Bulletin Board

Federal Health Policy Update for May 15

The following is the latest health policy news from the federal government for May 9-15. Some of the language used below is taken directly from government documents. Congress: Reconciliation House Energy and Commerce Committee Charged with finding $880 billion in federal spending cuts over the next ten years, the House Energy and Commerce Committee this week produced legislative language to be included in a House reconciliation bill that would achieve that objective. The committee’s cost-cutting provisions include: Freezing state Medicaid provider taxes at their current level, prohibiting the establishment of [...]

May 15, 2025|Categories: Accountable Care Organization, ACO, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, deficit reduction, Medicaid, Medicaid disproportionate share, Medicaid DSH, Medicaid managed care, Medicaid regulations, Medicare, Medicare cuts, Medicare regulations, Medicare reimbursement policy|Tags: Center for Medicare and Medicaid Innovation, federal Medicaid matching funds, federal medical assistance percentage, FMAP, FY 2025 budget reconciliation bill, House Energy and Commerce Committee, Medicaid, Medicaid disproportionate share, Medicaid DSH, Medicaid eligibility, Medicaid provider taxes, Medicaid state directed Medicaid payments, Medicaid state plan amendments, Medicaid work requirements, Medicare Drug Price Negotiation Program, Medicare physician payments, retroactive Medicaid eligibility, state directed Medicaid payments|

Federal Health Policy Update for May 8

The following is the latest health policy news from the federal government for May 2-8. Some of the language used below is taken directly from government documents. Congress Reconciliation Over the past several days the political gravity surrounding Medicaid cuts has begun to shift slightly. Moderate Republicans have been pushing back more forcefully and more loudly against such cuts, with some saying they will not support more than work requirements and increased enforcement checks for eligibility. Opposition to most Medicaid cuts led the Energy and Commerce Committee to delay a [...]

Supreme Court Rejects Medicare DSH Challenge

The Supreme Court has rejected the appeal of a lower court ruling that found that the Centers for Medicare & Medicaid Services did not undercalculate hospitals’ Medicare disproportionate share payments between 2006 and 2009. In the suit, more than 200 hospitals argued that the calculation of Medicare DSH payments should be based on all hospitalized patients who qualify for both Supplemental Security Income (SSI) and Medicare. The Supreme Court disagreed, confirming in a 7-2 decision the ruling of lower courts that SSI should only be included in DSH calculations when [...]

May 5, 2025|Categories: Medicare disproportionate share, Medicare DSH|Tags: Medicare disproportionate share payments, Medicare DSH, supreme court|

Federal Health Policy Update for May 1

The following is the latest health policy news from the federal government for April 25 – May 1. Some of the language used below is taken directly from government documents. Congress Reconciliation The House and Senate returned to Washington D.C. this week and House committees have begun marking up reconciliation legislation for submission to the House Budget Committee by May 9. The Energy and Commerce Committee is expected to seek nearly $550 billion in cuts to Medicaid spending and the most likely targets for cuts continue to be work requirements [...]

May 1, 2025|Categories: Centers for Medicare & Medicaid Services, Congress, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, Telehealth|Tags: federal Medicaid matching rate, FMAP, funding for Medicaid expansion population, House Energy and Commerce Committee, Medicaid cuts, Medicaid provider taxes, Medicaid section 1915(c) home- and community-based services waivers, Medicaid state directed payments, Medicaid state plan amendments, Medicaid work requirements, Medicare disproportionate share payments, Medicare drug pricing negotiation program, Medicare DSH, Medicare physician payments, Medicare Prescription Drug Inflation Rebate Program, MLN Connects, telehealth, the Supreme Court and Medicare DSH|

Medicaid Financing 101

The National Association of Medicaid Directors has published a primer on how Medicaid is financed at the state and federal levels. The background paper describes the federal Medical Assistance percentage – FMAP, the rate at which the federal government provides matching funds for state Medicaid expenditures – how money flows from the federal government to the states, how Medicaid costs are budgeted at the state level, and how states raise their share of their Medicaid costs. It also outlines factors that affect Medicaid spending, such as enrollment, covered benefits, utilization, [...]

May 1, 2025|Categories: Medicaid|Tags: federal medical assistance percentage, FMAP, Medicaid budgets, Medicaid financing, Medicaid spending, Medicaid utilization|

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