Public Health & Community Impact Behavioral Health Beyond the Clinic: Understanding the Factors That Influence Outcomes Minority Mental Health Awareness Month highlights critical inequities in behavioral health care. To truly advance health equity and improve outcomes, solutions must extend beyond clinical care to ensure that all individuals, regardless of race or socioeconomic status, can access…
Program Integrity & Compliance State PBM Reforms: Key Medicaid and Pharmacy Benefit Changes to Watch Legislative movements in numerous states signed into law introduce significant reforms to pharmacy benefit manager (PBM) practices within affected states. These statute changes are designed to enhance transparency and redefine pharmacy reimbursement models, marking a shift in how PBMs must…
Eyebrow (category) Lesley Beerends Receives the 2026 Bruce Myers Legacy Award To honor the memory of firm co-founder Bruce Myers, Myers and Stauffer created the Bruce Myers Legacy Award. This award is presented annually to one associate who embodies Bruce’s example by putting our four core values in action. Bruce Myers, along with Darrell Stauffer,…
Client Alert CMS Proposes Major Changes to Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments States Face New Compliance Requirements, SDP Phase-Downs, and FFS Payment Limits Beginning in 2026–2029 Applicability Date: July 1, 2026, then updated within 30 days of a payment rate change Key Takeaways The Centers for Medicare…
Public Health & Community Impact Breaking the Silence: What You Need to Know on World Elder Abuse Awareness Day Every year on June 15, the world recognizes the United Nations-recognized global observance that highlights one of society’s most underreported crises: World Elder Abuse Awareness Day. Key Takeaways On World Elder Abuse Awareness Day (WEAAD), observed annually…
Public Health & Community Impact PACE and Senior Fitness: How Integrated Care Improves Health, Mobility, and Independence National Senior Health & Fitness Day, the nation’s largest annual older adult wellness event, highlights the importance of active aging and preventive care. This observance underscores a critical truth: senior fitness is foundational to healthy aging, independence, and…
Medicaid Policy & strategy Illinois: Implementing PACE in One of the Nation’s Most Complex Medicaid Environments As one of the nation’s most intricate Medicaid landscapes, Illinois demonstrates how careful planning, strategic policy development, and targeted collaboration can bring the benefits of PACE to urban, suburban, and rural communities alike. Key Takeaways As states seek ways…
Public health & community impact Protecting Home and Community-Based Services Through Communication, Policy, and Technology Levers: National Speech-Language-Hearing Month May is National Speech-Language-Hearing Month, recognizing individuals with communication disorders and the professionals who support them. It also highlights the importance of clear communication within systems such as Medicaid-funded home and community-based services (HCBS), where effective…
Program Integrity & Compliance The Case for Cost Reports | Part Five How Myers Can Help Learn about our comprehensive portfolio of services, risk-based auditing approach, and commitment to helping agencies achieve their goals for serving the nation’s most vulnerable populations. Key Takeaways In our series on cost reports, we looked at why they still…
Medicaid Policy & Strategy The Case for Cost Reports | Part Four Three Examples that Support the Case for Cost Reports We provided our insight into why cost reports make sense, looked at factors that argue FOR the cost report, and considered the federal perspective. Here, we bring it all together in three case studies,…
Medicaid Policy & Strategy The Case for Cost Reports | Part Three Can Medicare Cost Reports be Used Instead? We provide a high-level view from the federal perspective and how CMS factors into this complex calculus. Key Takeaways While Medicare cost reports may seem like an alternative to Medicaid-specific reports, several challenges emerge, including misalignment…
Medicaid Policy & Strategy The Case for Cost Reports | Part Two Why Cost Reports Still Make Sense… Especially Now We break down key considerations that serve as good reasons – with defensible results – for using the cost report. Key Takeaways Cost reports continue to be a cornerstone of Medicaid program administration, offering essential…