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Coronavirus Update for November 24, 2020

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Tuesday, November 24. Provider Relief Fund The Provider Relief Fund web page has been updated with the following notice: The application deadline for the Provider Relief Fund Phase 3 General Distribution was Nov. 6, 2020. You must have submitted your Taxpayer Identification Number (TIN) for validation by 11:59 p.m. ET on Nov. 6, 2020 for Phase 3 relief funds. If you submitted your TIN for validation by the deadline and your TIN is validated by Nov. 13, you will be able to proceed with [...]

2020-11-25T06:00:56-05:00November 25, 2020|Coronavirus, COVID-19|

Coronavirus Update for Thursday, November 19

The following is the latest COVID-19 information from the federal government as of 3:30 p.m. on Thursday, November 19. Provider Relief Fund The Provider Relief Fund web page has been updated with the following notice: The application deadline for the Provider Relief Fund Phase 3 General Distribution was Nov. 6, 2020. You must have submitted your Taxpayer Identification Number (TIN) for validation by 11:59 p.m. ET on Nov. 6, 2020 for Phase 3 relief funds. If you submitted your TIN for validation by the deadline and your TIN is validated by Nov. 13, you will be able to proceed with [...]

2020-11-20T06:00:44-05:00November 20, 2020|Coronavirus, COVID-19|

Coronavirus Update for Tuesday, November 17

The following is the latest COVID-19 information from the federal government as of 3:45 p.m. on Tuesday, November 17. Provider Relief Fund The Provider Relief Fund web page has been updated with the following notice: The application deadline for the Provider Relief Fund Phase 3 General Distribution was Nov. 6, 2020. You must have submitted your Taxpayer Identification Number (TIN) for validation by 11:59 p.m. ET on Nov. 6, 2020 for Phase 3 relief funds. If you submitted your TIN for validation by the deadline and your TIN is validated by Nov. 13, you will be able to proceed with [...]

2020-11-18T06:00:46-05:00November 18, 2020|Coronavirus, COVID-19|

Recession Taking its Toll on States

State Medicaid programs are feeling the effects of the current recession, according to a new report by the Congressional Research Service. According to the brief report, state Medicaid enrollment and costs have risen since the COVID-19 pandemic began and states expect them to continue rising into their 2021 fiscal years.  State efforts to reduce spending are limited by provisions in the Families First Coronavirus Response Act, which provided additional federal Medicaid matching funds to the states to assist them with their Medicaid costs during the COVID-19 pandemic but impose maintenance-of-effort requirements in exchange for continued state access to the enhanced [...]

2020-11-17T06:00:33-05:00November 17, 2020|Congress, Coronavirus, COVID-19, Medicaid|

Coronavirus Update for Thursday, November 12

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Thursday, November 12. Department of Health and Human Services HHS is hosting a on webinar Friday, November 13 at 1:00 p.m. (eastern) to present updated guidance for hospital data reporting requirements. Go here to register.  Also available are a slide deck that will be presented by the subject matter experts during the webinar and a Q&A document with questions that were not addressed during previous webinars. HHS’s Office of the Inspector General has released its preparedness audit findings for the Office of Refugee Resettlement [...]

2020-11-13T08:56:10-05:00November 13, 2020|Coronavirus, COVID-19|

MedPAC Meets

Earlier this week the Medicare Payment Advisory Commission met in Washington, D.C. to discuss a number of Medicare payment issues. Among the issues on MedPAC’s November agenda were: expansion of telehealth in Medicare report on Medicare beneficiaries’ access to care in rural areas effects of pharmaceutical rebates on Part D’s risk adjustment improving competition among Medicare Part D’s benchmark plans separately payable drugs in the hospital outpatient prospective payment system Medicare Advantage payment and access for enrollees with end-stage renal disease MedPAC is an independent congressional agency that advises Congress on issues involving the Medicare program.  While its recommendations are [...]

Coronavirus Update for Tuesday, November 10

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Tuesday, November 10. Food and Drug Administration The FDA has issued emergency use authorization (EUA) for the investigational monoclonal antibody therapy bamlanivimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients. In issuing this EUA, the FDA noted that “While the safety and effectiveness of this investigational therapy continues to be evaluated, bamlanivimab was shown in clinical trials to reduce COVID-19-related hospitalization or emergency room visits in patients at high risk for disease progression within 28 days after treatment when compared to [...]

2020-11-11T06:00:57-05:00November 11, 2020|Coronavirus, COVID-19|

Coronavirus Update for Thursday, November 5

The following is the latest COVID-19 information from the federal government as of 3:00 p.m. on Thursday, November 5. Provider Relief Fund A reminder that applications for Phase 3 general distribution payments are due Friday, November 6. HHS has updated the Provider Relief Fund FAQ with two modified items; the second bullet below addresses the deadline for Phase 3 applications. p. 6 - Does HHS intend to recoup any payments made to providers not tied to specific claims for reimbursement, such as the General or Targeted Distribution payments? ( Modified 11/5/2020) The Provider Relief Fund and the Terms and Conditions [...]

2020-11-06T06:01:36-05:00November 6, 2020|Coronavirus, COVID-19|

Most Hospitals Fined by Medicare Over Readmissions

More than 80 percent of all hospitals subject to Medicare’s hospital readmissions reduction program, and half of all of hospitals in the country, will be penalized in FY 2021 under that program because they have what Medicare considers to be too many avoidable readmissions. In all, 2556 of the 3080 hospitals subject to the program will be penalized.  More than 600 will see their inpatient payments cut one percent as a result and the average cut will be 0.69 percent. The penalties are based on hospital performance with patients experiencing congestive heart failure, heart attacks, chronic obstructive pulmonary disease, coronary [...]

MACPAC Meets

The Medicaid and CHIP Payment and Access Commission met for two days last week in Washington, D.C. The following is MACPAC’s own summary of the sessions. The October 2020 MACPAC meeting opened with a panel discussion on restarting Medicaid eligibility redeterminations when the public health emergency ends.  It included Jennifer Wagner, director of Medicaid eligibility and enrollment at the Center on Budget and Policy Priorities; René Mollow, deputy director for health care benefits and eligibility at the California Department of Health Care Services; and Lee Guice, director of policy and operations at the Department for Medicaid Services, Kentucky Cabinet for [...]

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