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Federal Health Policy Update for January 16

The following is the latest health policy news from the federal government for January 11-17. Some of the language used below is taken directly from government documents. Congress House Budget Committee Republican members of the House Budget Committee have circulated a list of possible policy changes that would reduce federal spending by between $5.3 trillion and $5.7 trillion over a period of ten years. Up to $3.4 trillion of those possible cuts could include reductions in federal health care spending. The health care cuts the document lists (all figures are [...]

January 16, 2025|Categories: Accountable Care Organization, ACO, Affordable Care Act, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Congress, COVID-19, Federal Update, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicaid DSH allotments, Medicaid regulations, Medicare, Medicare bad debt reimbursement, Medicare cuts, Medicare disproportionate share, Medicare DSH, Medicare regulations, Medicare reimbursement policy, Pennsylvania Update, Telehealth|Tags: artificial intelligence, Children's Health Insurance Program, CHIP, DEA and telehealth, Drug Enforcement Administration and telehealth, federal medical assistance percentage, FMAP, health care and private equity, health care consolidation, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid and HIV, Medicaid and postpartum health, Medicaid per capita caps, Medicaid provider taxes, Medicaid work requirement, Medicare Advantage, Medicare and accountable care organizations, Medicare and alternative payment models, Medicare and biosimilars, Medicare bad debt reimbursement, Medicare disproportionate share payments, Medicare DSH, Medicare Part D, Medicare sequestration, Medicare site-neutral outpatient payments, MLN Connects, No Surprises Act, public charge rule, surprise medical billing, telehealth and buprenorphine|

House Committee Mulls Possible Health Care Cuts

Republican members of the House Budget Committee have circulated a list of possible policy changes that would reduce federal spending between $5.3 trillion and $5.7 trillion over a period of ten years. Up to $3.4 trillion of those possible cuts could include reductions in federal health care spending. The health care cuts the document lists (all figures are ten-year reductions) are: Medicare introducing Medicare site-neutral outpatient payments - $146 billion reducing Medicare disproportionate share (Medicare DSH) uncompensated care payments - $229 billion reducing Medicare bad debt reimbursement - $42 billion [...]

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|

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