iqtsupport, Author at DeBrunner & Associates

Health Policy Update for Thursday, April 1

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 1. Medicare Accelerated and Advance Payments Program In the latest edition of its online publication MLN Connects, CMS has published information about repayment of money health care providers received under its COVID-19 Accelerated and Advance Payments Program. Those repayments began on March 30. For further information, see the MLN Matters article “Repayment of COVID-19 Accelerated and Advance Payments Began on March 30, 2021.” The White House COVID-19 The White House has posted a transcript of the March 31 press briefing provided by its COVID-19 response [...]

iqtsupport2021-04-01T18:01:20-04:00April 1, 2021|Coronavirus, COVID-19, Medicare reimbursement policy|

Health Policy Update for Tuesday, March 30

The following is the latest health policy news from the federal government as of 3:30 p.m. on Tuesday, March 30. Medicare Sequestration In anticipation of possible congressional action to extend the two percent sequester reduction suspension, CMS has instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021 for a short period without affecting providers’ cash flow. This will minimize the volume of claims the MACs must reprocess if Congress extends the suspension. The MACs will automatically reprocess any claims paid with the reduction applied if necessary. The White House [...]

iqtsupport2021-03-30T17:20:36-04:00March 30, 2021|Coronavirus, COVID-19|

CMS Ponders Future of Medicare Payment Models

The new administration has delayed the planned launch of several new Medicare payment models and ultimately may choose not to move forward with some or to alter them. The models currently under review by the Centers for Medicare & Medicaid Services are: Primary Care First Kidney Care Choices Geographic Direct Contracting Part D Payment Modernization Model Learn more from the Becker’s Hospital Review article “CMS payment models that are under review, delayed.”

iqtsupport2021-03-30T06:00:20-04:00March 30, 2021|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Medicare reimbursement policy|

Health Policy Update for Friday, March 26

Beginning this week, DeBrunner & Associates is expanding its regular updates to encompass a broader scope of federal health policy endeavors to include other matters of importance to providers. Feel free to share this newsletter with others in your organization or to send us the email addresses of those you think might be interested and we will send it directly to them. The following is the latest such information from the federal government as of 2:30 p.m. on Friday, March 26. The White House COVID-19 With funding in large part from the American Rescue Plan, the White House announced that [...]

iqtsupport2021-03-26T17:12:30-04:00March 26, 2021|Coronavirus, COVID-19, Medicare regulations, Medicare reimbursement policy|

Federal Health Policy Update for Wednesday, March 24

Beginning today, DeBrunner & Associates is expanding its regular updates to encompass a broader scope of federal health policy endeavors to include other matters of importance to providers. Feel free to share this newsletter with others in your organization or to send us the email addresses of those you think might be interested and we will send it directly to them. The following is the latest such information from the federal government as of 2:45 p.m. on Wednesday, March 24. Congress The temporary delay of implementation of the Medicare two percent sequester expires at the end of the month and [...]

iqtsupport2021-03-25T08:51:40-04:00March 25, 2021|Affordable Care Act, Coronavirus, COVID-19|

New Medicare Policy May Save Money for Government But Cost Patients More

A new Medicare policy expected to save money for the federal government may end up doing so at the expense of Medicare beneficiaries who may find themselves faced with costs that Medicare previously paid. Under the new policy, selected procedures that Medicare once authorized only when performed on an inpatient basis can now be performed on an outpatient basis. The underlying rationale for the policy, which took effect on January 1 and will be phased in over the next three years, is that such an approach should foster competition and possibly lower Medicare costs. But some of those procedures still [...]

iqtsupport2021-03-25T06:00:40-04:00March 25, 2021|Medicare reimbursement policy|

COVID Drives Major Increase in PA Medicaid Enrollment

Medicaid enrollment in Pennsylvania has risen nearly 14 percent in the past year as rising unemployment resulting from COVID-19 drives people to turn to the state for health insurance. As a result, Pennsylvania has added nearly 400,000 people to its Medicaid rolls in the past year. Today, 3.2 million Pennsylvanians are enrolled in the state’s program, although among them are approximately 250,000 who would have been dropped from the program except for a federal requirement that the state not drop people from the program in exchange for a major increase in federal aid for the state’s program. As a result [...]

iqtsupport2021-03-24T06:00:12-04:00March 24, 2021|Pennsylvania Medicaid|

Earmarks Expected to Return

After a ten-year absence, congressional earmarks appear to be on their way back. Earmarks – special budget items chosen by members of Congress specifically for their districts – were banned in 2011 but now, members of the House have voted to revive them, citing the oft-used rationale that members of Congress are more qualified to choose projects for their districts than federal bureaucrats. In addition, it is widely thought that earmarks can help build bipartisan support for challenging legislation. Amid concern about the possibility of increasing federal spending at a time of rising deficits, the Senate still has not agreed [...]

iqtsupport2021-03-23T06:00:28-04:00March 23, 2021|Uncategorized|

Coronavirus Update for Friday, March 19

The following is the latest COVID-19 information from the federal government as of 3:00 p.m. on Friday, March 19. White House The White House has posted a transcript of the March 17 press briefing provided by its COVID-19 response team and public health officials. During the briefing, White House officials noted that under to the American Rescue Plan (the COVID-19 relief bill), the federal government will now cover 100 percent of the cost for Medicaid and children’s health insurance beneficiaries to get vaccinated. Provider Relief Fund The “reporting requirements and auditing” page of the Provider Relief web site has been [...]

iqtsupport2021-03-22T06:00:51-04:00March 22, 2021|Coronavirus, COVID-19|

MedPAC: Go Slow on Expanding Medicare Telehealth

MedPAC wants Medicare to test the impact of telehealth on health care under non-COVID-19 conditions before moving forward with expanding the tool’s use in the Medicare population. In a news release accompanying its recently released annual report to Congress on Medicare payment policy, the Medicare Payment Advisory Commission writes that In the report, we present a policy option for expanded coverage for Medicare telehealth policy after the PHE is over. Under the policy option, policymakers should temporarily continue some of the telehealth expansions for a limited duration of time (e.g., one to two years after the PHE) to gather more [...]

iqtsupport2021-03-19T13:00:08-04:00March 19, 2021|Medicare, Medicare reimbursement policy, Telehealth|

admin

About iqtsupport