Virginia Votes To Expand Medicaid

Virginia recently became the 33rd state (plus D.C) to expand Medicaid eligibility to low-income adults. Early estimates are that the expansion will provide coverage to an additional 400,000 individuals. This brief provides details on the expansion, which is expected to take effect January 1, and similar expansion efforts in other states. Click to read more.

Trump Signs VA Mission Act

Trump recently signed the VA Mission Act into law, which enacts several major reforms of the VA healthcare system. This brief highlights key provisions included in the legislation. Click to read more.

Trump Administration Releases Drug Policy Proposals

The Trump Administration has released a collection of policy proposals related to drug prices. The Trump proposals include concepts from the President’s fiscal year (FY) 2019 Budget and a number of new policy options on which the Administration is seeking public input. The Trump proposals are relatively modest in scope and are unlikely to have an immediate impact on the pharmaceutical industry. The proposals are, to a certain degree, more notable for what they do not contain. There are no specific or direct changes to the existing government programs or the existing business models of drug...

CMS Proposes CY 2019 & 2020 Home Health Rule

CMS recently released proposed updates to the home health (HH) prospective payment system (PPS) for CY 2019 and 2020. The proposal updates payments for episodes of care ending in CY 2019, but includes significant reforms to the payment system effective in CY 2020. Proposed changes include case-mix methodology refinements, which aligns episode payment rates to patient characteristics, as well as the implementation of 30-day periods of care, rather than the current 60-day period system. CMS also released its proposal for home infusion therapy temporary transitional payments for 2019 and...