Bulletin Board
Bulletin Board
MACPAC Issues Annual Report to Congress
The Medicaid and CHIP Payment and Access Commission has issued its annual report to Congress. This year’s MACPAC report primarily addresses three issues: How state Medicaid agencies can improve beneficiary engagement with state medical care advisory committees and what the federal government can do to facilitate that engagement. The current process for monitoring and overseeing denials of care and appeals of those denials by Medicaid managed care plans and how states and the federal government can improve those processes and make them more transparent. MACPAC’s annual review of Medicaid disproportionate [...]
MedPAC Recommends Medicare Rate Updates to Congress
Some health care providers deserve larger Medicare payments in 2025, some should receive payment cuts, and others should see their payments go unchanged according to new recommendations from the Medicare Payment Advisory Commission to Congress. In its annual report to Congress, MedPAC recommended the following changes in Medicare rates for 2025: Medicare inpatient rates – the rate increase currently scheduled by law for 2025 plus 1.5 percent. Medicare outpatient rates – the rate increase currently scheduled by law for 2025 plus 1.5 percent. Medicare physician rates – the rate increase [...]
Federal Health Policy Update for March 14
The following is the latest health policy news from the federal government for March 8-14. Some of the language used below is taken directly from government documents. The White House The Biden administration this week released its proposed FY 2025 federal budget. Health care highlights include: Making permanent the expanded health care premium tax credits introduced to make health insurance marketplace plans more affordable for middle-class Americans. Extension of coverage similar to Medicaid to residents of the 10 states that have not taken advantage of the Affordable Care Act opportunity [...]
MACPAC Meets
Members of the Medicaid and CHIP Payment and Access Commission met publicly last week in Washington, D.C. The following is MACPAC’s own summary of its meeting. The March 2024 MACPAC meeting began with proposed recommendations on improving the transparency of Medicaid financing. The proposed recommendations are intended to improve the transparency of Medicaid financing methods, state-level financing amounts, and provider-level financing amounts. The presentation also included a recommendation to apply the proposed Medicaid financing transparency requirements to the State Children’s Health Insurance Program (CHIP). Staff reviewed the rationale for the recommendations and [...]
MedPAC Meets
Members of the Medicare Payment Advisory Commission met publicly last week in Washington, D.C. Their agenda consisted of the following issues: Rural hospital and clinician payment policy: A workplan for 2024–2025 Assessing data sources for measuring health care utilization by Medicare Advantage enrollees: Encounter data and other sources Preliminary analysis of Medicare Advantage quality Medicare’s Acute Hospital Care at Home program Update on trends and issues in Medicare inpatient psychiatric services Go here for a brief overview of each agenda item and links to the staff presentations on those issues [...]