Public Policy Center

Patient Advocates Request Withdrawal of CMS Medicare GUARD Medication Cost Model

AAHD and the Lakeshore Foundation have joined the Medicare Access for Patients Rx (MAPRx) Coalition, which includes EFA, NAMI, and the National Health Council, requesting CMS to strengthen the existing Medicare Part D medications program rather than launch a new medications program that does not contain existing and needed patient access protections. The February 23 […]

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No Quality-Adjusted Life Years (QALYs) Methodologies in Proposed CMS Medicare Medication Cost Models

AAHD and the Lakeshore Foundation have joined 119 organizations, led by the Partnership To Improve Patient Care (PIPC),  advocating no use of the QALY (Quality-Adjusted Life Years) methodologies in two proposed CMS Medicare Medication Cost Models – GUARD and GLOBE. Available here are the two February 23 PIPC letters to CMS on GUARD and GLOBE […]

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Opposing CMS Rescission of Nursing Home Minimum Staffing Rule

AAHD and the Lakeshore Foundation have joined 93 organizations, led by the National Consumer Voice for Quality Long-Term Care, opposing CMS rescission of the nursing home minimum staffing rule. 18 States Attorney Generals have written CMS announcing their opposition to rescission of the rule. 7 U.S. Senators have introduced legislation to legislatively re-establish nursing home […]

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CMS Announces Updated Core Quality Measures Collaborative (CQMC) Measure Set

CMS announced the updated Core Quality Measures Collaborative (CQMC) measure set. CMS substantially finances the CQMC, a public private partnership convened by AHIP and CMS, with technical staff provided by HHS and CMS funded Battelle Partnership for Quality Measurement (PQM). CQMC is predominantly a health plan, health payer, and medical societies partnership with patient and […]

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Medicaid Reconciliation Law (HR 1): Work and Community Engagement Requirements – SUD  Payment Consent To Facilitate Exemption

AAHD and the Lakeshore Foundation have joined a coalition promoting the integration of behavioral and general health services and medical records, led by the Association for Behavioral Health and Wellness, letter to HHS/HHS OCR/SAMHSA advocating that individual consent to SUD diagnosis or treatment can be a factor to satisfy the Medicaid community engagement exemption. The […]

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Behavioral Health-General Health Integration: Status Report on Psychiatric Collaborative Care Model Use

AAHD and the Lakeshore Foundation have joined Shatterproof, Bowman Family Foundation, and leading mental health organizations releasing a detailed national study of the use of the Psychiatric Collaborative Care Model in integrating behavioral health and general health. There are several evidence-based integration models in use. Available here are the February 4 release statement and the […]

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Medicare Advantage and Medicare Part D Rules – Protecting Beneficiaries in “Star Ratings” (2)

AAHD is a National Health Council (NHC) member. The NHC has submitted 31 page detailed comments to CMS on proposed Medicare Advantage and Medicare Part D rules. The NHC emphasizes effective beneficiary understanding and effective integration of services and supports. AAHD particularly supports and values the detailed observations and ideas on Medicare Advantage “Star Ratings.” […]

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