Centers for Medicare & Medicaid Services

Health Policy Update for Thursday, August 19

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, August 19. Some of the language used below is taken directly from government documents. The White House The White House has issued a fact sheet highlighting the latest administration actions to address COVID-19. Those actions include its plan to begin offering COVID-19 booster vaccines starting the week of September 20; a soon-to-be-published regulation requiring workers in long-term-care facilities to be vaccinated (described below); a directive to the Secretary of Education to use all available tools to ensure that governors and other officials [...]

iqtsupport2021-08-19T17:45:22-04:00August 19, 2021|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicare, Medicare post-acute care, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Friday, August 13

The following is the latest health policy news from the federal government as of 1:30 p.m. on Friday, August 13. Some of the language used below is taken directly from government documents. Food and Drug Administration COVID-19 The FDA has amended the emergency use authorizations for both the Pfizer-BioNTech COVID-19 vaccine and the Moderna COVID-19 vaccine to authorize administering an additional dose of those vaccines to certain immunocompromised individuals, including solid organ transplant recipients and those who are diagnosed with conditions that are considered to have an equivalent level of immunocompromise. The FDA has revised its emergency use authorization for [...]

iqtsupport2021-08-16T13:24:58-04:00August 16, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, Medicaid|

Federal Health Policy Update for Friday, July 30

The following is the latest health policy news from the federal government as of 2:45 p.m. on Friday, July 30. Some of the language used below is taken directly from government documents. Final Medicare Payment Regulations for FY 2022 CMS has published four final rules for Medicare payments in FY 2022: FY 2022 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, Hospice and Home Health Quality Reporting Program Requirements. (See also CMS’s fact sheet) FY 2022 Inpatient Psychiatric Facilities Prospective Payment System and Quality Reporting Updates for Fiscal Year Beginning October 1, 2021 (FY 2022) (See [...]

iqtsupport2021-07-30T16:33:45-04:00July 30, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, hospitals, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, post-acute care|

Federal Health Policy Update for Thursday, July 22

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, July 22. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the July 22 press briefing given by its COVID-19 response team and public health officials. Centers for Medicare & Medicaid Services Health Policy News CMS has published its proposed calendar year 2022 Medicare outpatient prospective payment system regulation. Among other subjects, the proposed regulation addresses hospital outpatient and ambulatory surgery center payment rates, hospital price transparency, the section 340B [...]

iqtsupport2021-07-22T17:21:47-04:00July 22, 2021|340b, 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 regulations, Medicare reimbursement policy|

Federal Health Policy Update for Wednesday, July 14

The following is the latest health policy news from the federal government as of 2:45 p.m. on Wednesday, July 14. Some of the language used below is taken directly from government documents. CMS – Proposed 2022 Medicare Physician Fee Schedule Rule CMS has released its proposed Medicare physician fee schedule rule for 2022. Highlights of the proposed rule, which is more than 1700 pages, include: loosening current restrictions on the use of telehealth and expanding its use for behavioral health services; expanding the reach of the Medicare Diabetes Prevention Program; requiring clinicians to meet a higher performance threshold to receive [...]

iqtsupport2021-07-14T18:50:52-04:00July 14, 2021|Accountable Care Organization, ACO, Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicare regulations, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Friday, July 9

The following is the latest health policy news from the federal government as of 2:45 p.m. on Friday, July 9. Some of the language used below is taken directly from government documents. White House President Biden has issued an executive order “…to promote competition in the American economy, which will lower prices for families, increase wages for workers, and promote innovation and even faster economic growth.” Among other things, the executive order calls for closer scrutiny of corporate consolidation, maintaining that such consolidation results in a “…lack of competition [that] drives up prices for consumers. As fewer large players have [...]

iqtsupport2021-07-09T17:05:45-04:00July 9, 2021|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicare|

Federal Health Policy Update for Monday, June 28

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, June 28. Some of the language used below is taken directly from government documents. Supreme Court Decision in Affordable Care Act Case The Supreme Court has declined to hear an appeal of a case in which insurers unsuccessfully sued to recover reductions in their Affordable Care Act federal cost-sharing reduction payments. White House The White House has posted a transcript of the June 22 press briefing given by its COVID-19 response team and public health officials. Department of Health and Human Services [...]

iqtsupport2021-06-28T17:33:25-04:00June 28, 2021|Affordable Care Act, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid managed care, Medicare, MedPAC|

Federal Health Policy Update for Thursday, June 10

The following is the latest health policy news from the federal government as of 3:00 p.m. on Thursday, June 10. Some of the language used below is taken directly from government documents. White House Health Policy News The White House has released a memo titled “What We Urge You To Do To Protect Against The Threat of Ransomware.” This memo addresses the growing number and size of ransomware incidents and calls upon government and the private sector to take steps to protect their organizations from this growing threat. The memo also outlines the federal government’s recommended best practices. Find the [...]

iqtsupport2021-06-10T17:25:42-04:00June 10, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, Medicare, Medicare reimbursement policy|

New Health Care Leaders Share Priorities

New leaders at the Centers for Medicare & Medicaid Services and the Center for Medicare and Medicaid Innovation are quickly making their priorities known to health care industry stakeholders. For new CMS administrator Chiquita Brooks-LaSure, her priority is coverage. She has declared that “Our focus is going to be on making sure regulations and policies are going to be focused on improving coverage,” and while she hopes that states that have not yet expanded their Medicaid programs will take advantage of current federal incentives to do so, there is another path to coverage: “…the public option or other coverage certainly [...]

iqtsupport2021-06-10T06:00:44-04:00June 10, 2021|Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, Medicaid|

Health Policy Update for Tuesday, June 8

The following is the latest health policy news from the federal government as of 2:45 p.m. on Tuesday, June 8. Some of the language used below is taken directly from government documents. White House Health Policy News The White House, HHS, HHS’s Office of the Assistant Secretary for Preparedness and Response, and the FDA have announced a series of policy recommendations to address vulnerabilities in U.S. pharmaceutical supply chains. Under one of these recommendations, HHS, under the Defense Production Act and building on current public-private partnerships, will establish a public-private consortium for advanced domestic manufacturing of essential medicines production. The [...]

iqtsupport2021-06-08T17:24:26-04:00June 8, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, Medicaid, Medicare, Medicare regulations|