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Federal Health Policy Update for July 18

The following is the latest health policy news from the federal government for July 13-18. Some of the language used below is taken directly from government documents. Centers for Medicare & Medicaid Services CMS has issued a notice alerting certain clinicians who are qualifying alternative payment model (APM) participants and who have earned an APM incentive payment that the agency does not have the current contact information it needs to disburse their payments. The notice provides information to qualified participants on how to update their Medicare billing information so that [...]

MedPAC Posts Annual Data Book

The Medicare Payment Advisory Commission has published its annual data book Health Care Spending and the Medicare Program. The book provides information on national health care and Medicare spending, Medicare beneficiary demographics, and data on dual-eligible beneficiaries, quality of care in the Medicare program, and Medicare beneficiary and other payer liabilities. MedPAC presents its data in 11 sections: national health care and Medicare spending Medicare beneficiary demographics Medicare beneficiary and other payer financial liability dual-eligible beneficiaries alternative payer models acute inpatient services – general acute-care hospitals and inpatient psychiatric hospitals [...]

July 17, 2024|Categories: Alternative payment models, Centers for Medicare & Medicaid Services, health equity, hospitals, Medicaid, Medicare, Medicare post-acute care, post-acute care, Telehealth|Tags: clinical laboratory, dual-eligible beneficiaries, Medicare Advantage, Medicare alternative payer models, Medicare and acute inpatient services, Medicare and ambulatory care, Medicare and ambulatory surgical centers, Medicare and dialysis, Medicare and general acute-care hospitals, Medicare and home health services, Medicare and hospice, Medicare and hospital outpatient services, Medicare and inpatient psychiatric hospitals, Medicare and inpatient rehabilitation facilities, Medicare and long-term care hospitals, Medicare and low-value care, Medicare and post-acute care, Medicare and prescription drugs, Medicare and skilled nursing facilities, Medicare beneficiary and other payer financial liability, Medicare beneficiary demographics, MedPAC Medicare and access-to-care survey, National health care and Medicare spending|

Federal Health Policy Update for July 12

The following is the latest health policy news from the federal government for July 6-12. Some of the language used below is taken directly from government documents. The Courts A federal court has blocked implementation of the FTC’s rule banning non-compete clauses in most employment contracts, a regulatory development with potentially significant implications for the health care industry. The temporary ban affects only the five plaintiffs in the case and it is not yet clear whether the ruling will have broader implications in the wake of the recent reversal of [...]

July 12, 2024|Categories: Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, health equity, hospitals, Medicaid, Medicaid regulations, Medicare, Medicare regulations, Medicare reimbursement policy, Telehealth|Tags: AHRQ News Now, CHIP eligibility, CMS GUIDE model, CMS Guiding an Improved Dementia Experience Model, FTC non-compete regulation, Health Data, HHS Office of the Inspector General and fraud and abuse authorities for hospitals, HT1-2, Medicaid eligibility, Medicaid regulations, Medicare and telehealth, Medicare behavioral health payments, Medicare intensive outpatient program, Medicare physician fee schedule, Medicare regulations, Medicare substance use disorder payments, MLN Connects, Office of the National Coordinator for Health Information Technology, proposed 2025 Medicare outpatient prospective payment and ambulatory surgical center payment systems regulations, proposed 2025 Medicare physician fee schedule regulation, Substance Abuse and Mental Health Services Administration women’s behavioral health services funding, Technology and Interoperability regulation|

Federal Health Policy Update for July 5

The following is the latest health policy news from the federal government for June 29-July 5. Some of the language used below is taken directly from government documents. Department of Health and Human Services Because it has found that Medicare Advantage organizations sometimes deny prior authorization requests for post-acute care after a qualifying hospital stay even though the requests met Medicare coverage rules, HHS’s Office of the Inspector General will examine selected Medicare Advantage plans’ processes for reviewing prior authorization requests for post-acute care in long-term acute-care hospitals, inpatient rehabilitation [...]

The “Other” Supreme Court Decision

While much attention has focused on recent Supreme Court decisions involving reproductive care rights and presidential immunity, a less-noticed case has potential implications for the health care industry. In the case of Securities and Exchange Commission v. Jarkesy, the Supreme Court ruled last week that the SEC’s use of administrative proceedings to levy a fine against a hedge fund manager for misleading investors deprived that manager of the right to a court trial. While the immediate ruling addresses only the SEC case, the underlying rationale has implications across the federal [...]

July 5, 2024|Categories: Uncategorized|Tags: Securities and Exchange Commission v. Jarkesy, supreme court|

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