Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CT: House approved $24b budget for childcare and social services PA: Finalized rates for new IDD waiver services SC: Will make permanent changes to telehealth flexibilities put in place during public health emergency Click to read more.

Managed Care Friday

118-634%: The range of median price markups for oncology drugs purchased and administered by certain hospitals, according to a new study published in JAMA Internal Medicine. The study analyzed the prices of 25 top-selling cancer therapies at 61 National Cancer Institute-designated cancer centers and looked at how those negotiated prices for commercial payers compared to acquisition costs. Prices varied between cancer centers and between payers within the same center but for every drug included in the study, the median hospital negotiated price was at least twice the acquisition cost.  ...

Weekly Medicaid Update

The brief highlights recent Medicaid policy developments in key states over the past week, including, but not limited to: CO: Extends temporary HCBS rate increase for some services through June IL: Will expand Medicaid coverage for noncitizens MS: Proposes increasing long-term care facility rates Click to read more.

MedPAC and MACPAC Recent Developments

MedPAC: Assessing payment adequacy and updating payments for hospital inpatient and outpatient services, physician/other health services, ASCs, and SNFs. MACPAC: Publishing March 2022 Report to Congress on Medicaid and CHIP, as well as reports reviewing policy levers related to HCBS, Medicaid managed care capitation rate setting, and health equity. Click to read more.