Bulletin Board

How Many Will Lose Medicaid Coverage?

When the COVID-19 public health emergency ends, millions of Americans are expected to lose Medicaid coverage. With the public health emergency winding down, states will be permitted to evaluate recipients’ continued Medicaid eligibility and, in many cases, declare ineligible many who currently are enrolled in the program. But how many people will lose their Medicaid coverage? The National Association of Medicaid Directors summarizes estimates from the Urban Institute, the Kaiser Family Foundation, and the Department of Health and Human Services on how many people will lose their Medicaid coverage in [...]

October 12, 2022|Categories: Medicaid|Tags: Medicaid and COVID-19, Medicaid and the public health emergency, medicaid unwinding|

Federal Health Policy Update for October 6

The following is the latest health policy news from the federal government for the week of September 26 to October 6. Some of the language used below is taken directly from government documents. 340B HHS must immediately end its significant cut in reimbursement for 340B-covered prescription drugs provided on an outpatient basis to eligible patients, a federal court has ruled, writing that “The prospective portion of the 2022 reimbursement rate shall be vacated because it is defective and because vacating this portion of the 2022 OPPS Rule will not cause [...]

October 6, 2022|Categories: 340b, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, Medicaid, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|Tags: 2022 National Strategy to Support Family Caregivers, 340B, CMS and nursing home COVID policies, CMS proposed National Directory of Healthcare Providers and Services, CMS Transmittal 17, Department of Labor Nursing Expansion Grant Program, HHS and monkeypox, HHS Health Resources and Services Administration, HHS HRSA, HHS Medicare Drug Rebate and Negotiations Group, HHS Office of Minority Health, HHS Office of Population Affairs, HHS Office of the Inspector General, HHS Office of the Inspector General and telehealth, HHS Office of the National Coordinator for Health Information Technology, HHS ONC, Medicaid section 1115 waivers, Medicare disproportionate share, Medicare DSH, Medicare Payment Advisory Commission, MedPAC, MLN Connects, ONC health record information- blocking|

FEDERAL HEALTH POLICY UPDATE FOR THE WEEK OF SEPTEMBER 19-27

The following is the latest health policy news from the federal government for the week of September 19-27. Some of the language used below is taken directly from government documents. White House The White House has issued a fact sheet summarizing new actions and funding to address the overdose epidemic and support recovery as part of its September “National Recovery Month.” Awarding $1.5 billion for all states and territories to address addiction and the opioid crisis. Investing more than $104 million to expand substance use treatment and prevention in rural [...]

MACPAC Meets

The Medicaid and CHIP Payment and Access Commission met for two days last week in Washington, D.C. Supporting the discussion were the following briefing papers: Background on Medicaid Race and Ethnicity Data Collection and Reporting State Strategies and Stakeholder Engagement for Unwinding the Public Health Emergency Continuous Coverage Requirement Improving Rate Setting and Risk Mitigation in Medicaid Managed Care Principles for Assessing Medicaid Nursing Facility Payments Relative to Costs Countercyclical Disproportionate Share Hospital Policies Medicaid Coverage of Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease Review of [...]

September 23, 2022|Categories: MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicaid long-term services and supports, Medicaid managed care|Tags: MACPAC, Medicaid and CHIP Payment and Access Commission, Medicaid and unwinding the public health emergency, Medicaid disproportionate share payments, Medicaid DSH payments, Medicaid long-term services and supports, Medicaid managed care rate-setting, Medicaid MLTSS, Medicaid nursing facility payments|

Feds Pursue Next Regs for Surprise Billing Law

In their continuing effort to implement the complex No Surprises Act, the 2020 law that seeks to prevent consumers from receiving surprise medical bills, federal regulators are now turning their attention to how providers and payers should inform insured individuals about the costs they may incur for procedures and purchases. Specifically, the federal agencies with jurisdiction over the law and its implementation – the Department of Health and Human Services, the federal Office of Personnel Management, the Internal Revenue Service, the Department of the Treasury, the Department of Labor, and [...]

September 22, 2022|Categories: Uncategorized|Tags: No Surprises Act, surprise billing law, surprise medical bill law, Surprise medical bills|

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