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Defining the Undefined Scope of Palliative Care Payment, Services

Fred Bentley talks to Hospice Care News about the transformation of palliative care: “There are some core services that are pretty standard in most palliative care programs, but palliative care as a discipline is evolving. A couple challenges that palliative care has been dealing with is that it is not a super well-defined set of services.”
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The CAPABLE Program: An Effective Intervention For Dual Eligible Individuals In Integrated Programs

Sarah Rosenblum and Allison Rizer explain how CAPABLE is a data-tested tool for dual eligible integration and pathways for state Medicaid programs to implement the program.
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Senate Finance Dives Deeper Into PBM Weeds, Including Brand Over Generic Preferences

Anna Kaltenboeck discusses PBM policy reform with The Pink Sheet: "The generic, biosimilar transparency proposal is 'important,' but further payment policy reform is likely also needed."
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CMS Threads The Needle On A Tricky Question: What Is A Drug?

Anna Kaltenboeck writes for Health Affairs on the ways in which the Centers for Medicare and Medicaid Services can define and select drugs for the first round of prescription drug negotiations on September 1, 2023.
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Proposed Medicaid Managed Care Rules: Impact On Dual Eligible Individuals, Part 2

Part 2 in the Health Affairs series co-authored by Allison Rizer focuses on policy opportunities for Medicare-Medicaid integration to benefit dual eligible individuals.
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Proposed Medicaid Managed Care Rules: Impact On Dual Eligible Individuals, Part 1

Allison Rizer co-authored this series in Health Affairs focusing on policy opportunities for Medicare-Medicaid integration to benefit dual eligible individuals.
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