Newsletters

12.19.18

Proposed Changes Increase Drug Competition in Medicare Part D

On November 26 2018, the Centers for Medicare & Medicaid Services (CMS) released the Proposed Rule, Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses,which can be found here.

12.19.18

Now on Demand: “Leveraging Medicaid Managed Care to Advance Value-Based Purchasing”

As healthcare costs continue to rise and stakeholders maintain focus on improving care quality and outcomes, payers are turning to value-based payment (VBP) as a critical tool for boosting delivery system performance.

12.19.18

CMS Promotes New 1332 Waiver Models, States Weigh Options

With a divided Congress that will struggle to reach agreement about major health policy legislation, states will continue to serve as the drivers and testing ground for new healthcare reforms in at least the next two years.

11.26.18

Diligence Remains Key for Medicare Advantage Plans

In 2014, the Centers for Medicare & Medicaid Services (CMS) published a rule instructing MA plans to use “reasonable diligence” to make sure the diagnosis data they submit to CMS is correct.

11.26.18

Public Charge Proposed Rule: Hospital Medicaid Payments at Risk

Under long-standing immigration law and guidance, individuals who are likely to become a “public charge”—or likely to rely on the government for financial support—can be denied admission to the United States or, if they are already in the country legally, may be denied the ...

11.26.18

New Podcast: Would CMS’s Drug Price Transparency Requirement Really Lower Prices?

On October 15, the Trump administration published a proposed rule that, if finalized, would require prescription drugmakers to include drug price information in broadcast advertising.

11.26.18

Now on Demand: “Evolving Pharmaceutical Benefit Trends and Medicaid Managed Care’s Role”

State Medicaid programs continue to balance serving eligible beneficiaries and controlling costs.

11.26.18

Next-Generation Funds Flow Model: Enhancing Academic Health System Alignment

The promise of academic medicine is to create new knowledge, train the next generation of practitioners and advance standards of patient care.

11.26.18

HRSA Proposes Advancing Implementation of 340B Penalties Rule

On November 2, 2018, the federal Health Resources and Services Administration (HRSA) issued a proposed rule that would advance the implementation date for the oft-postponed 340B Ceiling Price and Civil Monetary Penalties regulation to January 1, 2019—six months earlier than the currently ...

11.26.18