| News & Insight

4/3/25 4/3/25

Understanding Medicare Advantage: Growth and Enrollment

2/20/25 2/20/25

Understanding Budget Reconciliation and Its Potential Impact on Medicaid Funding

1/8/25 1/8/25

Impacts of Medicare Policy Changes on Dual Eligible Individuals and State Operations: A California Perspective

12/18/24 12/18/24

Medicare Innovations and Policy Considerations: A Guide for Integrated Programs

Guest User 10/2/24 Guest User 10/2/24

Massachusetts’ Medicaid Estate Recovery: Updates and Opportunities for Further Reform

Erin Spruell 9/11/24 Erin Spruell 9/11/24

Mark Your Calendar: Implementing the Medicaid Managed Care Rule

8/13/24 8/13/24

The Countdown Has Started: Implementing the Medicaid Access Rule

5/30/24 5/30/24

Medicaid Managed Care Rule: What’s Next for States and Managed Care Plans?

5/22/24 5/22/24

Strengthening Quality Measurement in Medicaid and CHIP Through the Access and Managed Care Rules

5/16/24 5/16/24

Advisory Committee Requirements in the Access Rule: What’s Next for Implementation?

5/13/24 5/13/24

New Methadone Flexibilities Can Help States Respond to the Opioid Crisis

5/9/24 5/9/24

HCBS Requirements in the CMS Access Rule: What’s Next for Implementation?

4/18/24 4/18/24

State Options to Reduce the Burden of Medicaid Estate Recovery

4/15/24 4/15/24

The Final Medicaid Access and Managed Care Rules Expected Soon from CMS: Are You Ready?

3/27/24 3/27/24

U.S. Senate Working Group Introduces the Delivering Unified Access to Lifesaving Services (DUALS) Act of 2024

2/7/24 2/7/24

Reducing the Burden of Medicaid Estate Recovery: Policy Options for Massachusetts

1/23/24 1/23/24

Dedicated to Integrating Systems of Care for Dual Eligibles in California for Over 10 Years

12/5/23 12/5/23

Creating a Robust Stakeholder Engagement Process: A Case Study of California

11/30/23 11/30/23

Navigating Care for Dual Eligible Individuals: Paving the Way for Medicare and Medicaid Integration

6/22/23 6/22/23

Increasing Access to Home and Community-Based Services: Implications of New Proposed Rules

New proposed regulation from CMS contain many new and updated requirements for states, Medicaid managed care plans, and providers intended to improve beneficiary access to care, quality, and health outcomes in both fee-for-service (FFS) and managed care delivery systems while advancing CMS’ goals.

4/10/23 4/10/23

California’s Efforts to Facilitate Access to Medi-Cal Mental Health Services

Californians, like the rest of the country, are facing significant mental health challenges in the aftermath of the pandemic. The need for new and enhanced behavioral health supports and interventions has come into strong focus in recent years and states are leveraging their Medicaid programs to respond.

4/6/23 4/6/23

Medicaid & Medicare Prepare for the End of the Public Health Emergency

In November 2022, United States Senators Cassidy, Carper, Scott, Warner, Cornyn, and Menendez issued a request for information (RFI) regarding approaches for improving coverage for individuals who are dually eligible for Medicare and Medicaid. Dual eligible beneficiaries are more likely to have complex health needs that are difficult and often expensive to treat. Too often, they experience a lack of integration and coordination that often results in confusing encounters with the health care system and negative health outcomes.

3/1/23 3/1/23

Senators Request Public Input to Inform Decision Making on Programs Serving Dual Eligible Enrollees

Guest User 2/24/23 Guest User 2/24/23

REPORT: Billing Better in CalAIM: How to Improve Reimbursement for Enhanced Care Management and Community Support

Enhanced Care Management (ECM) and Community Supports are core components of CalAIM, a multiyear initiative led by the California Department of Health Care Services (DHCS) that take a person-centered approach to social service delivery and care management for individuals with complex health and social needs.

11/9/22 11/9/22

Strengthening the System of Behavioral Health Care in the District of Columbia

5/10/22 5/10/22

Leveraging Robust Evaluation Principles to Make Medicaid Better

A core element of all Medicaid Section 1115 “research and demonstration” waivers is an evaluation of the demonstration program and its efficacy in meeting the demonstration’s goals. Historically, however, Section 1115 waiver evaluations have been an afterthought for states and CMS, limiting their ability to inform future Medicaid policy and financing approaches.