The Corbett administration will submit a “Section 1115” waiver
to the U.S. Department of Health and Human Services on Friday to implement the Governor’s Healthy Pennsylvania plan. This formally begins the process to obtain approval from the federal government to reform Pennsylvania’s Medicaid program. The Governor proposes using federal Medicaid funds to enable low income Pennsylvanians to purchase health coverage through the federal health insurance marketplace. The waiver and all supporting public documents will be posted on the Department of Public Welfare’s (DPW) website Friday, December 6. A comment period begins tomorrow. DPW will hold a series of hearings across the state as well. HAP will review the waiver in detail, provide comments, and participate in one of the hearings.
CMS has awarded the HAP Pennsylvania Hospital Engagement Network (PA-HEN)
a third year Partnership for Patients (PfP)
contract. This allows for building upon the successful work accomplished in years 1 and 2 to improve quality and patient safety by reducing preventable harm and readmissions in PA hospitals. The third year work will focus on continuing to spread best-practices, integrating new strategies to decrease the number of hospital-acquired conditions, and leveraging its work on health literacy to improve the use of “teach back” and address health disparities that impact preventable readmissions.
PA Insurance Dept. Announces Option for Continuing Individual Policies
The state Department of Insurance announced
that insurance companies will have the option to continue individual policies originally set for cancellation pursuant to the Affordable Care Act. HAP has pressed the Insurance Department to work with insurers to extend coverage during this transition. The agency said that options for policyholders may differ and may include continuation of their current policies or enrollment in a new ACA-compliant product; options will be insurance-company specific and consumers are encouraged to call their current insurance carrier for information. Tips for consumers are in an agency fact sheet