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Federal Health Policy Update for June 13

The following is the latest health policy news from the federal government for June 7-13. Some of the language used below is taken directly from government document. Supreme Court The Supreme Court has agreed to hear a challenge to how the Department of Health and Human Services calculates hospitals’ Medicare disproportionate share (Medicare DSH) payments. The case was added to the court’s 2024-2025 schedule. Congress Individual members and key committees in Congress continue to introduce and mark up health care-related legislation with an eye toward including these initiatives in an [...]

June 13, 2024|Categories: Alternative payment models, Centers for Medicare & Medicaid Services, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid regulations, Medicare, Medicare disproportionate share, Medicare DSH, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|Tags: AHRQ News Now, CARE for Health, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicare Acute Hospital Care at Home program, Medicare Advantage, Medicare Advantage prior authorization, Medicare alternative payment models, Medicare and telehealth, Medicare disproportionate share, Medicare DSH, Medicare ICD-10-PCS, Medicare navigators, Medicare Payment Advisory Commission, MedPAC, MLN Connects, National Institutes of Health Communities Advancing Research Equity for Health, skilled nursing facilities change of ownership, state Medicaid financing|

Supreme Court to Review Medicare DSH Case

The Supreme Court will hear a challenge to how the federal government calculates Medicare disproportionate share hospital payments (Medicare DSH) for hospitals that serve especially large numbers of low-income patients. At the heart of the issue is the Department of Health and Human Services’ contention that patients who are enrolled in Social Security’s Supplemental Security Income program but are not receiving supplemental payments at the time of their admission to a hospital should not count toward a hospital’s percentage of low-income patients in the calculation of Medicare DSH payments. A [...]

June 12, 2024|Categories: Medicare disproportionate share, Medicare DSH|Tags: Medicare disproportionate share, Medicare DSH|

Federal Health Policy Update for June 6

The following is the latest health policy news from the federal government for May 31-June 6. Some of the language used below is taken directly from government documents. Centers for Medicare & Medicaid Services The deadline for stakeholders to submit comments on CMS’s proposed FY 2025 Medicare inpatient prospective payment system and long-term-care hospital prospective payment system regulation is Monday, June 10. Go here for further information about the proposed rule and how to submit comments. CMS has posted a bulletin describing billing changes in the Medicare hospital outpatient prospective [...]

June 6, 2024|Categories: Accountable Care Organization, ACO, Centers for Medicare & Medicaid Services, COVID-19, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|Tags: ACO Primary Care Flex Model, AHRQ News Now, ambulatory surgical centers, avian flu, bird flu, CDC and National Healthcare Safety Network Coronavirus Surveillance in Healthcare Facilities, Certified Community Behavioral Health Clinic, Change Healthcare, distributed denial of service attacks, EMTALA, Enhancing Oncology Model, HHS Health Sector Cybersecurity Coordination Center and Office of Information Security, Home Health Value-Based Purchasing Model, Medicaid and peer support services, medicaid unwinding, Medicaid unwinding data report, Medicare Advantage, Medicare hospital outpatient prospective payment system, Medicare Part D, MedPAC, MLN Connects, Proposed FY 2025 Medicare inpatient prospective payment system regulation, Rural Maternity and Obstetrics Management Strategies Program, Substance Abuse and Mental Health Services Administration|

Federal Health Policy Update for May 30

The following is the latest health policy news from the federal government for May 24-30. Some of the language used below is taken directly from government documents. Congress When the House and Senate return to Washington, DC from the Memorial Day recess next week committees will resume holding hearings and markups on health care policy while appropriators will focus on funding for federal fiscal year 2025, which begins October 1. While there seems to be plenty of activity in Congress it is widely expected that only the most essential bills, [...]

May 30, 2024|Categories: 340b, Centers for Medicare & Medicaid Services, Congress, COVID-19, hospitals, Medicaid, Medicaid managed care, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|Tags: 340B prescription drug program, Advisory Committee to the Director of the CDC, AHRQ News Now, graduate medical education, health care consolidation, health care extenders, HRSA eNews, Maternal health, Medicaid managed care prior authorization, Medicare Payment Advisory Commission, Medicare physician payments, Medicare site-neutral payments for hospital-based outpatient departments, MedPAC, MLN Connects, post-acute care, proposed FY 2025 Medicare hospice wage index and payment rate update, proposed FY 2025 Medicare inpatient psychiatric facility rates, proposed FY 2025 Medicare inpatient rehabilitation facility prospective payment system rates, proposed FY 2025 Medicare skilled nursing facility prospective payment system rates, safety-net hospitals|

Federal Health Policy Update for May 23

The following is the latest health policy news from the federal government for May 18-23. Some of the language used below is taken directly from government documents. Congress Leaders of the Senate Finance Committee have released a white paper outlining potential reforms of how Medicare pays physicians and how Medicare might better meet the needs of those with chronic illnesses. The white paper notes areas of interest the committee sees as opportunities for reform, including: Creating sustainable payment updates to ensure clinicians can own and operate their practices. Creating incentives [...]

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