Insights

On April 22, HHS released the anticipated Ensuring Access to Medicaid Services final rule. In addition to Marwood’s forthcoming published analysis, Joe Mercer will host a call to offer takeaways from the rule and read-through for states and providers—especially around the HCBS payment adequacy standard, a provision that was highly contested by stakeholders throughout the rulemaking process.

On April 1, HHS released the awaited Medicare Advantage and Part D Final Announcement. Our managed care and health care services senior analyst, Joe Mercer, hosted a call to offer takeaways from the rule, including the impacts of fourth quarter data, IME/DGME phase-out, and changes to the FFS normalization factor calculation, among other key provisions.

This year, CMS will be working on reforms to the inpatient psych prospective payment system. Looking ahead to the forthcoming FY 2025 proposed rule, Marwood hosted a call with Shawn Coughlin, President and CEO of the National Association for Behavioral Healthcare, to discuss broader industry priorities for the sector.

Marwood hosted a call with Kate Beller, EVP of Policy Development and Government Relations at the American Medical Rehabilitation Providers Association, to discuss the forthcoming 2025 proposed rule and broader industry priorities.

Marwood’s Joe Mercer and Sherill Mason hosted a call with Damon Terzaghi, Director of Medicaid Advocacy at the National Association for Homecare and Hospice, to discuss provider priorities and different scenarios ahead of the anticipated Medicaid Home- and Community-Based Services (HCBS) payment adequacy final rule.

We discussed the 2025 Medicare Advantage Advance Notice, reactions from the industry and policymakers and what it all means for health plans.

Select members of our senior executive team were joined by Marwood's subject matter experts across various subsectors for meetings in San Francisco.

Our senior analysts discussed the outlook for the November Continuing Resolution, as well as Congressional priorities expected to pass year-end vs. 2024.

Marwood sponsored HLTH 2023, discussing opportunities and solutions across the healthcare marketplace.

Marwood and the Alliance of Community Health Plans hosted a webinar focused on CMS modernization, and the past, present, and future of MA risk adjustment

Marwood’s senior analysts discussed top-of-mind catalysts impacting health care, as well as other key issues, ahead of what is expected to be an active autumn and year-end in Washington DC.

Key themes from redetermination reports, enrollment impacts; outlook for hospitals, safety net providers

Key takeaways, outlook for behavioral adjustment and budget neutrality; industry impacts