Found 358 results

The Government Accountability Office issues recommendations on fraud prevention

On December 5, 2017, the Government Accountability Office (GAO) issued a a report on Centers for Medicare and Medicaid Services (CMS) fraud prevention efforts, recommending that CMS more closely align its approach with the Fraud Risk Framework put forth by the GAO in 2015. Medicaid and Medicare frau...

/news-perspectives/the-government-accountability-office-issues-recommendations-on-fraud-prevention/

Federal Court in Tennessee invalidates billing threshold for enhanced Medicaid payments to physicians

On January 24, 2018, a Federal District Court in Tennessee held that the Centers for Medicare and Medicaid Services (CMS) improperly included a billing threshold requirement in a final rule concerning whether physicians received an enhanced Medicaid rate for primary care services under a provision o...

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Insights from PCG’s Josh Ellis: Solving the Teacher Shortage

What is EdForce and how does it address the current shortage of K-12 teachers? From California to Virginia, states are experiencing a severe shortage of K-12 teachers. According to the Learning Policy Institute’s most recent data (2009-14), enrollment in teacher education programs have dropped from ...

/news-perspectives/insights-from-pcg-s-josh-ellis-solving-the-teacher-shortage/

Federal lawsuit filed challenging Kentucky’s Medicaid work requirement

On Wednesday, January 24th, a lawsuit was filed in the Federal District Court, District of Columbia, challenging the implementation by Kentucky of the nation’s first work requirement in a Medicaid program. The suit was filed by three organizations on behalf of 15 Kentucky citizens claiming to be at ...

/news-perspectives/federal-lawsuit-filed-challenging-kentucky-s-medicaid-work-requirement/

President Signs Bipartisan Budget Act

On February 9, 2018, President Trump signed H.R. 1892, the Bipartisan Budget Act of 2018. The new law reauthorizes federal funding for many health programs, modifies scheduled reductions in Medicaid disproportionate share hospital (DSH) allotments to states, tightens third party liability (TPL) bill...

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Federal departments put out proposed rule to expand access to short-term health plans that are not ACA-compliant

On February 20, 2018, the Department of the Treasury (Treasury), the Department of Labor (DOL), and the Department of Health and Human Services (HHS) jointly promulgated a proposed rule on Short-Term, Limited-Duration Insurance (STLDI) plans. The proposed regulatory changes seek to carry out the dir...

/news-perspectives/federal-departments-put-out-proposed-rule-to-expand-access-to-short-term-health-plans-that-are-not-aca-compliant/

Insights and suggested activities for State Flexibility Grant Program applications

The State Flexibility to Stabilize the Market Grant Program (“State Flexibility Grant Program”) was developed to support states as they implement several of the market reforms and consumer protections under Title I of the Affordable Care Act (ACA). This new funding opportunity builds upon many of th...

/news-perspectives/insights-and-suggested-activities-for-state-flexibility-grant-program-applications/

Administration budget proposal includes health care changes

The administration released its budget proposal on February 12, 2018. As expected, the proposal includes a number of changes related to health care. The budget plan revives the Affordable Care Act (ACA) repeal, with a proposal similar to the Graham Cassidy Heller Johnson bill. Specifically, the budg...

/news-perspectives/administration-budget-proposal-includes-health-care-changes/

New federal grant opportunity to support state efforts to strengthen the private health insurance market

On February 5, 2018, the Center for Consumer Information and Insurance Oversight (CCIIO) released a new Notice of Funding Opportunity to support states as they implement several of the market reforms and consumer protections under Title I of the Affordable Care Act (ACA). This grant program is a fol...

/news-perspectives/new-federal-grant-opportunity-to-support-state-efforts-to-strengthen-the-private-health-insurance-market/

GAO recommends improved Medicaid waiver evaluations

On February 20, 2018, the Government Accountability Office (GAO) released a report recommending changes in federal policies and procedures governing state-operated Medicaid demonstration waiver projects. These projects represent the leading edge in state Medicaid innovation as well as over $109 bill...

/news-perspectives/gao-recommends-improved-medicaid-waiver-evaluations/