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MACPAC to Talk Medicaid Financing, Supplemental Payments, More

Members of the Medicaid and CHIP Payment and Access Commission will meet publicly on Thursday, April 11 and Friday, April 12. Subjects on the two-day session’s agenda include: Medicaid and children’s health insurance program (CHIP) financing access to home- and community-based services supplemental Medicaid hospital payments such as Medicaid disproportionate share (Medicaid DSH) Medicaid unwinding recommendations for MACPAC’s June report to Congress Go here for a closer look at the MACPAC meeting agenda and for information about how to participate in the meeting.

April 10, 2024|Categories: hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH|Tags: Children's Health Insurance Program, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share payments, Medicaid DSH, Medicaid HCBS, Medicaid home and community based services, medicaid unwinding, supplemental Medicaid hospital payments|

MedPAC to Talk Telemedicine, Doc Payments, 340B, More

Members of the Medicare Payment Advisory Commission will meet publicly on Thursday, April 11 and Friday, April 12. Medicare reimbursement subjects on the two-day session’s agenda include: telehealth inpatient rehabilitation hospital payments the physician fee schedule Medicare Advantage Part D generic drug pricing Part B rate and 340B ceilings Go here for a more detailed look at the MedPAC agenda and for information about how to participate in the meeting.

April 9, 2024|Categories: 340b, Medicare, Medicare post-acute care, Medicare reimbursement policy, MedPAC, Telehealth|Tags: Medicare, Medicare Advantage, Medicare and 340B ceilings, Medicare and inpatient rehabilitation hospital payments, Medicare Part B rates, Medicare Part D generic drug pricing, Medicare Payment Advisory Commission, Medicare telehealth, MedPAC|

Federal Health Policy Update for April 4

The following is the latest health policy news from the federal government for March 29 – April 4. Some of the language used below is taken directly from government documents. The White House The White House has announced that the Office of Management and Budget (OMB) has issued a government-wide policy to attempt to mitigate the risks of artificial intelligence (AI) and harness its benefits. The order directs action to strengthen AI safety and security, protect privacy, advance equity and civil rights, stand up for consumers and workers, and promote [...]

April 4, 2024|Categories: Affordable Care Act, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, hospitals, Medicaid, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|Tags: AHRQ News Now, artificial intelligence, artificial intelligence in health care, CDC health advisory, CDC health alert, Cybersecurity, drug shortages and public policy, essential health benefits, HRSA eNews, Medicaid behavioral health access, medical education and patient consent, Medicare 2024 outpatient prospective payment system payment update, Medicare Advantage 2025 rates, Medicare behavioral health care access, Medicare Payment Advisory Commission, Medicare proposed 2025 inpatient psychiatric facility payment system rates, Medicare proposed 2025 proposed hospice payment system rates, Medicare proposed 2025 skilled nursing facility prospective payment system rates, MedPAC, MLN Connects, nursing home facility-initiated discharges, special enrollment period|

Medicaid Unwinding After One Year

The process known as “Medicaid unwinding” has now been under way for a year. When Congress expanded Medicaid eligibility in response to the COVID-19 pandemic it also banned states from removing participants from their Medicaid rolls; the penalty for doing so was reduced federal Medicaid funding, a price no state was willing to pay. During the course of the pandemic, nationwide Medicaid enrollment rose 22 million, to 94 million last March. But a year ago states were directed to begin reviewing the eligibility of those then on their Medicaid rolls [...]

April 3, 2024|Categories: COVID-19, Medicaid|Tags: medicaid unwinding|

Federal Health Policy Update for March 28

The following is the latest health policy news from the federal government for March 22-28. Some of the language used below is taken directly from government documents. The Cyberattack on Change Healthcare HHS, its Administration for Strategic Preparedness and Response, and CMS have published a resource guide for providers seeking assistance in response to the Change Healthcare cyberattack. Find that guide here. Centers for Medicare & Medicaid Services CMS has issued a proposed rule to update Medicare payment policies and rates under its Inpatient Rehabilitation Facility (IRF) Prospective Payment System and [...]

March 28, 2024|Categories: Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy|Tags: Advanced Research Projects Agency, ARPA-H, Change Healthcare cyberattack, CISA, Cyber Incident Reporting for Critical Infrastructure Act, Cybersecurity and Infrastructure Agency, Department of Homeland Security, FDA approves Pemgarda, Government Accountability Office and improper Medicare and Medicaid payments, Government Accountability Office and maternal and infant deaths, HHS Health Care Cybersecurity Coordination Center, HHS Health Sector cybersecurity concept paper, HHS Office of Information Security, HHS Office of the Inspector General, HHS Office of the National Coordinator for Health Information Technology, Medicaid and CHIP enrollment rule, Medicaid and CHIP Payment and Access Commission and school-based Medicaid services, Medicare Part B prescription drug discounts, Medicare payment bulletins, Medicare value-based payments, MLN Connects, ONC, ONC strategic plan, proposed FY 2025 Medicare inpatient rehabilitation facility prospective payment system rule, SAMHSA grants, short-term limited duration health insurance, STLDI|

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