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MedPAC Meets

Members of the Medicare Payment Advisory Commission met publicly last week in Washington, D.C. Their agenda consisted of the following issues: telehealth in Medicare alternative approaches to lowering Medicare payments for selected conditions in inpatient rehabilitation facilities considering approaches for updating the Medicare physician fee schedule assessing consistency between plan-submitted data sources for Medicare Advantage enrollees generic drug pricing under Part D initial findings from analysis of Medicare Part B payment rates and 340B ceiling prices Go here for a brief overview of each agenda item and links to the [...]

April 16, 2024|Categories: 340b, Centers for Medicare & Medicaid Services, hospitals, Medicare, Medicare post-acute care, Medicare reimbursement policy, MedPAC|Tags: Medicare Advantage, Medicare and 340B, Medicare and inpatient rehabilitation facility reimbursement, Medicare and telehealth, Medicare Part D, Medicare Payment Advisory Commission, Medicare physician fee schedule, Medicare reimbursement issues, MedPAC|

Federal Health Policy Update for April 12

The following is the latest health policy news from the federal government for April 5-11. Some of the language used below is taken directly from government documents. CMS – Proposed FY 2025 Medicare Inpatient Prospective Payment System Regulation Earlier this week CMS issued its proposed FY 2025 Medicare inpatient prospective payment system regulation – the rule under which it envisions paying acute-care hospitals, critical access hospitals, and long-term care hospitals for inpatient care in the coming fiscal year. Highlights of the proposed rule include: Rate increases of 2.6 percent for [...]

April 12, 2024|Categories: Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, social determinants of health|Tags: AHRQ News Now, avian influenza, bird flu, Health Sector Cybersecurity Coordination Center, HHS Office of Information Security, HRSA eNews, ivermectin, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicaid hospital supplemental payments, Medicare Advantage, Medicare ambulatory surgical center payment system, Medicare Part D, MLN Connects, Proposed FY 2025 Medicare inpatient prospective payment system regulation, proposed FY 2025 Medicare long-term care hospital prospective payment system regulation, TEAM model, Transforming Episode Accountability Model|

For-Profit Operators Opening Psychiatric Hospitals

Seeing a growing shortage of inpatient psychiatric beds for people with severe mental illness, a growing number of for-profit companies are establishing psychiatric hospitals in areas of need. Across the country, inpatient psychiatric hospitals have been closing for years and many acute-care hospitals have been closing their inpatient psychiatric units as well. Now, for-profit operators see opportunity and are attempting to seize it in underserved areas – and especially in underserved rural areas. Learn more about this trend of for-profit companies opening inpatient psychiatric hospitals from the KFF Health News [...]

April 11, 2024|Categories: hospitals|Tags: hospitals, inpatient psychiatric beds, Inpatient psychiatric hospitals|

MACPAC to Talk Medicaid Financing, Supplemental Payments, More

Members of the Medicaid and CHIP Payment and Access Commission will meet publicly on Thursday, April 11 and Friday, April 12. Subjects on the two-day session’s agenda include: Medicaid and children’s health insurance program (CHIP) financing access to home- and community-based services supplemental Medicaid hospital payments such as Medicaid disproportionate share (Medicaid DSH) Medicaid unwinding recommendations for MACPAC’s June report to Congress Go here for a closer look at the MACPAC meeting agenda and for information about how to participate in the meeting.

April 10, 2024|Categories: hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH|Tags: Children's Health Insurance Program, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share payments, Medicaid DSH, Medicaid HCBS, Medicaid home and community based services, medicaid unwinding, supplemental Medicaid hospital payments|

MedPAC to Talk Telemedicine, Doc Payments, 340B, More

Members of the Medicare Payment Advisory Commission will meet publicly on Thursday, April 11 and Friday, April 12. Medicare reimbursement subjects on the two-day session’s agenda include: telehealth inpatient rehabilitation hospital payments the physician fee schedule Medicare Advantage Part D generic drug pricing Part B rate and 340B ceilings Go here for a more detailed look at the MedPAC agenda and for information about how to participate in the meeting.

April 9, 2024|Categories: 340b, Medicare, Medicare post-acute care, Medicare reimbursement policy, MedPAC, Telehealth|Tags: Medicare, Medicare Advantage, Medicare and 340B ceilings, Medicare and inpatient rehabilitation hospital payments, Medicare Part B rates, Medicare Part D generic drug pricing, Medicare Payment Advisory Commission, Medicare telehealth, MedPAC|

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