Medicare regulations

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 Friday, July 16

The following is the latest health policy news from the federal government as of 2:45 p.m. on Friday, July 16. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the July 16 press briefing given by its COVID-19 response team and public health officials. Centers for Medicare & Medicaid Services Health Policy News CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2020, which will affect their FY 2022 Annual Payment Update (APU). Non-compliance [...]

iqtsupport2021-07-16T17:25:29-04:00July 16, 2021|Coronavirus, COVID-19, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

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|

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|

Federal Health Policy Update for Thursday, June 3

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, June 3. Some of the language used below is taken directly from government documents. White House Health Policy News Late last week the Biden administration released its proposed FY 2022 budget. Most of the health care provisions had already been disclosed and discussed prior to the formal budget release. For additional information about the proposed budget, see the following resources: A budget in brief document. An OMB summary. An OMB budget fact sheet. COVID-19 President Biden announced a “National Month of Action” [...]

iqtsupport2021-06-03T17:30:36-04:00June 3, 2021|Coronavirus, COVID-19, MACPAC, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

CMS to Hospitals: We’re Watching You

The federal government is watching to see whether hospitals are following its new rules on price transparency. And apparently, not all hospitals are. Since the first of the year the Centers for Medicare & Medicaid Services has been monitoring hospitals’ compliance with a new rule that requires public disclosure of their prices, and in April it began writing to hospitals that were not meeting the regulatory standard, telling them they have 90 days to address their shortcomings. Hospitals that fail to meet the CMS standard are subject to fines and public disclosure of their non-compliant status.Learn more from the Becker’s [...]

iqtsupport2021-05-14T06:00:00-04:00May 14, 2021|Centers for Medicare & Medicaid Services, Medicare regulations|

Federal Health Policy Update for Wednesday, May 5

The following is the latest health policy news from the federal government as of 2:45 p.m. on Wednesday, May 5. Some of the language used below is taken directly from government documents. The White House COVID-19 The White House has posted a transcript of the May 5 press briefing by its COVID-19 response team and public health officials. Department of Health and Human Services COVID-19 HHS has created a web page for its new COVID-19 Coverage Assistance Fund through which providers can be reimbursed for the cost of administering COVID-19 vaccines to the uninsured and to those whose health insurance [...]

iqtsupport2021-05-05T17:25:41-04:00May 5, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, MACPAC, Medicaid and CHIP Payment and Access Commission, Medicare regulations, Medicare reimbursement policy, post-acute care|

Federal Health Policy Update for Thursday, April 22

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 22. Department of Health and Human Services COVID-19 HHS’s Office of the Assistant Secretary for Preparedness and Response has published a new edition of its online publication The Exchange. The issue focuses on the work of hospital allied and supportive care providers during COVID-19 and is divided into three subjects: COVID-19 and acute hospital care, home care, and hospice; the role of allied health care professionals; and engineering and environmental support during COVID-19. For each subject the issue directs readers to [...]

iqtsupport2021-04-22T17:30:26-04:00April 22, 2021|Coronavirus, COVID-19, Medicare, Medicare regulations|

Health Policy Update for Thursday, April 8

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, April 8. Provider Relief Fund The Provider Relief Fund web page has been updated to announce a webinar next Tuesday, April 13 about the HRSA COVID-19 uninsured program under which participating providers are reimbursed at Medicare rates for testing, treating, and administering COVID-19 vaccines to uninsured individuals. Go here for further information (in the shaded box labeled “update”). Centers for Medicare & Medicaid Services COVID-19 CMS has added 24 new audiology and speech language pathology services to its list of telehealth services [...]

iqtsupport2021-04-08T17:26:05-04:00April 8, 2021|Coronavirus, COVID-19, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy|

MedPAC Meets

The Medicare Payment Advisory Commission met in Washington, D.C. last week to discuss various Medicare payment issues. Among the issues discussed at MedPAC’s April meeting were: Medicare skilled nursing facility value-based purchased program. Medicare alternative payment models (APMs). Medicare Advantage benchmark policy. Medicare indirect medical education (Medicare IME) payments. Medicare vaccine coverage and payments. Medicare payment for prescription drugs prescribed on an outpatient basis. Private equity and Medicare. Medicare clinical laboratory fee schedule. MedPAC is an independent congressional agency that advises Congress on issues involving Medicare. While its recommendations are not binding on either Congress or the administration, MedPAC is [...]

iqtsupport2021-04-07T06:00:07-04:00April 7, 2021|Alternative payment models, Center for Medicare and Medicaid Innovation, CMMI, Medicare regulations, Medicare reimbursement policy, MedPAC|