Analyses or Summaries

Summary of a report, legislation, regulation or measure, and analysis of what it means to children's health and children's hospitals.

Resources

Analysis or Summary
Request for Information on Modifying HIPAA Rules to Improve Coordinated Care
February 14, 2019

CHA created a summary regarding the Office of Civil Rights (OCR) request for information (RFI) on how OCR can support improved care coordination by making changes to the Health Insurance Portability and Accountability Act (HIPAA) while protecting the privacy of individuals’ protected health information.

Analysis or Summary
ACE Kids Act of 2019 - Summary (S. 317)
February 4, 2019

The ACE Kids Act of 2019 (S. 317) is designed to improve care for children with medically complex conditions in Medicaid.

Analysis or Summary
Summary of Proposed 2020 Private Insurance Rules
February 1, 2019

CHA summary of the 2020 Proposed Notice of Benefits and Payment Parameters.

Analysis or Summary
2018 State Child Health Policy Trends
February 1, 2019

The complete analysis of the state child health policy trends identified through these calls is available in this new CHA report.

Analysis or Summary
Congress Holds Drug Price Hearings
February 1, 2019

Summaries covering the House Oversight and Reform Committee and the Senate Finance Committee hearings on drug prices.

Analysis or Summary
Key Section 1115 Medicaid Waivers
January 29, 2019

State-by-state summaries of waivers for statuatory Medicaid requirements as allowed by Section 1115 of the Social Security Act and approval of the Secretary of HHS.

Analysis or Summary
North Carolina’s Medicaid Reform Demonstration
January 29, 2019

North Carolina's demonstration shifts the state's Medicaid program from fee-for-service to a managed care delivery system.

Analysis or Summary
KY HEALTH
January 29, 2019

Kentucky's waiver have two initiatives within the state's Medicaid program.

Analysis or Summary
Hawaii QUEST Integration Waiver
January 29, 2019

Hawaii's demonstration, originally approved in 1994, provides coverage for medical, dental and behavioral health services through Medicaid managed care.

Analysis or Summary
2019 Medicare Physician Fee Schedule Proposed Rule
January 23, 2019

We have provided a summary that highlights parts of the 2019 Medicare Physician Fee Schedule Proposed rule with potential implications for children’s hospitals.

Analysis or Summary
Pennsylvania Medicaid Coverage for Former Foster Care Youth from a Different State and Substance Use Disorder Demonstration
January 17, 2019

Pennsylvania's demonstration expands Medicaid coverage to young adults under age 26 who were in foster care in another state.

Analysis or Summary
Alaska Substance Use Disorder and Behavioral Health Program (SUD-BHP)
January 15, 2019

The summary of this waiver is still under development and will be available soon.

Analysis or Summary
MaineCare
January 15, 2019

The summary of this waiver is still under development and will be available soon.

Analysis or Summary
Oklahoma SoonerCare Waiver
January 15, 2019

Oklahoma's implements a managed care delivery system using a primary care case management model and expands coverage for certain adult populations.

Analysis or Summary
Medicaid Managed Care Proposed Rule
January 15, 2019

CMS released a proposed rule that makes changes to the 2016 Medicaid managed care final rule.

Analysis or Summary
Medicaid DSH Third Party Payment Policy
January 9, 2019

CHA developed a summary of the final rule.

Analysis or Summary
Modernizing Part D and Medicare Advantage to Lower Drug Prices and Reduce Out-of-Pocket Expenses Proposed Rule
January 3, 2019

The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to modernize Part D and Medicare Advantage, which aims to lower drug prices and reduce out-of-pocket expenses by giving Medicare plan sponsors additional negotiation leverage.

Analysis or Summary
International Pricing Index Model for Medicare Part B Drugs
December 31, 2018

CMS released an advance notice of proposed rulemaking with comment that describes a new model for reimbursing select Medicare Part B drugs.

Analysis or Summary
State Medicaid Director Letter on Innovative Service Delivery Systems for Adults With SMI and Children With SED
December 19, 2018

CHA summary regarding a State Medicaid Director Letter that outlines opportunities to design innovative service delivery systems for adults with a serious mental illness (SMI) and children with a serious emotional disturbance (SED).

Analysis or Summary
ACE Kids Act of 2017 - High-level summary (H.R. 7217)
December 14, 2018

CHA summarizes the House-passed version of the ACE Kids Act of 2017 in the IMPROVE Act (H.R. 7217).

Analysis or Summary
CHA Summary of Report to President on Policy Changes to Promote Health Care Competition
December 11, 2018

Departments of Health and Human Services, Treasury and Labor released a report to the president, which makes a series of recommendations for federal and/or state policy changes to expand choice and competition in the public and private health care sectors.

Analysis or Summary
CY 2019 Medicare OPPS Final Rule Summary
November 30, 2018

CHA has prepared a summary of the CY 2019 Medicare OPPS Final Rule.

Analysis or Summary
Conditions of Participation Burden Reduction Rule
November 26, 2018

The Centers for Medicare and Medicaid Services (CMS) published a proposed rule intended to make changes to requirements hospitals must meet in order to participate in the Medicare and Medicaid programs that CMS asserts will reduce regulatory burden on hospitals.

Analysis or Summary
New Hampshire SUD Treatment and Recovery Access
November 5, 2018

Analysis or Summary
President Signs Opioid Package
October 22, 2018

The President signed into law H.R. 6, the SUPPORT for Patients and Communities Act.