On Wednesday, August 22, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director Letter (SMDL) memorializing CMS policy for ensuring that Section 1115 waivers remain budget neutral to the federal government. The SMDL describes CMS policy for calculating budget neutrality both for new waivers and for extensions of existing waivers with the implications for states with existing waivers, and those seeking to apply for waivers, discussed in this expert perspective.
State Policy Academy on Global Budgeting for Rural Hospitals
A Policy Academy for States
On May 30, 2018, a State Policy Academy on Global Budgeting for Rural Hospitals took place in Baltimore, Maryland. The State Policy Academy was hosted by Johns Hopkins University, in collaboration with the Milbank Memorial Fund and the Robert Wood Johnson Foundation’s State Health and Value Strategies. Funding for the Policy Academy was provided by the Robert Wood Johnson Foundation and Milbank Memorial Fund. To view a recording of the morning session of the Academy and the agenda for the full day meeting, please visit the event website. For resources and FAQs from the meeting, click here.
State Health and Value Strategies, in partnership with Johns Hopkins University and the Milbank Memorial Fund, hosted a webinar on March 6, 2018 which provided an overview on global budgeting for rural hospitals and shared information about the Policy Academy. We have also published an issue brief on the topic, Toward Hospital Global Budgeting: State Considerations, that includes case studies of three states that are implementing global budgets.