Our Work

Sachs Policy Group provides regular briefings on policy developments and funding opportunities of interest to our clients. Below is a sample of recent updates covering state and federal legislation, regulatory changes, and funding opportunities. SPG walks through new threats and opportunities with clients as they arise.

ACO Program Final Rule

June 22, 2015
On June 4th, the Centers for Medicare and Medicaid Services (CMS) released a final rule (found here) updating the Medicare Shared Saving Program (MSSP), in which over 400 Accountable Care Organizations (ACOs) now participate. The final rule aims to make it more attractive for participants to take on additional risk and incorporates successful elements of the ... ... Read More

Medicaid/CHIP Managed Care Proposed Rule

June 19, 2015
On May 26th, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule (available here) on managed care in Medicaid and the Children’s Health Insurance Program (CHIP).  The proposed rule would align the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans (QHP) and Medicare ... ... Read More

Medicare Access and CHIP Reauthorization Act Summary

April 28, 2015
On April 14th, Congress passed the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 (available here). The bill would permanently repeal the Sustainable Growth Rate (SGR) formula that perennially projects significant cuts to physician payments and replace it with a new payment formula. The bill also extends funding for the Children’s Health Insurance Program ... ... Read More

CMS 2016 Rate Announcement & Call Letter

April 6, 2015
OVERVIEW On April 6th, the Centers for Medicare and Medicaid Services (CMS) released the 2016 Rate Announcement and Call Letter, which makes payment and policy updates to Medicare Advantage (MA) and Medicare Part D prescription drug plans. This comes after CMS accepted comments on the Advance Notice and draft Call Letter that was released on ... ... Read More

New York State 2015-16 Enacted Budget Highlights

April 2, 2015
CAPITAL FUNDING The laws governing the $1.2 billion Capital Restructuring Financing Program (CRFP) have been modified to specify that “funds shall be awarded regionally in proportion to the applications received from the Request for Application (RFA) issued by or before May 1, 2015.” The following new appropriations will be available from the Department of Health ... ... Read More