Medicare

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|

Federal Health Policy Update for Friday, July 16

The following is the latest health policy news from the federal government as of 2:45 p.m. on Friday, July 16. Some of the language used below is taken directly from government documents. White House The White House has posted a transcript of the July 16 press briefing given by its COVID-19 response team and public health officials. Centers for Medicare & Medicaid Services Health Policy News CMS is providing notifications to facilities that were determined to be out of compliance with Quality Reporting Program (QRP) requirements for CY 2020, which will affect their FY 2022 Annual Payment Update (APU). Non-compliance [...]

iqtsupport2021-07-16T17:25:29-04:00July 16, 2021|Coronavirus, COVID-19, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

Federal Health Policy Update for Friday, July 9

The following is the latest health policy news from the federal government as of 2:45 p.m. on Friday, July 9. Some of the language used below is taken directly from government documents. White House President Biden has issued an executive order “…to promote competition in the American economy, which will lower prices for families, increase wages for workers, and promote innovation and even faster economic growth.” Among other things, the executive order calls for closer scrutiny of corporate consolidation, maintaining that such consolidation results in a “…lack of competition [that] drives up prices for consumers. As fewer large players have [...]

iqtsupport2021-07-09T17:05:45-04:00July 9, 2021|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicare|

Federal Health Policy Update for Wednesday, June 30

The following is the latest health policy news from the federal government as of 2:45 p.m. on Wednesday, June 30. Some of the language used below is taken directly from government documents. Supreme Court Decision in Site-Neutral Payment Case The Supreme Court has declined to hear an appeal of a case rejecting the bid of hospital interests to prevent Medicare’s implementation of site-neutral payment rates for outpatient clinic visits. Provider Relief Fund CMS has updated the following pages on its Provider Relief Fund web site: For Providers, General Information, Data, Reporting Requirements and Auditing, and FAQs. The updates incorporate changes [...]

iqtsupport2021-06-30T18:00:00-04:00June 30, 2021|Coronavirus, COVID-19, Medicare|

Federal Health Policy Update for Monday, June 28

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, June 28. Some of the language used below is taken directly from government documents. Supreme Court Decision in Affordable Care Act Case The Supreme Court has declined to hear an appeal of a case in which insurers unsuccessfully sued to recover reductions in their Affordable Care Act federal cost-sharing reduction payments. White House The White House has posted a transcript of the June 22 press briefing given by its COVID-19 response team and public health officials. Department of Health and Human Services [...]

iqtsupport2021-06-28T17:33:25-04:00June 28, 2021|Affordable Care Act, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicaid, Medicaid managed care, Medicare, MedPAC|

Federal Health Policy Update for Thursday, June 10

The following is the latest health policy news from the federal government as of 3:00 p.m. on Thursday, June 10. Some of the language used below is taken directly from government documents. White House Health Policy News The White House has released a memo titled “What We Urge You To Do To Protect Against The Threat of Ransomware.” This memo addresses the growing number and size of ransomware incidents and calls upon government and the private sector to take steps to protect their organizations from this growing threat. The memo also outlines the federal government’s recommended best practices. Find the [...]

iqtsupport2021-06-10T17:25:42-04:00June 10, 2021|Centers for Medicare & Medicaid Services, Coronavirus, COVID-19, Medicare, Medicare reimbursement policy|