Welcome to the Special Needs Plans "Go-To" Place

The National Health Policy Group (NHPG) is a leading health care policy and consulting group with a special focus on improving policy and practice for health plans and providers that serve high-risk Medicare and Medicaid beneficiaries. NHPG provides strategic planning and government relations services to health plans and providers, trade associations, health care coalitions, state agencies and other stakeholders in the areas of specialty care for high-risk beneficiaries.

 

Health Care Reform Law Extends SNPs, Mandates SNP Payment Reform and Establishes CMS Office for Dual Policy

The SNP Alliance made significant progress in obtaining health care reform provisions that will continue to advance the role of SNPs in providing specialty care to vulnerable Medicare and Medicaid beneficiaries.  In addition to the first multi-year extension of statutory authority for SNPs, the bill included a CMS office with a direct report to the CMS Administrator to coordinate Medicare and Medicaid policy for dual eligibles; enhanced payment for beneficiaries new to Medicare who enroll in chronic condition SNPs; secretarial authority to make frailty adjusted payments to fully integrated SNPs; and an evaluation of payment adequacy for selected high-risk groups under the current Medicare Advantage risk adjustment methodology.

CLICK HERE for a list of SNP and SNP-related provisions contained in the Senate Health Care Reform and Reconciliation bills signed into law by President Obama in March of 2010.

 

Health Care Reform Resources

On March 23, 2010, President Barack Obama signed health reform into law. Corresponding reconciliation amendments became law on March 31, 2010. NHPG is pleased to provide the following resources for your reference:

- Full Text of the Patient Protection and Affordable Care Act (P.L. 111-148)
- Full Text of the Health Care and Education Reconciliation Act (P.L. 111-152)

Summaries

- Summary of the Health Care and Education Reconciliation Act
- Summary of Health Care and Revenue Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act
- Detailed Summary of Health Care and Revenue Provisions in the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act

Section-by-Section Analyses

- Section-by-Section Analysis of the Health Care and Education Reconciliation Act
- Analysis of the Patient Protection and Affordable Care Act, with Changes Made by Title X and the Health Care and Education Reconciliation Act included within Titles I-IX, where Appropriate

Immediate Benefits

- Immediate Benefits
- Implementation Timeline

We Have Relocated

NHPG moved our offices on May 24, 2010.  Please make note of our new mailing address; our phone numbers, email and Internet addresses will remain the same.

750 9th Street, NW
Suite 600
Washington, DC 20001-2604

 

Save the Date

October 28-29, 2010
6th Annual SNP Leadership Forum
Omni Shoreham Hotel in Washington, DC
- By Invitation

 

In the News

The SNP Alliance Recently Published the Following Reports:

2009 SNP Alliance Profile and Advanced Practice Report (published February 2010)

2009 Profile Report Executive Summary (published February 2010)

2008-2009 SNP Alliance Reports:

SNP Alliance Strategy for Health Care Reform - Full Report

SNP Alliance Strategy for Health Care Reform - Two-Page Executive Summary 

SNP Gold Standards Framework - Full Report

SNP Gold Standards Framework - Two-Page Executive Summary

SNP Alliance Profile and Advanced Practice Report - Full Report

SNP Alliance Profile and Advanced Practice Report - Two-Page Executive Summary

Press Release on SNP Alliance Profile and Advanced Practice Report

 

Our Mission

Our mission is to provide you with the latest information on Special Needs Plans (SNPs) policy, with access to key government sites and advocacy materials, which is why we established The SNP Alliance in 2003. The SNP Alliance is a special coalition of leading plans and providers serving special needs beneficiaries. By focusing our energies on refining risk-adjusted payment methods for high-risk beneficiaries, advancing the integration of Medicare and Medicaid, improving performance measurement, and demonstrating the added value of Special Needs Plans through legislative and regulatory advocacy, we hope to better serve America's most vulnerable, highest-cost and fastest-growing group of beneficiaries — frail elders, adults with disabilities and other persons with multiple, complex care needs.

For further information on NHPG and The SNP Alliance or to share comments about what information and web-based services would be most helpful to you, please contact us.