Newsletters

06.09.21

States Are Leveraging Medicaid Waivers to Transform Their Behavioral Health Systems

As the nation experiences unprecedented levels of behavioral health needs—even further exacerbated by the COVID-19 pandemic—state Medicaid programs have increasingly looked for flexibility to craft services and payment models that support improved access and outcomes.


06.08.21

Health Care Policy Trends From the 2021 State Legislative Session

This month, a majority of states are beginning to adjourn their 2021 legislative sessions.


06.01.21

Return on Health: Moving Beyond Dollars and Cents in Realizing the Value of Virtual Care

The COVID-19 pandemic spurred a dramatic increase in virtual care adoption and use.


05.27.21

Health Care Fraud in the Era of COVID-19

As the race to vaccinate continues, state and federal enforcement agencies are hard at work investigating and prosecuting COVID-19-related health care fraud.


05.26.21

Treasury Issues Rules for $350 Billion Coronavirus State and Local Fiscal Recovery Funds

A key provision of the American Rescue Plan (ARP) is the establishment of the $350 billion Coronavirus State and Local Fiscal Recovery Funds (Fiscal Recovery Funds) for eligible state, local, territorial and Tribal governments (Recipients) to respond to the COVID-19 public health emergency (PHE).


05.24.21

Telehealth: The Wave of the Future for Both Medicine and Enforcement

Even prior to the PHE, the U.S. Department of Justice led several significant telehealth fraud enforcement actions.


05.20.21

Emerging Best Practices for States to Address the Digital Divide

Adoption of virtual care has skyrocketed during the COVID-19 pandemic; however, the “digital divide” poses a barrier for expanding patient access services.


05.12.21

New OIG Advisory Opinion Begs the Question: Is It Time to Reform the ASC Safe Harbor?

On April 26, 2021, the Office of Inspector General of the U.S. Department of Health and Human Services issued a favorable advisory opinion involving a proposed ambulatory surgery center joint venture between a health system, a management company and certain surgeons.


05.10.21

Update: Tracking Telehealth Changes State by State in Response to COVID-19

As the COVID-19 pandemic continues across the United States, states, payers and providers are looking for ways to maintain expanded access to telehealth services.


05.03.21

The American Rescue Plan Act’s State Option to Extend Postpartum Coverage

The American Rescue Plan Act of 2021 establishes a new state option to extend Medicaid and Children’s Health Insurance Program coverage for pregnant women for one year following the baby’s birth.