Medicare

Federal Health Policy Update for Thursday, January 6

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, January 6. Some of the language used below is taken directly from government documents. Provider Relief Fund The Provider Relief Fund reporting portal is now open for reporting period 2 and will remain open through March 31, 2022. Go here for more information about what organizations do and do not need to report and how to do so. The Provider Relief Fund web page offers updated information about what constitutes an allowable expense when reporting on the use of Provider Relief Fund [...]

iqtsupport2022-01-06T17:30:52-05:00January 6, 2022|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid managed care, Medicare, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Thursday, December 16

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, December 16. Some of the language used below is taken directly from government documents. Provider Relief Fund HHS’s Health Resources and Services Administration (HRSA) is releasing $9 billion in phase 4 Provider Relief Fund grants. Payments will average $58,000 for what HHS is calling “small” providers, $289,000 for medium providers, and $1.7 million for large providers. Learn more about the release of these funds from this HHS news release and go here for an explanation of how the agency calculated the payments. [...]

iqtsupport2021-12-16T16:47:23-05:00December 16, 2021|Centers for Medicare & Medicaid Services, Congress, Coronavirus, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid disproportionate share, Medicaid DSH, Medicare, Medicare reimbursement policy|

MedPAC Meets

The government agency that advises Congress on Medicare payment matters met publicly in Washington, D.C. last week. During the virtual meeting, members of the Medicare Payment Advisory Commission discussed and debated future Medicare payments for: hospital inpatient services hospital outpatient services physician services ambulatory surgical center services outpatient dialysis hospice care skilled nursing facilities home health inpatient rehabilitation facilities long-term-care hospitals 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 highly influential in governing circles and its recommendations often find their way [...]

iqtsupport2021-12-14T06:00:40-05:00December 14, 2021|Medicare, Medicare post-acute care, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Tuesday, November 23

The following is the latest health policy news from the federal government as of 2:30 p.m. on Tuesday, November 23. Some of the language used below is taken directly from government documents. The White House The White House has posted a transcript of the November 22 press briefing given by its COVID-19 response team and public officials. Go here for the slides presented during that meeting. Provider Relief Fund HHS announced that it has begun distributing $7.5 billion in American Rescue Plan rural payments to providers and suppliers that serve rural Medicaid, Children's Health Insurance Program (CHIP), and Medicare beneficiaries. [...]

iqtsupport2021-11-23T17:27:12-05:00November 23, 2021|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 reimbursement policy, Telehealth|

MedPAC Discusses Post-COVID Telehealth

Should Medicare continue to encourage the use of telehealth when the COVID-19 pandemic ends? Should it continue to pay for telehealth when the there is no “tele” in the service and it is audio only? And should Medicare pay different rates for visits in person, telehealth visits, and audio-only (that is, telephone) visits? These were among the questions addressed by members of the Medicare Payment Advisory Commission during their public meetings last week. Members also discussed the need for further analysis of the effectiveness of telehealth and audio-only visits, how to identify audio-only visits on Medicare claims, how to collect [...]

iqtsupport2021-11-17T06:00:10-05:00November 17, 2021|Medicare, Medicare reimbursement policy, MedPAC, Telehealth|

Nearly Half of Hospitals Nicked for Readmissions

Medicare’s Hospital Readmissions Reduction program will penalize 2499 hospitals for excessive readmissions in the coming year. That represents 47 percent of all hospitals covered by the program. The average penalty for the nearly 2500 hospitals will be a 0.64 percent reduction of their Medicare payments. Thirty-nine hospitals will suffer the maximum penalty: a three percent cut of their Medicare payments. Learn more about the effect the Hospital Readmissions Reduction Program has had on hospitals – and on patients admitted to the hospital with specific medical conditions – in the Kaiser Health News story “Medicare Punishes 2,499 Hospitals for High Readmissions.”

iqtsupport2021-11-01T06:00:12-04:00November 1, 2021|Medicare|

Federal Health Policy Update for Thursday, October 28

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, October 28. Some of the language used below is taken directly from government documents. The White House The Biden administration has updated its “Build Back Better Framework” to reflect the results of recent negotiations between the White House and congressional Democrats. Congress’s next steps on the Build Back Better Act, the social spending reconciliation bill, are unclear. The $1.75 trillion framework is far short of the $3.5 trillion plan embraced by congressional progressives. The text of the bill, HR 5376, was released this [...]

iqtsupport2021-10-28T17:08:42-04:00October 28, 2021|Congress, Coronavirus, COVID-19, Medicare|

Federal Health Policy Update for October 19

The following is the latest health policy news from the federal government as of 2:30 p.m. on Tuesday, October 19. Some of the language used below is taken directly from government documents. Provider Relief Fund: Reminder That Applications Are Now Being Accepted The Health Resources and Services Administration (HRSA) has opened its portal for providers to apply for $25.5 billion in health care relief funds, including $8.5 billion in American Rescue Plan resources for providers that serve rural patients covered by Medicare, Medicaid, or the Children’s Health Insurance Program and $17 billion for Provider Relief Fund Phase 4 grants, for [...]

iqtsupport2021-10-19T17:26:31-04:00October 19, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, Medicare, Medicare regulations|

Federal Health Policy Update for Tuesday, October 12

The following is the latest health policy news from the federal government as of 2:45 p.m. on Tuesday, October 12. Some of the language used below is taken directly from government documents. Provider Relief Fund: Reminder That Applications Are Now Being Accepted The Health Resources and Services Administration (HRSA) has opened its portal for providers to apply for $25.5 billion in health care relief funds, including $8.5 billion in American Rescue Plan resources for providers that serve rural patients covered by Medicare, Medicaid, or the Children’s Health Insurance Program and $17 billion for Provider Relief Fund Phase 4 grants for [...]

iqtsupport2021-10-12T17:17:12-04:00October 12, 2021|Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare reimbursement policy, MedPAC|

Health Policy Update for Thursday, August 19

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, August 19. Some of the language used below is taken directly from government documents. The White House The White House has issued a fact sheet highlighting the latest administration actions to address COVID-19. Those actions include its plan to begin offering COVID-19 booster vaccines starting the week of September 20; a soon-to-be-published regulation requiring workers in long-term-care facilities to be vaccinated (described below); a directive to the Secretary of Education to use all available tools to ensure that governors and other officials [...]

iqtsupport2021-08-19T17:45:22-04:00August 19, 2021|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicare, Medicare post-acute care, Medicare reimbursement policy, Telehealth|