Medicare reimbursement policy

Federal Health Policy Update for May 22

The following is the latest health policy news from the federal government for May 16-22.  Some of the language used below is taken directly from government documents. Congress:  Reconciliation Early Thursday morning the House of Representatives passed its version of an FY 2025 budget reconciliation bill by a vote of 215-214.  The bill underwent a number of changes during the hours before its passage and its health care provisions now include $800 billion in Medicaid cuts over the next ten years.  The Congressional Budget Office projects that the bill, mostly because of the Medicaid cuts, will lead to 8.6 million [...]

Federal Health Policy Update for May 15

The following is the latest health policy news from the federal government for May 9-15.  Some of the language used below is taken directly from government documents. Congress:  Reconciliation House Energy and Commerce Committee Charged with finding $880 billion in federal spending cuts over the next ten years, the House Energy and Commerce Committee this week produced legislative language to be included in a House reconciliation bill that would achieve that objective.  The committee’s cost-cutting provisions include: Freezing state Medicaid provider taxes at their current level, prohibiting the establishment of new provider taxes, modifying the criteria CMS uses to determine [...]

Federal Health Policy Update for May 8

The following is the latest health policy news from the federal government for May 2-8.  Some of the language used below is taken directly from government documents. Congress Reconciliation Over the past several days the political gravity surrounding Medicaid cuts has begun to shift slightly.  Moderate Republicans have been pushing back more forcefully and more loudly against such cuts, with some saying they will not support more than work requirements and increased enforcement checks for eligibility.  Opposition to most Medicaid cuts led the Energy and Commerce Committee to delay a markup of its reconciliation bill planned for this week to [...]

Federal Health Policy Update for May 1

The following is the latest health policy news from the federal government for April 25 – May 1.  Some of the language used below is taken directly from government documents. Congress Reconciliation The House and Senate returned to Washington D.C. this week and House committees have begun marking up reconciliation legislation for submission to the House Budget Committee by May 9.  The Energy and Commerce Committee is expected to seek nearly $550 billion in cuts to Medicaid spending and the most likely targets for cuts continue to be work requirements for Medicaid eligibility; more frequent review of Medicaid eligibility; reducing the federal [...]

Federal Health Policy Update for April 24

The following is the latest health policy news from the federal government for April 18-24.  Some of the language used below is taken directly from government documents. Congress The House and Senate are in recess until April 28.  Upon their return to Washington D.C., committees will begin marking up reconciliation legislation for submission to their respective chambers’ budget committees by May 9.  The Energy and Commerce Committee is expected to mark up its bill, with $880 billion in cuts, the week of May 5.  The committee is expected to seek nearly $550 billion in cuts to Medicaid spending, with the [...]

Federal Health Policy Update for April 17

The following is the latest health policy news from the federal government for April 11-17.  Some of the language used below is taken directly from government documents. The White House President Trump signed an executive order titled “Lowering Drug Prices by Once Again Putting Americans First” that directs the Secretary of the Department of Health and Human Services to take steps to lower prescription drug costs for patients.  The order addresses several prescription drug-related policies, including: the Medicare Drug Price Negotiation Program seeking better Medicare prices for drugs not subject to the Medicare Drug Price Negotiation Program accelerating FDA drug [...]

Federal Health Policy Update for April 10

The following is the latest health policy news from the federal government for April 4-10.  Some of the language used below is taken directly from government documents. Congress The House today passed the budget resolution passed by the Senate last week.  Passage of the same budget resolution by both chambers now enables Congress to begin work on a reconciliation bill to enact President Trump’s priorities on tax cuts, border security, and energy policies.  Until this morning, more than a dozen Republican House members had opposed the Senate-passed budget resolution because they believed the Senate’s budget did not require enough spending [...]

Federal Health Policy Update for March 27

The following is the latest health policy news from the federal government for March 21-27.  Some of the language used below is taken directly from government documents. Congress The House and Senate need to pass a joint budget resolution as a first step before committees can begin writing legislation to pass under reconciliation.  Each chamber has passed its own budget resolution and while the two are very different, congressional leaders have agreed to write a less prescriptive resolution that will permit each chamber’s committees to determine the level of spending and saving required and then will try to work out [...]

MedPAC Makes 2026 Medicare Rate Recommendations

The Medicare Payment Advisory Commission recently released “Report to the Congress:  Medicare Payment Policy,” its required March report to Congress.  In addition to addressing a variety of Medicare issues, MedPAC presented its 2026 Medicare rate recommendations to Congress.  Those recommendations are: Hospital inpatient and outpatient services – the rate increase in current law plus one percent. MedPAC also reiterated its past recommendation that Medicare redistribute current Medicare disproportionate share (Medicare DSH) and uncompensated care payments through MedPAC’s own mechanism, the Medicare Safety-Net Index (MSNI) it introduced in 2023, maintaining that doing so, when supplemented with an additional $4 billion in [...]

Federal Health Policy Update for March 20

The following is the latest health policy news from the federal government for March 14-20.  Some of the language used below is taken directly from government documents. The White House The White House has rescinded Executive Order 13994 of January 21, 2021, titled “Ensuring a Data-Driven Response to COVID-19 and Future High-Consequence Public Health Threats.”  In response to this action, CMS rescinded its November 22, 2022 memo “The Importance of Timely Use of COVID-19 Therapeutics,” the purpose of which, according the memo, was “…to highlight the importance of providing timely access to available COVID-19 therapeutics to patients who test positive [...]

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