Bulletin Board
Bulletin Board
Federal Health Policy Update for December 5
The following is the latest health policy news from the federal government for November 22 – December 5. Some of the language used below is taken directly from government documents. Congress The House has posted its session calendar for 2025. Find that calendar here. Yesterday, House Republicans made an offer to House Democrats regarding health care provisions to be included in the continuing resolution (CR) that must pass before December 20. The offer is a conversation-opener and very few details are available. Although most of the proposed policies have bipartisan [...]
Providers Winning Big on No Surprises Act Disputes
Health care providers are winning more than 86 percent of the emergency care payment disputes they take to adjudication through the Independent Dispute Resolution process established under the 2020 No Surprises Act. The abstract of the article “No Surprises Act independent dispute resolution outcomes for emergency services,” published by the journal Health Affairs Scholar, explains that The No Surprises Act banned surprise billing and established a final-offer arbitration system, independent dispute resolution (IDR), to resolve disagreements between health plans and providers. One factor that arbiters must consider in the IDR [...]
Hospital Compliance With Price Transparency Rules Erodes
Hospitals’ compliance with federal price transparency regulations declined during 2024. According to the organization PatientRightsAdvocate.org, hospital compliance with the federal standard fell from 34.5 percent in February of this year to 21.1 percent in November. Under federal guidelines, hospitals are required to post payer-specific rates for their 300 most common procedures and those postings must be made in a consumer-friendly format. PatientRightsAdvocate.org reviewed the postings of 2000 hospitals and found that while all of them posted data in the appropriate format, the quality of that data varied greatly. While the [...]
Federal Health Policy Update for November 21
The following is the latest health policy news from the federal government for November 15-21. Some of the language used below is taken directly from government documents. The Incoming Administration President Trump has nominated Robert F. Kennedy, Jr. for Secretary of Health and Human Services and Dr. Mehmet Oz for Administrator of the Centers for Medicare & Medicaid Services (CMS). Both positions require confirmation by the Senate. Senators will start the process of confirming the President-elect’s cabinet nominees when the new Congress convenes in January. Congress Funding for the federal [...]
Medicaid Changes on the Agenda?
With a new administration 60 days from taking office and the same party to be controlling the White House, Senate, and House of Representatives, Medicaid changes are a common topic of conversation in Washington policy circles these days. One of the objectives of those conversations: reducing federal spending on Medicaid, which in federal fiscal year 2023 amounted to $860 billion. Among the means of reducing those expenditures that can be expected to be the subject of policy deliberations in the coming months are: Instituting Medicaid work requirements. Ending the supplemental [...]