Updates & Analysis

In this update: Federal Agencies CMMI Announces New Making Care Primary Model HHS Issues New Guidance and Flexibilities on Medicaid Unwinding CMS Releases Quality Measure Information for 12 CMMI Models CMS Issues Final Rule Establishing DSH Medicare Advantage Days Policy CMS Announces Lower Coinsurances for 43 Prescription Drugs CMS Publishes Data on Characteristics of the…

On June 8th, the Center for Medicare and Medicaid Innovation (CMMI) announced its intention to test a new voluntary payment model for primary care practices—Making Care Primary (MCP)—in eight states, including New York. MCP is an advanced primary care model in the tradition of CMMI’s previous primary care models, such as the Comprehensive Primary Care…

On June 28th from 1-2:30pm, the New York State Office of Mental Health (OMH) will host a webinar to provide an update on the status of Mental Health Outpatient Treatment and Rehabilitative Services (MHOTRS) program. MHOTRS is the new designation for outpatient mental health services delivered through OMH-licensed community clinics under Article 31 of the Mental Hygiene…

In this update:  Administration Updates President Biden to Appoint Dr. Mandy Cohen to Lead CDC Legislative Updates Biden Signs Debt Ceiling Legislation Federal Agencies CMS Finalizes Withdrawal of Covid-19 Vaccination Requirements for Health Care Staff CMS Announces Plan for Medicare Coverage of Alzheimer’s Drugs Other Updates KFF Releases Report on Medicaid Redeterminations New York State…

In this update:  Legislative Updates Biden and McCarthy Announce Debt Limit Deal Federal Agencies HHS Proposes Rule on the Medicaid Drug Rebate Program CMMI Releases Three Reports on Medicare-Medicaid Demonstrations, Showing Consumer Satisfaction but Increased Costs CMMI Releases Data on ACO REACH and Other Advanced ACO Initiatives HHS Launches Kids Online Health and Safety Taskforce…

Effective April 1, 2023, New York State (NYS) Medicaid is covering new benefits for pregnant and postpartum women pursuant to legislation passed in last year’s budget (the 2022-23 Enacted Budget). This includes making available to this population a new benefit of community health worker (CHW) services for care coordination—the first time NYS will offer coverage…

On May 24th, the House Energy and Commerce (E&C) Committee conducted a full committee markup to consider a series of bills, including H.R. 3561, the PATIENT Act of 2023. Among other reforms, the PATIENT Act would create a new requirement for hospitals, large physician groups, and certain other health care providers to report information about their ownership across several…

In this update: Administration Updates President Biden Officially Nominates Dr. Monica Bertagnolli to Lead NIH Legislative Updates Senator Cassidy Releases Draft Legislation that Would Establish Integrated Duals Plans and PACE in All States Federal Agencies MACs Will Make No Changes to Remote Patient Monitoring Coverage in Medicare HHS and ED Announce Initiatives to Improve Health…

In this update:  Federal Agencies Covid-19 PHE Ended on May 11th; CMS Publishes Guidance on Telehealth and Medicaid DEA Publishes Rule Temporarily Extending Telehealth Flexibilities for Prescribing Controlled Substances CMS Seeks Public Comment on CCBHC PPS Modifications FDA Recommends Individual Risk Assessment for Blood Donations HHS OIG Publishes Report on Medicare Improper Payments for Psychotherapy under…

In this update: Administration Updates Biden Administration to End Covid-19 Vaccination Requirement for Federal Workers Federal Agencies Rochelle Walensky Announces Departure from CDC FDA Takes Steps to Advance Decentralized Trials DEA to Temporarily Continue Telehealth Flexibilities for Prescription of Controlled Substances CMS Issues Additional Guidance on End of the PHE CMS Releases Innovation Center Model…

In this update: Federal Agencies CMS Proposes Two Rules to Improve Access and Quality in Medicaid and CHIP CMS Tightens Hospital Transparency Enforcement Processes HHS Releases Proposed Rule to Expand Coverage for DACA Recipients CMS Approves Illinois SPA Expanding Medicaid Reimbursement for School-Based Services Other Updates GAO Releases Report on Electronic Health Information Exchange Kaiser…

In this update:  Administration Updates Biden to Nominate Dr. Monica Bertagnolli as NIH Director Federal Agencies HHS Finalizes 2024 Notice of Benefit and Payment Parameters for Marketplace Plans CMS Announces New Medicaid Reentry Section 1115 Demonstration Opportunity HHS Offers Resources to Address Cyberattacks FDA Authorizes Additional Bivalent Covid-19 Vaccine Doses for Older or Immunocompromised Individuals…