COVID-19

States Prepare to Unravel Pandemic Medicaid Expansion

As the COVID-19 public health emergency once again appears, at least for the moment, to be winding down, state governments are preparing for how to undo the Medicaid and Children’s Health Insurance Program expansions mandated by Congress and return to their pre-COVID eligibility criteria for the two major health care safety-net programs. Under the temporary federal expansion of Medicaid and CHIP eligibility during the pandemic’s early days, states received enhanced federal matching funds for those programs in exchange for expanding their eligibility criteria and agreeing not to reconsider enrollees’ eligibility for the duration of the PHE. With the prospect of [...]

iqtsupport2022-03-22T06:00:53-04:00March 22, 2022|COVID-19, Medicaid|

Federal Health Policy Update for Wednesday, March 16

The following is the latest health policy news from the federal government as of 2:30 p.m. on Wednesday, March 16. Some of the language used below is taken directly from government documents. Provider Relief Fund On March 22, 2022 at 11:59 p.m. (eastern), the HRSA COVID-19 Uninsured Program will stop accepting claims for testing and treatment due to lack of funds. On April 5, 2022 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. See the announcement of these changes. Providers that received Provider [...]

iqtsupport2022-03-16T17:41:14-04:00March 16, 2022|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicaid DSH allotments, Medicaid upper-payment limit, Medicare post-acute care, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Thursday, March 10

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, March 10. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the March 2 press briefing given by its COVID-19 response team to outline the administration’s National COVID-19 Preparedness Plan. 340B Eligibility Protection and Telehealth Extensions in the Omnibus Spending Bill Providers that feared they might lose their eligibility to continue participating in the 340B prescription drug discount program because they have fallen below that program’s Medicare disproportionate share [...]

iqtsupport2022-03-10T17:37:25-05:00March 10, 2022|Centers for Medicare & Medicaid Services, Congress, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicare, Medicare disproportionate share, Medicare DSH, Medicare reimbursement policy, MedPAC, 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, February 18

The following is the latest health policy news from the federal government as of 3:00 p.m. on Friday, February 18. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the February 16 press briefing given by its COVID-19 response team and public officials. Go here to see the slides presented during the briefing. Centers for Medicare & Medicaid Services Health Policy Update CMS has issued a request for information (RFI) seeking feedback on topics related to Medicaid and the Children’s Health Insurance Program (CHIP), such as enrolling [...]

iqtsupport2022-02-18T17:15:56-05:00February 18, 2022|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, health equity, Medicaid, Medicare, Medicare reimbursement policy, MedPAC|

Administration Pursues New COVID Aid Request

The Biden administration plans to ask Congress for another $30 billion in COVID-19 aid. Its wish list reportedly includes: $4.9 billion for testing $3 billion to pay for care for the uninsured $17.9 billion for vaccines and treatments $3.7 billion to pay for new vaccine development $500 million for Centers for Disease Control and Prevention COVID surveillance and operations The wish list reportedly does not include additional money for the Provider Relief Fund. Learn more about what the administration seeks and what happens next in this Washington Post report.

iqtsupport2022-02-17T06:00:21-05:00February 17, 2022|Congress, COVID-19|

Congress May Tackle Hospital Staffing Challenges

Members of Congress are talking about looking into the staffing challenges hospitals currently face. Those challenges include staff – especially but not exclusively nurses – leaving their jobs, citing burnout or difficult working conditions; staff shortages caused by illnesses, often COVID-related; and the fast-rising costs of temporary or travel nurses needed to replace missing staff and the financial burden that is placing on some hospitals. Some members of Congress are considering acting on these challenges; others want the administration to do so. Learn more about the staffing challenges facing hospitals today and possible public policy tools for addressing those challenges [...]

iqtsupport2022-02-16T06:00:48-05:00February 16, 2022|COVID-19, hospitals|

Telehealth Utilization Tracks Pandemic Decline

The frequency with which Americans are using telehealth to receive some of their health care, which rose considerably during the first year of the COVID-19 pandemic, has declined since doctors returned to their offices and fear of contagion lessened. Even so, the use of telehealth is far more common than it was before the COVID-19 public health emergency. A new analysis of telehealth utilization produced the following findings: Telehealth outpatient visits have declined since the early months of the pandemic. Even amid the general decline in telehealth visits, they remain higher than they were before the pandemic. The non-elderly are [...]

iqtsupport2022-02-11T17:35:08-05:00February 11, 2022|COVID-19, Telehealth|

Federal Health Policy Update for Thursday, February 10

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, February 10. Some of the language used below is taken directly from government documents. Provider Relief Fund The reconsideration window for Provider Relief Fund Phase 4 payments and American Rescue Plan rural hospital payments is now open for providers to request reconsideration of their payments. This process is intended only for providers that believe their payment was not calculated correctly. They will not have an opportunity to submit an application if they missed a deadline; will not be able to revise or [...]

iqtsupport2022-02-10T16:46:29-05:00February 10, 2022|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare regulations|

Millions Could Lose Medicaid Coverage When COVID Crisis Ends

As many as 15 million Americans may be at risk of losing their health insurance when the COVID-19 public health emergency officially ends, according to a new Urban Institute report. When the COVID crisis began and people began losing their jobs – and with them, their health insurance – Congress increased funding to states for Medicaid under the condition that states not perform eligibility reviews on their Medicaid rolls under after the crisis ends. Since then, Medicaid enrollment has risen nearly 20 percent, and now, that 20 percent – and more – may be in jeopardy of losing their Medicaid [...]

iqtsupport2022-02-07T06:00:26-05:00February 7, 2022|COVID-19, Medicaid|