Author: Susan Sumrell

Health Center Regulatory Issues, Health Center State Policy

Update on MACRA Implementation

By now many of you have heard of the new Medicare Quality Payment Program (QPP), born out of the Medicare and CHIP Reauthorization Act of 2015 (MACRA) that went into effect this year.   The QPP completely revamps the way Medicare pays its providers and is made up of two tracks, the Merit-Based Incentive Payment System …

Health Center Regulatory Issues, Health Center State Policy

Uncertainty Remains in the Marketplace

On April 13, 2017 CMS issued its final rule designed to make the ACA Marketplaces more appealing to insurers.  Under this final rule, starting for the 2018 plan year: The annual Open Enrollment Period will be shortened from 3 months to 6 weeks States will have full authority to determine if an insurer’s network has …

Health Center Regulatory Issues, Health Center State Policy

CMS, HHS Send Letter to Governors on Medicaid

Just after her Senate confirmation as Administrator of the Centers for Medicaid Services (CMS), Seema Verma joined HHS Secretary Tom Price in a letter to governors on their commitment to work together to improve the Medicaid program.   The letter states that the federal framework for Medicaid has not “kept pace with emerging evidence around the …

Health Center Regulatory Issues, Health Center State Policy

The New Medicaid Landscape: How the Administration May Increase Flexibility for States

While it is unclear what changes Congress may make to the Medicaid program, even without further Congressional action, changes are coming to Medicaid.  The recent Senate confirmations of Health and Human Services Representative Tom Price as Secretary of Health and Human Services and Seema Verma as Administrator of the Centers for Medicare and Medicaid Services …

Health Care News, Health Center Regulatory Issues

CMS Issues Proposed Rule on “Market Stabilization” for the ACA Marketplaces

On February 15, 2017, CMS issued its proposed rule on “market stabilization” in the Affordable Care Act’s Marketplaces.  This proposed rule is one of the first issued by the Trump Administration.  Below you will find a summary of the major provisions of the proposed rule and can read NACHC’s comments on the proposed rule here.  We …

Health Center Regulatory Issues

2016: A Regulatory Year in Review

NACHC’s Regulatory Affairs Department has seen a lot of action over the last year, as the current Administration is wrapping up its remaining days in Washington, DC and has been working to propose and finalize a wide range of policy and administrative activities. Highlights have included: CMS: The final rule governing Medicaid Managed Care Plans: …

Health Center Federal Policy

MEET NACHC’S FEDERAL AND REGULATORY AFFAIRS SUMMER INTERNS

Joshua Fleming, MPP Candidate, University of Michigan – Ann Arbor, Contact Info: jfleming@nachc.org Joshua joins NACHC as a graduate student from the Gerald R. Ford School of Public Policy at the University of Michigan. His primary interests include health care finance, Medicaid managed care and political advocacy. Born and raised in Bay City, Michigan, Joshua …

Health Center State Policy

NACHC Welcomes Two New Summer Interns to the State Affairs Team

We are very excited to introduce our Summer 2016 State Affairs Intern Team, Antoinette Silva and Thao-Chi Tran! Antoinette Silva, BS, Central Michigan University, Contact info: Asilva@nachc.org Antoinette is a Saginaw, Michigan native who has a strong advocacy and research background working with rural and underserved populations. In 2013, she taught English in South Korea …

Health Center Regulatory Issues

CMS Issues Several Documents of Importance to Health Centers

UPDATE:  Check out the NACHC summary of the issues impacting FQHCs in the final rule and State Health Officials’ letter here.   Last week CMS published two documents last week which will strengthen health centers’ and PCAs’ ability to protect their payment rights under Medicaid managed care. They are: A letter to State Health Officials …