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- October 4, 2016
Issue Brief: A Primer on Reference Pricing & VBID
Read moreCost sharing is too often a tool that prevents low-income individuals from being able to access quality and timely health care services. Health care experts, however, are exploring other mechanisms, such as Value-Based Insurance Design (VBID) and its Reference Pricing ways to address shortcomings of cost sharing. VBID, at…
- September 1, 2016
Q&A: Adequacy of Medicaid Fee-For-Service Payments Final Rule
Read moreThe federal Centers for Medicare & Medicaid Services (CMS) have issued final regulations establishing a process for states to comply with the Medicaid Act's requirements that payments be sufficient to ensure adequate provider participation in the program. This Q&A discusses those requirements and provides tips for advocates who want…
- August 31, 2016
Issue Brief 6: Medicaid Managed Care Final Regulations: Older Adults
Leo Cuello and Andy DiAntonio Issue BriefRead moreIn this issue brief, Leonardo Cuello reviews the recently finalized Medicaid managed care regulations, and how they impact access to health care for older adults. He highlights important new provisions in the regulations on a range of topics such as enrollment protections, network adequacy requirements, long-term services and supports…
- August 24, 2016
Health Advocate: Medicaid Expansion Section 1115 Demonstrations Update
Read moreHealth Policy Director Leonardo Cuello provides updates on the states seeking to expand Medicaid pursuant to the Affordable Care Act, and examines the troubling deviations from Medicaid law that some states are pursuing. As Cuello notes in the August "Health Advocate," the U.S. Department of Health & Human Services (HHS)…