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- April 29, 2016
Lessons from CA: Marketplace Benefits and Networks
Read moreThis month's Lessons from California highlights California's update to its Marketplace benefit design for 2017 and changes that were considered and made through a stakeholder process.
- April 26, 2016
Covered California: Proposed 2017 Benefit Design
Read moreWritten comments in response to the recommended 2017 Benefit Designs presented at the January 21, 2016 Covered California Board meeting.
- April 26, 2016
Covered California: 2016 Benefit Designs: Cost Sharing for Prescription Drugs & Tiered Network Designs
Read moreRecommendations concerning the changes the California Covered Board will contemplate at its Board meeting this month regarding the 2016 standard benefit designs.
- April 26, 2016
Issue Brief: Highlights of the Medicaid Managed Care Final Regulations
Read moreHHS issued the final Medicaid Managed Care rule on April 25, 2016. This issue brief provides initial highlights of key portions of the regulations. NHeLP will issue a more extensive review of the regulation in the upcoming days and weeks.
- April 22, 2016
Managed Care in California Series, Issue 7: Monitoring Access in the Medi-Cal Program
Read moreThe federal Centers for Medicare & Medicaid Services (CMS) recently approved a request by the California Department of Health Care Services (DHCS) to extend California's 1115 Medicaid Demonstration Waiver, called the 2020 Demonstration, effective December 2015 through December 2020. The $6.2 billion demonstration project will fund several programs, including…
- April 20, 2016
Health Advocate: Section 1332 Waivers for State Innovation and Medicaid
Read moreIn December 2015, CMS provided guidance on section 1332 waivers and clarified the interactions between section 1332 and Medicaid. In this month's Health Advocate, we detail the "guardrails" for using section 1332 authority, the limits on combining 1332 and Medicaid waivers, and the potential impacts for Medicaid expansion. Ultimately,…
