joe, Author at DeBrunner & Associates

Senate Committee Looks at 340B

Last week the Senate Health, Education, Labor and Pensions (HELP) Committee held a hearing on the 340B Drug Pricing Program, which provides discounted prescription drugs to eligible health care providers, known as "covered entities," to help them serve low-income and uninsured patients. In recent years the 340B program has become more controversial as it has grown and as pharmaceutical companies object more strenuously to the discounts they are required to provide to participating providers. In addition, some critics charge that the savings providers gain from 340B discounts are not consistently reinvested in care for low-income and uninsured patients while those [...]

joe2025-10-28T15:50:27-04:00October 29, 2025|340b, Congress|

Impact of H-1B Visa Fee on Hospitals in Underserved and Rural Areas

The new $100,000 fee for H-1B visas is expected to detract from the ability of providers in low-income and rural areas to serve their communities. Providers – especially hospitals – in such areas typically operate on very low margins and always have trouble recruiting physicians and other highly skilled providers and often turn to international medical graduates in search of help. In fact, a 2021 study published by the National Institutes of Health reported that nearly two-thirds of international medical graduates practiced in areas designated as health professional shortage areas or medically underserved areas, with nearly half practicing in rural [...]

joe2025-10-28T11:46:55-04:00October 28, 2025|hospitals|

The Struggle to Help Prove Medicaid Eligibility

With new Medicaid work rules scheduled to take effect in 42 states by the end of 2026, policymakers are working to find new, better ways to enable Medicaid applicants to demonstrate that they are meeting Medicaid work and community engagement requirements. While the Centers for Medicare & Medicaid Services has set aside $200 million to pursue technology solutions for this problem, such efforts, at least so far, have not proven successful. In a test in Louisiana, for example, state officials sent text messages to 13,000 Medicaid enrollees, asking them to follow a link to a state web site at which [...]

joe2025-10-23T15:13:41-04:00October 28, 2025|Medicaid|

Lack of Confidence Spawns MMWR Alternative

Citing a growing lack of confidence in federal public health reporting, the New England Journal of Medicine and the Center for Infectious Disease Research and Policy are creating a private sector alternative to the Centers for Disease Control and Prevention’s long-running Morbidity and Mortality Weekly Report (MMWR). To be launched in the next month or so, the two organizations will begin publishing what they call “public health alerts” that will be available for free, and published as needed, in a new section of the NEJM Evidence. In creating the new feature, the two groups cited a growing distrust of federal [...]

joe2025-10-23T16:25:18-04:00October 27, 2025|Uncategorized|

Senate Committee Looks at 340B

Last week the Senate Committee on Health, Education, Labor and Pensions held a hearing on the 340B Drug Pricing Program to discuss its growth and impact on patients. Among other subjects, the committee reviewed the importance of the 340B program; the pharmaceutical manufacturers’ rebate program that begins in January; potential transparency reforms; ensuring that 340B entities do not receive duplicate drug discounts; revising the definition of a patient for a covered entity; and reforms involving the use of contract pharmacies. Representatives from the Government Accountability Office, Congressional Budget Office (CBO), UCLA served on the hearing’s witness panel. Go here to find [...]

joe2025-10-23T14:02:22-04:00October 27, 2025|340b|

Federal Health Policy Update for October 23

The following is the latest health policy news from the federal government for October 17 - 23. Some of the language used below is taken directly from government documents. Please note that most HHS and other health care-related agencies have indicated that they will not be announcing new policies, publishing proposed regulations, or updating their web sites during the current federal government shutdown. Congress and the Shutdown The Senate postponed its 13th vote on the House-passed continuing resolution (CR), scheduled for today; without bipartisan negotiations on Affordable Care Act enhanced premium subsidies, the measure – whenever the next vote is [...]

joe2025-10-23T15:32:04-04:00October 23, 2025|340b, Affordable Care Act, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, hospitals, Medicaid, Medicare|

Governors Form New Health Care Coalition

The governors of 15 states have joined forces to create a new organization. The governors – all Democrats – announced the launch of the Governors Public Health Alliance, a group they say is “…designed to protect the health of people across the U.S.” and …will serve as a nonpartisan coordinating hub for governors and their public health leaders. The Governors Public Health Alliance will support Governors and their states in coordinating and collaborating to protect the public’s health by facilitating data sharing and communication about health threat detection, emergency preparedness and response, public health guidance and policy, and deployment of [...]

joe2025-10-21T13:47:11-04:00October 22, 2025|Uncategorized|

Feds Clarify H-1B Visa Payment Requirement

The U.S. Citizenship and Immigration Services has issued guidance on new restrictions on H-1B visas issued in a presidential proclamation on September 19. The new guidance explains that for the requirement of a $100,000 payment to apply for such a visa: The Proclamation does not apply to any previously issued and currently valid H-1B visas, or any petitions submitted prior to 12:01 a.m. eastern daylight time on September 21, 2025. In addition, the Proclamation does not prevent any holder of a current H-1B visa, or any alien beneficiary following petition approval, from traveling in and out of the United States. [...]

joe2025-10-21T10:19:34-04:00October 21, 2025|Uncategorized|

Hospital at Home Program in Limbo

Medicare’s Acute Hospital Care at Home program is in limbo after the law authorizing it lapsed at the end of the 2025 federal fiscal year on September 30. As a result of this loss of authorization, CMS directed the more than 300 hospitals that participate in the program and care for seriously ill patients in their homes to discharge current participants or bring them back into their hospital. The program, created during the COVID-19 pandemic to free hospital beds for sicker patients who also were highly contagious, has been credited with lower mortality rates, reduced crowding in hospital emergency rooms, [...]

joe2025-10-15T12:52:33-04:00October 17, 2025|Medicare|

Federal Health Policy Update for October 16

The following is the latest health policy news from the federal government for October 10 - 16. Some of the language used below is taken directly from government documents. Please note that most HHS and other health care-related agencies have indicated that they will not be announcing new policies, publishing proposed regulations, or updating their web sites during the current federal government shutdown. Congress and the Shutdown In its tenth attempt, the Senate today failed to pass a Republican-sponsored continuing resolution (CR). Republicans were unable to gain the 60 votes needed to pass the bill, winning Democratic support only from [...]

joe2025-10-16T16:38:02-04:00October 16, 2025|Affordable Care Act, Medicaid, Telehealth|

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