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Federal Health Policy Update for January 9

The following is the latest health policy news from the federal government for January 4-10. Some of the language used below is taken directly from government documents. Congress Congressional leaders continued to refine their committee membership for the 119th Congress. In the past week, the following additions were made to committees with jurisdiction over health care matters: The House Energy and Commerce Committee has added six new Democratic members to the committee: Reps. Kevin Mullin (CA), Troy Carter (LA), Jennifer McClellan (VA), Greg Landsman (OH), Jake Auchincloss (MA), and Alexandria [...]

January 9, 2025|Categories: Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, Federal Update, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare reimbursement policy|Tags: Certified Community Behavioral Health Clinic Medicaid Demonstration Program, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicaid CHIP and behavioral health services, Medicare payment policies, Transforming Maternal Health Model|

Looking Ahead to Health Care in 2025

How will hospitals fare in 2025? With a new president and new majority in the House, change could be coming in the health care world, especially for hospitals. In a wide-ranging overview at the possible changes to come, Fierce Healthcare looks at several important measures of hospital finances, including margins, changes in payer mix, outpatient volume and revenue, discharges, credit ratings, labor costs, and supply and drug costs. It also considers potential policy changes, including changes in health care premium subsidies, future Medicare rate changes, the federal government’s potential role [...]

January 8, 2025|Categories: Federal Update, hospitals, Medicare, News, Pennsylvania Update|Tags: Cybersecurity, health insurance premium subsidies, hospital credit ratings, hospital margins, hospital outpatient revenue, hospital outpatient volume, hospital payer mix, Medicare rate changes|

Federal Health Policy Update for January 3

The following is the latest health policy news from the federal government for December 20 through January 3. Some of the language used below is taken directly from government documents. Congress The 119th Congress convened today to swear in new members and members of the House of Representatives have re-elected Rep. Mike Johnson (R-LA) as Speaker. Centers for Medicare & Medicaid Services CMS has published a solicitation for up to 10 additional hospitals from eligible low population density states to participate in its Rural Community Hospital Demonstration program. The Medicare Prescription [...]

January 3, 2025|Categories: Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, Federal Update, hospitals, Medicaid, Medicare, Medicare regulations, Pennsylvania Update, Telehealth|Tags: CMS Rural Community Hospital Demonstration program, Community-Based Maternal Behavioral Health Services Program, Coverage of Certain Preventive Services Under the Affordable Care Act proposed rule, critical access hospitals, direct care worker wages, gene therapy for sickle cell disease, health care cybersecurity, Health Insurance Portability and Accountability Act of 1996, HIPAA, Home Health Value-Based Purchasing Program, Independent Dispute Resolution entities, Inflation Reduction Act Medicare drug provisions, Medicaid and CHIP eligibility reviews, Medicaid and CHIP telehealth utilization trends, Medicaid spending on diabetes and weight loss drugs, No Surprises Act, Update to the Health Resources and Services Administration-Supported Women's Preventive Services Guidelines|

Federal Health Policy Update for December 19

The following is the latest health policy news from the federal government for December 13-19. Some of the language used below is taken directly from government documents. Congress Funding for the operation of the federal government will expire tomorrow, December 20, unless Congress passes a funding bill. Earlier this week, congressional leaders agreed on a continuing resolution that included a number of health care priorities, including relief from scheduled Medicaid DSH cuts, relief for Medicare physician payment cuts, extension of telehealth flexibilities, extension of the Acute Hospital Care at Home [...]

December 19, 2024|Categories: 340b, Accountable Care Organization, ACO, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicaid DSH allotments, Medicare reimbursement policy, MedPAC, Telehealth|Tags: 340B, Acute Hospital at Home Program, CDC and bird flu, CMS Optimizing Care Delivery A Framework for Improving the Health Care Experience, continuing resolution, Health Data Technology and interoperability regulation, information blocking, Innovation in Behavioral Health Model, MACPAC, Mediare outpatient dialysis payments, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, medicare advantage value-based insurance design model, Medicare and weight-loss drugs, Medicare clinical laboratory rates 2025, Medicare DMEPOS rates 2025, Medicare durable medical education prosthetics orthotics and supplies rates 2025, Medicare home health payments, Medicare hospice payments, Medicare inpatient hospital payments, Medicare inpatient rehabilitation facility payments, Medicare outpatient hospital payments, Medicare Payment Advisory Commission, Medicare physician fee schedule, Medicare physician payments, Medicare skilled nursing facility payments, MedPAC, MedPAC Medicare rate recommendations, Merit-Based Incentive Payment System MIPS, MLN Connects, telehealth|

MACPAC Meets

Members of the Medicaid and CHIP Payment and Access Commission met publicly last week in Washington, D.C. The following is MACPAC’s own summary of its meeting. The MACPAC December 2024 meeting began with a discussion on accountability in Medicaid managed care, which is the predominant delivery system in Medicaid. MACPAC will examine the tools the Centers for Medicare & Medicaid Services (CMS) and state Medicaid agencies use to manage managed care organizations’ (MCOs) performance and hold plans accountable to contractual obligations. Staff presented findings from MACPAC’s review of federal policy [...]

December 18, 2024|Categories: Centers for Medicare & Medicaid Services, Congress, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid regulations|Tags: MACPAC, Medicaid and CHIP Payment and Access Commission, Medicaid home and community based services, Medicaid managed care, Medicare Advantage|

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