ...


11.01.23

Increasing Community Health Workers’ Role in Supporting Medicaid Members

Community health workers (CHWs) are frontline public health workers who come from and/or have deep roots in the communities they serve.


10.31.23

CMMI Issues Report on Status of Pending Drug Models

The Center for Medicare and Medicaid Innovation (CMMI) has provided new updates on CMS’ planned initiatives to address prescription drug costs in a blog post from Director Liz Fowler.


10.30.23

Achieving Clinical Trial Diversity: Expanding Hospital Capacity to Offer Trials in the Community

The inclusion of racial and ethnic groups in clinical trials has been a national priority for decades, but progress toward that end has been limited.


10.24.23

The Real Challenges That Stop Hospitals From Integrating Clinical Trials Into Clinical Care

A clinical trial infrastructure is often viewed as a cost rather than as a strategic investment. In any setting, to accrue more patients, organizations need a supporting and efficient infrastructure as well as a clinical practice culture that embraces research as part of their care delivery model.