The Centers for Medicare & Medicaid Services yesterday released guidance to clarify how states can use an existing Medicaid managed care option to reduce health disparities and address unmet health-related social needs. Under the 2016 Medicaid and Children’s Health Insurance Program managed care final rule, states and managed care plans can ask CMS for approval to cover alternative services or settings in lieu of a service or setting covered under the state plan. The guidance outlines a policy framework and CMS expectations for such proposals to meet health-related social needs.
 

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The AHA April 23 released a blog responding to a report issued April 22 by Paragon Health Institute. The blog highlights how the report relies on a long list…
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In think‑tank reports, like the one released this week by Paragon Health Institute, hospitals are often reduced to abstractions — payment rates, charts,…
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The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding…
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The Centers for Medicare & Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service…
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The Centers for Medicare & Medicaid Services Innovation Center March 24 announced the launch of a new model under Medicaid and the Children’s Health…
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The AHA is now offering custom innovation summits — proven, high-impact workshops designed to convene health care leaders and co-…