Medicare reimbursement policy

Federal Health Policy Update for Tuesday, July 12

The following is the latest health policy news from the federal government as of 2:30 p.m. on Tuesday, July 12. Some of the language used below is taken directly from government documents. White House The White House has issued an executive order on protecting access to reproductive health care services. Find that executive order here. In support of that executive order, CMS has published guidance titled “Reinforcement of EMTALA Obligations specific to Patients who are Pregnant or are Experiencing Pregnancy Loss.” Find that guidance here and the agency’s expanded explanation of that guidance in this memo to state survey agencies. [...]

iqtsupport2022-07-12T17:24:37-04:00July 12, 2022|COVID-19, health equity, hospitals, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy|

Federal Health Policy Update for Thursday, July 7

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, July 7. Some of the language used below is taken directly from government documents. The Courts Hospitals may sue state Medicaid programs for failing to ensure that private insurers – such as Medicaid managed care plans – pay hospitals in a timely manner for the care they provide to their Medicaid patients, a federal appeals court has ruled. See the court’s decision in this case. Centers for Medicare & Medicaid Services CMS has proposed a series of changes in the Medicare cost [...]

iqtsupport2022-07-07T16:56:58-04:00July 7, 2022|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, Medicaid, Medicaid managed care, Medicare, Medicare reimbursement policy|

Federal Health Policy Update for Monday, June 27

The following is the latest health policy news from the federal government as of 2:15 p.m. on Monday, June 27. Some of the language used below is taken directly from government documents. White House The White House COVID-19 response team has briefed the press about the administration’s latest efforts in the response to COVID-19. Find a transcript of that briefing here and find the slides presented during that briefing here. Supreme Court In a case that challenged a 2005 change in how CMS calculates Medicare disproportionate share (Medicare DSH) payments, the Supreme Court has, in a 5-4 decision, reversed a [...]

iqtsupport2022-06-27T16:37:45-04:00June 27, 2022|Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Tuesday, June 21

The following is the latest health policy news from the federal government as of 2:45 p.m. on Tuesday, June 21. Some of the language used below is taken directly from government documents. Centers for Medicare & Medicaid Services The Supreme Court has ruled that CMS acted inappropriately when it reduced 340B payments to hospitals. In a unanimous decision, the court found that the law creating the program gives the federal government two ways to set 340B payments for outpatient drugs for qualified providers and that the manner in which CMS cut those payments in 2018 followed neither. Learn more from [...]

iqtsupport2022-06-21T17:24:52-04:00June 21, 2022|340b, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, COVID-19, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Monday, June 13

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, June 13. Some of the language used below is taken directly from government documents. White House The White House has issued a fact sheet outlining its plan for administering COVID-19 vaccines to children under the age of five. Find the fact sheet here. The White House also held a background call with the press to discuss this plan; go here to see a transcript of that call. The White House COVID-19 response team has held a briefing for the press to discuss [...]

iqtsupport2022-06-13T17:03:53-04:00June 13, 2022|Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|

Federal Health Policy Update for Thursday, May 5

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, May 5. Some of the language used below is taken directly from government documents. Department of Health and Human Services HHS and its Health Resources and Services Administration (HRSA) have awarded nearly $25 million to 125 HRSA-funded health centers to improve and strengthen access to school-based health services. Awards will support local partnerships between schools and health centers to provide children and youth with comprehensive physical and mental health care. Learn more from this HHS news release. HHS and its Substance Abuse [...]

iqtsupport2022-05-05T16:22:38-04:00May 5, 2022|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Thursday, April 28

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 28. Some of the language used below is taken directly from government documents. White House The White House has announced a series of steps designed to increase the availability of oral treatments for COVID-19. Those steps include nearly doubling the number of places oral antivirals are available in the coming weeks; launching a new effort to establish federally-supported test-to-treat sites; supporting medical providers with more guidance and tools to understand and prescribe treatments; and communicating to the public that safe, effective [...]

iqtsupport2022-04-28T17:23:03-04:00April 28, 2022|Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicaid regulations, Medicare, Medicare reimbursement policy|

Federal Health Policy Update for Thursday, April 21

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, April 21. Some of the language used below is taken directly from government documents. Proposed FY 2023 Medicare Inpatient Prospective Payment System Regulation CMS has published its proposed FY 2023 Medicare inpatient prospective payment system regulation outlining how it envisions paying hospitals for the inpatient care they provide to Medicare patients in the coming fiscal year. Highlights of the proposed regulation include: A proposed 3.2 percent increase in inpatient rates and a 0.7 percent increase in LTCH rates. A $654 million cut [...]

iqtsupport2022-04-21T17:30:19-04:00April 21, 2022|Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare regulations, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Thursday, April 14

The following is the latest health policy news from the federal government as of 1:15 p.m. on Thursday, April 14. Some of the language used below is taken directly from government documents. Public Health Emergency Renewed HHS Secretary Xavier Becerra has extended the COVID-19 public health emergency for another 90 days effective April 16. White House In response to an executive order President Biden issued on his first day in office titled “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government,” 90 federal agencies and cabinet departments have released equity action plans that lay out more than [...]

iqtsupport2022-04-14T18:51:21-04:00April 14, 2022|Centers for Medicare & Medicaid Services, COVID-19, health equity, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid regulations, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Thursday, April 7

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 7. Some of the language used below is taken directly from government documents. White House The administration is proposing to address a flaw in the Affordable Care Act often referred to as the “family glitch.” Under the ACA, people who do not have access to “affordable” health insurance through their jobs may qualify for a premium tax credit to purchase coverage on the ACA’s health insurance marketplaces. Current regulations define employer-based health insurance as “affordable” if the coverage for the employee [...]

iqtsupport2022-04-07T17:12:01-04:00April 7, 2022|Affordable Care Act, Alternative payment models, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|