After the hiring process, training is the most important aspect in the development of a good case manager. Training is understood to be an important first step by management of administration in understanding the philosophy of child welfare and child protection, the policies and practices of the agency, and the functions necessary to become an effective and efficient case manager. 

On July 28, 2017, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule to implement $43 billion in reductions in federal Medicaid allotments to state Medicaid agencies for payment adjustments to hospitals serving a disproportionate share of low-income persons. The reductions in such allotments under the proposed rule will apply to federal fiscal years 2018-2025. 

On July 31, 2017, the U.S. District Court for the District of Connecticut certified a nationwide class of Medicare beneficiaries who desire to challenge their placement on “observation status” during their hospital stays.  Alexander v. Price, No. 3:11-cv-1703 (D. Conn. July 31,2017).