Medicare

Federal Health Policy Update for Wednesday, May 12

The following is the latest health policy news from the federal government as of 2:45 p.m. on Wednesday, May 12. Some of the language used below is taken directly from government documents. The White House COVID-19 The White House has announced additional efforts to encourage people to get vaccinated against COVID-19, including free rides to vaccination sites from Lyft and Uber, vaccination clinics at community colleges, and additional resources for states’ community outreach efforts. This will include funding for FEMA for phone banks, door-to-door canvassing, and pop-up vaccination clinics in workplaces and churches. See the White House fact sheet for [...]

iqtsupport2021-05-12T17:06:06-04:00May 12, 2021|Coronavirus, COVID-19, Medicare|

Federal Health Policy Update for Tuesday, April 27

The following is the latest health policy news from the federal government as of 3:00 p.m. on Tuesday, April 27. The White House COVID-19 The White House has posted a transcript of the April 23 press briefing provided by its COVID-19 response team and public health officials. Health Policy News The White House has nominated Miriam Delphin-Rittmon to serve as Assistant Secretary for Mental Health and Substance Use in the Department of Health and Human Services. The nomination is subject to Senate confirmation. Congress The New Democrat Coalition is a group of 94 mostly centrist Democrats working to bridge the gap [...]

iqtsupport2021-04-27T22:25:58-04:00April 27, 2021|Congress, Coronavirus, COVID-19, Medicaid, Medicare|

CMS Reconsidering Medicare Payment Models

Five Medicare alternative payment models previously slated for implementation are being delayed, cancelled, or reconsidered. The five APMs whose futures are not clear are: The Community Health Access and Rural Transformation Model ACO Track Primary Care First Kidney Care Choices Geographic Direct Contracting Part D Payment Modernization Model Learn more about the Centers for Medicare & Medicaid Services’ latest actions on these models in the Becker’s Hospital Review article “5 CMS payment models that are under review, delayed.”

iqtsupport2021-04-26T06:00:47-04:00April 26, 2021|ACO, Alternative payment models, Centers for Medicare & Medicaid Services, Medicare, Medicare reimbursement policy|

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|

Federal Health Policy Update for Tuesday, April 20

The following is the latest health policy news from the federal government as of 3:00 p.m. on Tuesday, April 20. Congress This afternoon Senator John Cornyn (R-TX) put a hold on the president’s nomination of Chiquita Brooks-LaSure to be CMS administrator in response to the administration’s decision to revoke a Medicaid waiver the previous administration granted to his state. The White House COVID-19 The White House has posted a transcript of the April 19 press briefing provided by its COVID-19 response team and public health officials. Centers for Medicare & Medicaid Services COVID-19 CMS has issued section 1135 waivers to Colorado, Maine, [...]

iqtsupport2021-04-20T17:08:52-04:00April 20, 2021|Congress, COVID-19, MACPAC, Medicare|

Medicaid Coverage “Cliff” Poses Threat to Low-Income Medicare Beneficiaries

Nearly one-third of Medicare beneficiaries do not meet the criteria for Medicaid eligibility but have so little income that they are unlikely to be able to afford their share of their Medicare costs, such as co-pays and deductibles. This is known as the “Medicaid coverage cliff,” and Becker’s Hospital Review, drawing from a recent study published in the journal Health Affairs, takes a brief look at what the Medicaid cliff is and how it may affect the well-being of those affected by this cliff. Learn more in the Becker’s Hospital Review article “5 things to know about the Medicaid coverage [...]

iqtsupport2021-04-16T06:00:43-04:00April 16, 2021|Medicaid, Medicare|

Federal Health Policy Update for Wednesday, April 14

The following is the latest health policy news from the federal government as of 2:45 p.m. on Wednesday, April 14. Temporary Halt to Use of the Johnson & Johnson Janssen Vaccine The White House held a press briefing on Tuesday, April 13 during which the White House press secretary, its COVID-19 response coordinator, and Dr. Anthony Fauci discussed the decision to halt administration of the Johnson & Johnson (Janssen) vaccine until its safety can be further examined. Learn more from a transcript of that briefing. Representatives of the FDA and CDC briefed the news media on the situation involving the [...]

iqtsupport2021-04-14T17:11:09-04:00April 14, 2021|Coronavirus, COVID-19, Medicaid, Medicare|

Study of Cardiac Telehealth Yields Interesting Results

Increased use of telehealth among cardiac patients as a result of the COVID-19 pandemic has produced some interesting results. According to a study published by JAMA Open Network, …[cardiology] patients using COVID-era remote visits were more likely to be Asian, Black, or Hispanic individuals, have private insurance, and have cardiovascular comorbidities. Compared with pre-COVID in-person visits, clinicians during COVID-era video and telephone visits had a significantly lower odds of ordering any medication as well as most tests. The use of telehealth has increased significantly since the start of the COVID-19 pandemic and the introduction of temporary Medicare regulations that encourage [...]

iqtsupport2021-04-12T06:00:02-04:00April 12, 2021|Medicare, Telehealth|

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|