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Webinar replay: New York State 1115 waiver amendment and the federal climate for waiver approval

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This webinar was held on April 26, 2022. 

On April 13, New York State announced it is requesting $13.52 billion over five years to fund a new amendment to its 1115 Waiver Demonstration that addresses health disparities and systemic healthcare delivery issues highlighted and intensified by the COVID-19 pandemic. During this webinar, speakers provided an overview and analysis of the contents of the state waiver amendment request, including Health Equity Regional Organizations (HEROs), Social Determinant of Health Networks (SDHNs), and Value Based Payment Incentive Payments. Speakers also discussed the current federal climate as CMS begins its review and consideration of New York’s waiver amendment request.

Learning Objectives

  • Understand the components and initiatives included in the New York State 1115 waiver amendment request, including lessons learned from the prior Delivery System Reform Incentive Payment (DSRIP) program
  • Learn about dynamics and considerations at the federal level and how they may impact the evaluation of state 1115 waiver requests
  • Identify potential upcoming funding streams and strategic considerations for your organization as it relates to the initiatives in the New York waiver amendment request

HMA Speakers

Josh Rubin, Principal, New York, NY

Cara Henley, Senior Consultant, Albany, NY

Andrea Maresca, Principal, Federal Policy, Washington, DC


The family glitch and changes to premium tax credit eligibility

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This week, our In Focus section reviews the Biden Administration’s proposed rule revising eligibility standards for premium subsidies for families, released on April 5, 20221. The proposed rule would “fix” the family glitch and, therefore, dramatically increase the number of people eligible for premium tax credits. This brief describes what the regulation would do and the implications for the individual market.

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Texas Releases STAR+PLUS RFP

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This week, our In Focus section reviews the Texas STAR+PLUS managed care services request for proposals (RFP) released on March 31, 2022, by the Texas Health and Human Services Commission (HHSC). The STAR+PLUS program, including the STAR+PLUS Home and Community-based Services (HCBS) program, provides acute care services and Long-Term Services and Supports (LTSS) to the aged and disabled.

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President’s Budget Recommends Significant Investments in Unity Agenda Issues

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This week, our In Focus section reviews President Biden’s budget proposal for federal fiscal year 2023, released on March 28, 2022. The President’s proposal kicks off the Congressional budget process and negotiations on the annual spending bills for the federal fiscal year that starts October 1, 2022. The budget proposal highlights the Administration’s program initiatives and recommended legislative and regulatory changes. The President’s budget is merely a request of Congress, who drafts the actual budget resolution that will go into effect if passed.

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