Bulletin Board

Federal Health Policy Update for May 2

The following is the latest health policy news from the federal government for April 26 – May 2. Some of the language used below is taken directly from government documents. No Surprises Act – Independent Dispute Resolution Process CMS has announced a new process for resubmitting Independent Dispute Resolution (IDR) disputes that were originally improperly batched or bundled.This new resubmission process is automated in the federal IDR portal and seeks to streamline federal IDR operations. For further information about this new process and an implementation timetable, see this CMS announcement. [...]

May 2, 2024|Categories: Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy|Tags: Affordable Care Act section 1557, AHRQ News Now, CMS Medicare Promoting Interoperability Program, CMS Medicare stay of enrollment policy, COVID-19 vaccine recommendations, FDA and in vitro diagnostic products, FDA and IVDs, FDA and laboratory-developed tests, FDA and LDTs, FDA Home as a health care hub, HHS and artificial intelligence, HHS Office of Civil Rights, HHS rule affirming non-discrimination in HHS-funded grant programs and services, HHS rule prohibiting discrimination based on disability, HHS rule protecting against discrimination in health care, HHS rule protecting LTBTQ+ people, hospitals and COVID-19 data reporting, HRSA eNews, Medicare skilled nursing facility billing, MLN Connects, No Surprises Act, no surprises act independent dispute resolution|

Federal Health Policy Update for April 25

The following is the latest health policy news from the federal government for April 9-25. Some of the language used below is taken directly from government documents. Updated 340B Arbitration Process Last week HHS’s Health Resources and Services Administration (HRSA) published a regulation modifying the administrative dispute resolution (ADR) process it uses to adjudicate payment disputes between 340B-eligible providers and pharmaceutical companies. The major changes in the ADR process include the use of HRSA experts to serve on ADR panels; elimination of the $25,000 damage threshold for filing a claim; [...]

April 25, 2024|Categories: 340b, Accountable Care Organization, ACO, Centers for Medicare & Medicaid Services, hospitals, Medicaid, Medicaid long-term services and supports, Medicaid managed care, Medicaid regulations, Medicaid regulations for long-term care, Medicaid regulations for the disabled, Medicare, Medicare post-acute care, Medicare regulations, post-acute care|Tags: 340B, 340B administrative dispute resolution, 340b ADR process, 340B arbitration process, AHRQ News Now, Change Healthcare cyberattack, CMS nursing home minimum staffing regulation, Federal Trade Commission and anti-competitive practices in health care, Federal Trade Commission and non-compete contracts, FTC and anti-competitive practices in health care, FTC and non-compete contracts, HIPAA, HIPAA and reproductive health care, HRSA eNews, Medicaid and CHIP access regulation, Medicaid and CHIP managed care access finance and quality regulation, Medicaid HCBS, Medicaid home and community based services, Medicare accountable care organizations, Medicare ACOs, MLN Connects|

Racial, Ethnic Health Care Disparities Remain Widespread

Racial and ethnic health disparities are pervasive across all states, according to a new report from the Commonwealth Fund. According to “The Commonwealth Fund 2024 State Health Disparities Report,” Racial and ethnic disparities are pervasive across all states. Death rates and prevalence of health problems vary significantly by race and ethnicity in every state. Racial and ethnic health disparities are perpetuated by less insurance coverage and unequal access to high-quality care. Lack of comprehensive insurance coverage is a key contributor to disparities in access. Being uninsured or underinsured has consequences. [...]

April 23, 2024|Categories: health equity|Tags: ethnic health disparities, ethnic health inequities, Health care disparities, health care equity, racial health disparities, racial health inequities|

Self-Employed Docs Increasingly Uncommon

The number of self-employed and independent practice physicians has fallen from three out of every four in 2012 to just one out of four today, according to a new study. The drastic change in just a dozen years is the result of hospitals and corporate entities purchasing physician practices. Hospital and corporate ownership are now greatest in the south and currently growing fastest in the northeast. For the first time, moreover, corporate ownership has surpassed hospitals as the largest owners of physician practices. Learn more about the changing nature of [...]

April 22, 2024|Categories: hospitals|Tags: corporate ownership of physician practices, hospital ownership of physician practices, Physician practice ownership|

Federal Health Policy Update for April 18

The following is the latest health policy news from the federal government for April 12-18. Some of the language used below is taken directly from government documents. The White House The administration has launched a new global health security strategy that seeks to drive action across federal departments and agencies and rally support from other countries, the private sector, and civil society to better prevent, detect, respond to, and recover from infectious disease threats. The strategy seeks to build on the lessons learned from the response to the COVID-19 pandemic. [...]

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