Experts on value-based healthcare outlined the federal government’s proposed rule changes to Medicaid managed care and how they signal improved alignment and quality of care for Medicaid-Medicare dual eligible special needs plans (D-SNPs) at the 2023 Illinois State of Reform Health Policy Conference earlier this month. “This proposed rule would advance CMS’s efforts … Read more
Sima Ladjevardian, Region Six Director for the US Department of Health and Human Services (HHS), outlined the agency’s health policy priorities for the region during a presentation at the 2023 Texas State of Reform Health Policy Conference in Austin last week. HHS Region Six encompasses Texas, New Mexico, Oklahoma, Arkansas, and Louisiana. Ladjevardian … Read more
Texas Attorney General Ken Paxton filed a lawsuit against the US Department of Health and Human Services (HHS) on Tuesday, challenging guidance directed at pharmacies to fill prescriptions for abortion-inducing medication. The lawsuit seeks to overturn the guidance issued last summer to retail pharmacies that accept Medicaid or Medicare, in an effort by … Read more
The Texas Medical Association (TMA) announced on Tuesday that it has filed a lawsuit in US District Court challenging a 600% increase in administrative fees related to the federal independent dispute resolution (IDR) process for out-of-network medical claims. Federal agencies announced last month the fee would increase from $50 to $350 beginning in … Read more
Officials at the Department of Workforce Services (DWS), which determines Medicaid and CHIP eligibility for the Utah Department of Health and Human Services, reported Friday how it has been systematically preparing for the unwinding of the Public Health Emergency (PHE). The US Department of Health and Human Services will send out its 60-day … Read more
The Texas Medical Association filed its second lawsuit in less than a year against the US Department of Health and Human Services (HHS) last month over federal policies on surprise billing. The latest suit alleges that the recently released final rules in the government’s arbitration process between providers and payers to resolve disputed … Read more