Accountable Care Organization

Federal Health Policy Update for February 23

The following is the latest health policy news from the federal government for February 17-23. Some of the language used below is taken directly from government documents. Centers for Medicare & Medicaid Services CMS has issued an informational bulletin to states reiterating certain federal requirements that pertain to health care-related taxes. Recently, CMS became aware that some health care-related tax programs appear to involve agreements among providers to redistribute their Medicaid payments to hold taxpayers harmless for the cost of the tax. The bulletin reminds states that such arrangements are prohibited. Find the CMS bulletin here. CMS has posted a [...]

iqtsupport2023-02-23T15:53:32-05:00February 23, 2023|Accountable Care Organization, ACO, Alternative payment models, COVID-19, Medicaid, Medicare, Telehealth|

Federal Health Policy Update for Friday, April 1

The following is the latest health policy news from the federal government as of 2:30 p.m. on Friday, April 1. Some of the language used below is taken directly from government documents. Provider Relief Fund After April 5, this program also will stop accepting claims for administering vaccines to uninsured individuals. See this notice for further information about both deadlines for submitting claims. Proposed Medicare Payment Regulations for FY 2023 CMS has published its proposed inpatient rehabilitation facility (IRF) prospective payment system and IRF quality reporting program for FY 2023. The agency proposes a 2.8 percent net increase in Medicare [...]

iqtsupport2022-04-01T17:09:26-04:00April 1, 2022|Accountable Care Organization, ACO, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, health equity, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Wednesday, March 30

The following is the latest health policy news from the federal government as of 2:30 p.m. on Wednesday, March 30. Some of the language used below is taken directly from government documents. Provider Relief Fund The Provider Relief Fund last week distributed more than $413 million to more than 3600 providers across the country, the fourth round of Phase 4 payments since those payments began last November. This is in addition to nearly $7.5 billion in American Rescue Plan (ARP) Rural payments over the past four months. HHS’s Health Resources and Services Administration (HRSA), which administers the Provider Relief Fund, [...]

iqtsupport2022-03-30T17:28:16-04:00March 30, 2022|Accountable Care Organization, ACO, Centers for Medicare & Medicaid Services, CMMI, Congress, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare reimbursement policy|

Federal Health Policy Update for Tuesday, March 22

The following is the latest health policy news from the federal government as of 2:30 p.m. on Tuesday, March 22. Some of the language used below is taken directly from government documents. Provider Relief Fund As of March 22 at 11:59 p.m. (eastern) the HRSA (Health Resources and Services Administration) COVID-19 Uninsured Program will stop accepting claims for testing and treatment due to lack of funds and on April 5 at 11:59 p.m. (eastern) the HRSA COVID-19 Uninsured Program and COVID-19 Coverage Assistance Fund will stop accepting vaccination claims due to a lack of funds. HRSA has released additional information [...]

iqtsupport2022-03-22T20:50:28-04:00March 22, 2022|340b, Accountable Care Organization, ACO, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, health equity, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Wednesday, March 2

The following is the latest health policy news from the federal government as of 3:00 p.m. on Wednesday, March 2. Some of the language used below is taken directly from government documents. Provider Relief Fund The Provider Relief Fund FAQ has been updated with three modified questions that address 1099 forms and procedures involved in returning Provider Relief Fund money to the federal government. Find the three updates, all marked “Modified 2/25/2022,” on pages 6 and 8 of the Provider Relief Fund FAQ. Federal Response to Surprise Billing Regulation Court Decision Last week a federal court decision invalidated a major [...]

iqtsupport2022-03-02T17:41:03-05:00March 2, 2022|Accountable Care Organization, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Friday, January 28

The following is the latest health policy news from the federal government as of 3:45 p.m. on Friday, January 28. Some of the language used below is taken directly from government documents. Provider Relief Fund HHS and its Health Resources and Services Administration (HRSA) announced that this week they made more than $2 billion in Provider Relief Fund Phase 4 General Distribution payments to more than 7,600 providers. Nearly $11 billion of the $17 billion allocated for Provider Relief Fund Phase 4 payments have now been distributed. Phase 4 payments have an increased focus on equity, including reimbursing a higher [...]

iqtsupport2022-01-28T17:26:51-05:00January 28, 2022|Accountable Care Organization, ACO, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Congress, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Monday, December 6

The following is the latest health policy news from the federal government as of 2:45 p.m. on Monday, December 6. Some of the language used below is taken directly from government documents. The White House The White House has published a plan outlining the steps the administration will take to combat the delta and omicron variants of COVID-19 in the coming months. The major components of this plan are boosters for all adults, vaccinations for children, expanded free home testing, stronger public health protocols for international travel, workplace protections, rapid response teams to help battle rising cases, and supplying treatment [...]

iqtsupport2021-12-06T17:23:36-05:00December 6, 2021|Accountable Care Organization, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicare reimbursement policy, MedPAC, Telehealth|

Federal Health Policy Update for Monday, November 15

The following is the latest health policy news from the federal government as of 2:45 p.m. on Monday, November 15. Some of the language used below is taken directly from government documents. The White House The White House has posted a transcript of the November 10 press briefing given by its COVID-19 response team and public officials. Go here for the slides presented during that briefing. Centers for Medicare & Medicaid Services – Final Guidance on Shared/Co-Located Hospital Spaces In a memo to state survey agencies, CMS has published final guidance for the evaluation of compliance with the Medicare Conditions [...]

iqtsupport2021-11-15T17:19:23-05:00November 15, 2021|Accountable Care Organization, ACO, Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare reimbursement policy|

CMS Funds Expanded Telehealth in Four States

The Centers for Medicare & Medicaid Services is building on its Community Health Access and Rural Transformation (CHART) Model by awarding up to $20 million to organizations in four states to expand the use of telehealth in their communities and introduce other improvements that enhance access to care in rural areas. Organizations in Alabama, South Dakota, Texas, and Washington state will receive $2 million for planning and up to $3 million each for achieving specific objectives. The CHART model seeks to use telehealth and other means, reimbursed through an accountable care organization model, to address health disparities and reduce hospital [...]

iqtsupport2021-10-21T06:00:15-04:00October 21, 2021|Accountable Care Organization, ACO, Alternative payment models, Telehealth|

Federal Health Policy Update for Monday, August 30

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, August 30. Some of the language used below is taken directly from government documents. Temporary Suspension of COVID-19 Data Reporting Requirements for Some Hospitals The Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response has announced that federal hospital COVID-19 reporting requirements for the entire state of Louisiana and parts of Mississippi have been suspended for seven days in response to Hurricane Ida. While hospitals in the affected areas may still report their data if they [...]

iqtsupport2021-08-30T18:45:57-04:00August 30, 2021|Accountable Care Organization, ACO, Alternative payment models, Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicare reimbursement policy, MedPAC|