Josh LaRosa M.P.P.

Vice President

B.A., The University of Virginia; M.P.P., The University of Virginia
703-309-4248
josh@wynnehealth.com

Josh LaRosa joined the Wynne Health Group in November 2018, bringing with him over three years of federal health care policy consulting experience. The majority of his experience in the federal consulting space has been with the Centers for Medicare and Medicaid Services (CMS), and he in particular has worked heavily with the agency’s Center for Medicare and Medicaid Innovation (CMMI).

With CMMI, Josh worked to implement, monitor, and spread learning garnered from the center’s high-profile demonstration projects, most recently including the national primary care redesign effort, Comprehensive Primary Care Plus (CPC+). Josh has also assisted a multitude of provider organizations participating in CMMI’s Health Care Innovation Awards Round One and Two to implement their innovative health care delivery and payment models. Through such experiences, Josh has been exposed to a wide array of innovations in health care delivery, and is deeply interested in how changing provider, patient, and payer incentives can result in a higher quality and more cost-effective health care delivery system.

Josh holds a Master of Public Policy from the University of Virginia’s Frank Batten School of Leadership and Public Policy, where he had the opportunity to work with a D.C.-based non-profit and explore policy options for addressing the behavioral health needs of military and veteran families. Josh also completed his undergraduate studies at the University of Virginia, graduating cum laude with a B.A. in Political Philosophy, Policy, and Law.

DC District Court Vacates 2020 Accumulator Adjustment Rule

On May 17, 2022, the U.S. district court for the District of Columbia granted the Pharmaceutical Research and Manufacturers of America (PhRMA)’s motion for summary judgement and thereby vacated the patient assistance penalty provision in the accumulator adjustment rule of 2020 (WHG summary of the rule here). The issue in contention was the finalized provision…

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What’s Ahead for Rulemaking: Medicare Edition

With Congress in recess this week, we look ahead to what is underway on the administrative front with respect to Medicare – including changes to electronic prior authorization, Medicare payment updates, Medicare Advantage (MA) and Part D Advance Notice, and modifications to Medicare enrollment. A lookahead for key Medicaid-focused changes is available here. March 23…

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Multi-Stakeholder Taskforce Offers Long-Term Recommendations on Telehealth

On September 15, 2020, the Taskforce on Telehealth Policy (TTP) – convened by the National Committee for Quality Assurance, Alliance for Connected Care, and American Telemedicine Association – convened a public briefing on its findings and recommendations regarding the COVID-19 telehealth flexibility expansions (full report). First announced in June 2020 (details), the TTP was convened…

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CMS Delays Release of Stark Law Modifications Until Aug. 2021

The Centers of Medicare & Medicaid Services (CMS) announced it is formally extending the deadline for when it must publish the final rule amending the physician self-referral regulations. The deadline is now listed as August 31, 2021. The agency first proposed these changes in October 2019 as part of the agency’s broader effort to promote value-based care…

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COVID-19: CMS to Allow Temporary Premium Reductions for 2020

On August 4, 2020, the Centers for Medicare & Medicaid Services (CMS) announced new guidance (here) stating it will temporarily be exercising enforcement discretion to allow health plan issuers in the individual and small group markets to offer premium reductions for one or more months for 2020 coverage. Details follow. Generally, CMS states, health plan…

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In Health Affairs Blog, Administrator Verma Speaks to the Impact & Future of the COVID-19 Telehealth Flexibilities

On July 15, 2020, the Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma published a blog post in Health Affairs outlining the impact telehealth has had during the COVID-19 pandemic. The post also provides a glimpse at how the agency is thinking about whether to make certain telehealth flexibilities permanent once the public…

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COVID-19: House W&M Committee Discusses the Disproportionate Impact of Pandemic on Communities of Color

On May 27, 2020, the House Ways and Means Committee convened its first ever virtual hearing to discuss the disproportionate impact of COVID-19 on communities of color. Overall, members vocalized support for the need to address the underlying reasons behind why minority communities have experienced higher rates of infection and mortality linked to COVID-19. Specifically,…

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In Follow up to First Set, CMS Announces Additional Wide-Reaching Flexibilities for Providers to Aid the COVID-19 Response

In follow-up to its March 31st interim final rule with comment period (IFC),  the Centers for Medicare & Medicaid Services (CMS) announced a second set of wide-reaching changes in response to the COVID-19 pandemic. What it is. CMS is effectuating these changes through a combination of its IFC rulemaking authority and its application of 1135…

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COVID-19: In Sweeping Set of Changes, Agency Opens Up New Flexibilities to Providers for COVID-19 Response; Additional Details Included for Plans and State Surveyors

Access our complete summary of these developments here.   On March 30, the Centers for Medicare & Medicaid Services (CMS) instituted a sweeping array of new provider flexibilities for supporting the health care system’s response to the COVID-19 pandemic (press release). The changes leverage many of the avenues available to the agency in affecting policy,…

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