Gregg Margolis, Director of Health Policy Fellowships and Leadership Programs at the National Academy of Medicine, shared on LinkedIn:

“If you can only read three things about health policy this week, I suggest…

Modern Healthcare: 20M Fewer Medicaid Enrollees Means Trouble For Providers Over the past year, states have removed more than 20 million beneficiaries from Medicaid after suspending eligibility redeterminations during the COVID-19 public health emergency.

Thousands of those people are Clinical Family Health patients. The Lafayette, Colorado-based community health center felt the pain of lost reimbursements when patients went from having Medicaid coverage to being uninsured, a fate that has befallen almost one-fourth of these former Medicaid enrollees nationwide, according to KFF. (Tepper, 4/23)

McKnight’s Long-Term Care News: Providers: Staffing Rule A CMS ‘Fairy Tale’ That Will ‘Exacerbate’ Nursing Home Access Issue Despite minor concessions in a nursing home staffing mandate issued Monday, many providers were stunned by federal regulators’ intractable stance on minimums at a time when nearly all US facilities are confronting labor shortages.

‘RNs are leaving the workforce, leaving the profession and those who are working typically choose to work in environments that are not long-term care,’ LeadingAge President and CEO Katie Smith Sloan said in a statement late Monday.

‘The final rule does not include additional funds to pay RNs comparable or higher wages to work in long-term care.’ She noted that this element alone will require an additional 3,267 additional nursing home RNs. ‘How can providers hire more RNs when they do not exist?’ (Marselas, 4/23)

Modern Healthcare: Medicaid Managed Care Rules Aim To Increase Transparency Regulators enacted a pair of wide-reaching rules on Monday intended to increase transparency and improve the patient experience for the more than 80 million enrollees in Medicaid managed care plans.

The Centers for Medicare and Medicaid Services will require states and Medicaid insurers to annually report how carriers spend state-directed payments to providers, how their rates compare to Medicare, and survey managed care enrollees about their experience with insurance companies. (Tepper, 4/22)

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Source: Gregg Margolis/LinkedIn