Medicare reimbursement policy

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|

Health Policy Update for Thursday, April 1

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 1. Medicare Accelerated and Advance Payments Program In the latest edition of its online publication MLN Connects, CMS has published information about repayment of money health care providers received under its COVID-19 Accelerated and Advance Payments Program. Those repayments began on March 30. For further information, see the MLN Matters article “Repayment of COVID-19 Accelerated and Advance Payments Began on March 30, 2021.” The White House COVID-19 The White House has posted a transcript of the March 31 press briefing provided by its COVID-19 response [...]

iqtsupport2021-04-01T18:01:20-04:00April 1, 2021|Coronavirus, COVID-19, Medicare reimbursement policy|

CMS Ponders Future of Medicare Payment Models

The new administration has delayed the planned launch of several new Medicare payment models and ultimately may choose not to move forward with some or to alter them. The models currently under review by the Centers for Medicare & Medicaid Services are: Primary Care First Kidney Care Choices Geographic Direct Contracting Part D Payment Modernization Model Learn more from the Becker’s Hospital Review article “CMS payment models that are under review, delayed.”

iqtsupport2021-03-30T06:00:20-04:00March 30, 2021|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Medicare reimbursement policy|

Health Policy Update for Friday, March 26

Beginning this week, DeBrunner & Associates is expanding its regular updates to encompass a broader scope of federal health policy endeavors to include other matters of importance to providers. Feel free to share this newsletter with others in your organization or to send us the email addresses of those you think might be interested and we will send it directly to them. The following is the latest such information from the federal government as of 2:30 p.m. on Friday, March 26. The White House COVID-19 With funding in large part from the American Rescue Plan, the White House announced that [...]

iqtsupport2021-03-26T17:12:30-04:00March 26, 2021|Coronavirus, COVID-19, Medicare regulations, Medicare reimbursement policy|

New Medicare Policy May Save Money for Government But Cost Patients More

A new Medicare policy expected to save money for the federal government may end up doing so at the expense of Medicare beneficiaries who may find themselves faced with costs that Medicare previously paid. Under the new policy, selected procedures that Medicare once authorized only when performed on an inpatient basis can now be performed on an outpatient basis. The underlying rationale for the policy, which took effect on January 1 and will be phased in over the next three years, is that such an approach should foster competition and possibly lower Medicare costs. But some of those procedures still [...]

iqtsupport2021-03-25T06:00:40-04:00March 25, 2021|Medicare reimbursement policy|

MedPAC: Go Slow on Expanding Medicare Telehealth

MedPAC wants Medicare to test the impact of telehealth on health care under non-COVID-19 conditions before moving forward with expanding the tool’s use in the Medicare population. In a news release accompanying its recently released annual report to Congress on Medicare payment policy, the Medicare Payment Advisory Commission writes that In the report, we present a policy option for expanded coverage for Medicare telehealth policy after the PHE is over. Under the policy option, policymakers should temporarily continue some of the telehealth expansions for a limited duration of time (e.g., one to two years after the PHE) to gather more [...]

iqtsupport2021-03-19T13:00:08-04:00March 19, 2021|Medicare, Medicare reimbursement policy, Telehealth|

MedPAC Offers 2022 Rate Recommendations

MedPAC has recommended modest pay increases for some health care providers and no increases for others in its annual report on Medicare payment policy to Congress. In the report, the Medicare Payment Advisory Commission recommends the following changes in Medicare rates for 2022: 2% increase for Medicare inpatient and outpatient services 2% increase for long-term-care hospitals no increase for doctors and other medical professionals no increases for ambulatory surgical centers, outpatient dialysis facilities, skilled nursing facilities, and hospices 5% reductions for home health agencies and inpatient rehabilitation facilities While MedPAC’s recommendations to Congress are not binding on the administration, its [...]

iqtsupport2021-03-18T13:00:08-04:00March 18, 2021|Medicare, Medicare reimbursement policy, MedPAC|

House to Consider Extending Medicare Sequester Delay

The moratorium on the two percent sequestration of Medicare payments could be extended under a bill the House may consider this week. If adopted, the bill would extend the sequester delay for nine months, providing financial relief that many health care providers seek as they continue to deal with the financial challenges posed by COVID-19. The sequester delay was implemented early in the pandemic as a means of providing additional Medicare revenue to hospitals and other health care providers at a time when many people were delaying seeking medical attention out of fear of contracting COVID-19. Without action by Congress, [...]

iqtsupport2021-03-18T06:00:49-04:00March 18, 2021|Medicare, Medicare cuts, Medicare reimbursement policy|

Analysts Look at Medicare Wage System

The Congressional Research Service has published a new report on the Medicare hospital wage index system. The agency undertook its analysis because Some Members of Congress, hospitals, and independent analysts have expressed interest in the differences in Medicare hospital payments by geographic area, based on the wage index. Some of these stakeholders have recommended changes to the wage index to more accurately reflect labor market forces faced by hospitals. Although some modifications to the wage index have been implemented, there is no consensus about systematic reforms. In the report the CRS describes how the geographic wage system works and what [...]

iqtsupport2021-03-09T06:00:24-05:00March 9, 2021|Medicare, Medicare reimbursement policy|