Health Policy Design and Implementation

For public agencies that need creative solutions to policy challenges, the Center for Health Law and Economics at UMass Medial School offers expertise in policy design and implementation in several important areas, with an emphasis on those affecting vulnerable populations:

  • Access to care for the uninsured and health safety net provider policies
  • Medicaid and Children’s Health Insurance Program (CHIP) laws, regulations, and waivers
  • The latest case law interpreting state obligations related to the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) requirements under Medicaid, affecting benefit entitlements for children
  • Details of the Medicare Modernization Act of 2003 and the Deficit Reduction Act of 2005
  • All aspects of Medicaid federal financial participation (FFP) rules and policies, including Intergovernmental Funds Transfers (IGTs), Certified Public Expenditures (CPEs), permissible health-care-related taxes, Disproportionate Share Hospital (DSH) payments, and safety net providers
  • Disability policies and programs, with a focus on the Americans with Disabilities Act (ADA) and Olmstead compliance, and home- and community-based services
  • Long-term care policies and programs, including system capacity issues and Medicare coverage policies
  • Employer benefit trends and avoiding conflicts with topics preempted by the Employee Retirement Income Security Act (ERISA) when designing state-level reform policies