Author: Susan Sumrell

Health Center Federal Policy

Items of Interest to Health Centers in CMS Medicare Physician Fee Schedule Proposed Rule

We’re getting a lot of questions about the proposed rule on CY 2019 Medicare Physician Fee Schedule  issued by the Centers for Medicare and Medicaid Services (CMS).  As we’ve previously blogged (see post), CMS is proposing major changes in the way Medicare reimburses providers paid on the Physician Fee Schedule. This is an annual proposed …

Health Care News

Trump Administration Issues Final Rule on Association Health Plans

The Trump Administration issued a final rule on Association Health Plans (AHPs), which was proposed earlier this year.  This is the first rule finalized after President Trump issued an Executive Order last year to “promote health care choice and competition” in the insurance market.  This final rule amends The Employee Retirement Income Security Act of 1974 (ERISA) …

Health Center Federal Policy

Increasing Access to Care Through Telehealth

Today, more and more providers are relying on the long reach of technology to provide care to their patients. Telehealth is especially helpful in areas where people have limited access to health care services, whether the reason is lack of transportation or economic, cultural and/or linguistic barriers.  The way it works is through telecommunication, some …

Health Care News

President’s Commission Releases Final Report on Opioid Crisis

Just after the President’s Public Health Declaration on the opioid crisis, the President’s Commission on Combating Drug Addiction and the Opioid Crisis released its final report earlier this month.  The report includes 56 specific recommendations to help address the nation’s increasingly troubling opioid addiction problem, and focuses on 4 main areas: federal funding and programs, opioid …

Health Center Regulatory Issues

CMS Releases Rule That Improves Care for Health Center Medicare Patients

The Centers for Medicare and Medicaid Services (CMS) released its final rule on the CY2018 Physician Fee Schedule earlier this month.  While this annual rule typically does not impact services for Community Health Centers (because they are not paid on the Physician Fee Schedule), this year’s rule includes some important provisions that boost care for health center …

Health Center Regulatory Issues, Health Center State Policy

CMS Issues Informational Bulletins on Waiver Processes

The Centers for Medicare and Medicaid Services’ (CMS’) Center for Medicaid and CHIP Services (CMCS) has issued two informational bulletins on changes to the Section 1115 Medicaid waiver process and State Plan Amendment and 1915 waiver process. The informational bulletins are a follow-up to a March 14 letter from CMS Administrator Seema Verma and then-HHS Secretary …

Health Center Regulatory Issues

MACPAC Takes a Look at Health Centers

[UPDATED] Medicaid and CHIP Payment and Access Commission (MACPAC) has released an issue brief on Medicaid payments and health centers as a follow up to their session on “Considering Medicaid Payment to FQHCs” earlier this fall.  As background, MACPAC is a non-partisan agency that provides analysis for Congress on Medicaid and CHIP issues including payment, eligibility, enrollment access and quality …

Health Care News

President Trump Declares the Opioid Epidemic a Public Health Emergency

By Connor Williams, NACHC Intern After a long wait and much speculation, President Trump has declared the opioid epidemic a Public Health Emergency. By way of background, Public Health Emergencies allow for special grants and contracts to be made, as well as special Public Health Emergency Funds to be accessed by states in response to a health …

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 …