Updates & Analysis

In this update:  Federal Agencies CMS Proposes CY 2024 Physician Fee Schedule Rule CMS Proposes CY 2024 OPPS and ASC Payment System Rule CMMI Seeks Input on Design of a Future Mandatory Episode-Based Payment Model for Specialty Care HHS Issues Proposed Rule Clarifying Non-Discrimination Requirements Administration Announces New Rules and Guidance for Health Care Consumer…

New York State’s (NYS) new requirement for certain Certificate of Need (CON) applications to include a Health Equity Impact Assessment (HEIA) went into effect on June 22nd. Going forward, hospitals and other Article 28 facilities that seek to close, substantially reduce, or move services will need to submit an HEIA as part of their CON applications. The HEIA…

On July 6th, New York State (NYS) released an RFP to establish 13 new Certified Community Behavioral Health Clinics (CCBHC) sites statewide. CCBHCs are the behavioral health analogue to the Federally Qualified Health Center (FQHC) model, offering integrated behavioral health care to all individuals regardless of ability to pay. These CCBHCs will become participants in the federal CCBHC…

In this update: Administration Updates Biden Administration Launches Initiative Addressing Poverty and Cancer Legislative Updates Senate HELP Committee Releases Draft Pandemic Preparedness Act Reauthorization Bill; Comments Due July 10th Federal Agencies OIG Finalizes Rule Establishing Penalties for Information Blocking FTC and DOJ Propose Changes to Premerger Notification Rules GAO Seeks Nominations for HITAC CMS Issues…

In this update:  Administration Updates President Biden Issues Executive Order on Contraception Biden Formally Nominates Mandy Cohen for CDC Director Federal Agencies CMS to Hold Webinar on Making Care Primary Model on June 27th CMS Proposes New Transitional Coverage for Emerging Technologies Policy CMS Launches School-Based Services Technical Assistance Center Other Updates USPSTF Recommends Screening…

In this update: Federal Agencies HHS ACL Publishes Proposed Rule Updating Older Americans Act Regulations OMB Releases Biden Administration’s Spring 2023 Regulatory Agenda CMS Releases National Health Expenditure Projections CMS Announces July Publication of Interim Performance Reports for HHVBP Other Updates U.S. Chamber of Commerce Files Lawsuit Challenging Medicare Drug Price Negotiation Program ACA Preventive Care…

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…