The Senate Finance Committee held a hearing this week on “Ensuring Medicare Beneficiary Access: A Path to Telehealth Permanency.” Go here for a video of the hearing and here for links to the testimony submitted to the committee.
A wide-ranging bill passed by the Senate Finance Committee would eliminate $16 billion in Medicaid disproportionate share (Medicaid DSH) payments over the next two years. The Better Mental Health Care, Lower-Cost Drugs, and Extenders Act, passed by the committee with unanimous, bipartisan support, also seeks to improve access to mental health care for Medicare patients living in rural and underserved areas; improve access to behavioral health services via telehealth for Medicaid and CHIP beneficiaries; reduce some of the recently adopted cuts in Medicare payments to physicians that will take effect in 2024; toughen federal regulations governing pharmacy benefit managers (PBMs); [...]
Medicare patients with serious mental health problems were well-served through telehealth during the COVID-19 crisis. According to a new study published by the JAMA Network, such patients experienced … 13.0% more mental health visits than those receiving care at practices that largely used in-person visits. There were no changes in medication adherence, hospital and emergency department use, or mortality based on the extent of telemental health use. The study’s findings support continued use of telehealth for Medicare patients with mental health problems even now that the greatest threat of the pandemic has passed. Learn more about how the study was [...]
When access to buprenorphine treatment became available to Medicaid beneficiaries in response to the COVID-19 crisis, patients who obtained such treatment via telehealth were more likely to remain under treatment for their disorder than those who received similar care through physician offices. This new finding, reported in the JAMA Network, suggests that prescribing buprenorphine treatment through telehealth may be beneficial to patients and should remain an option for patients and providers after the COVID-19-inspired policy, extended after the formal end of the public health emergency, expires at the end of 2024, as currently scheduled. While the study found that patients [...]
The Medicare Payment Advisory Commission has shared its agenda for its 2023-2024 public meeting cycle. According to MedPAC, it will engage in its regular work of offering recommendations to Congress on the adequacy of Medicare payments to providers and, as needed, suggest changes in those payments. In addition, it will fulfill two statutory requirements in the coming year: to evaluate Medicare Advantage special needs plans for individuals eligible for both Medicare and Medicaid and to review the new “Rural Emergency Hospital” designation. In addition, MedPAC writes that We are working on several other issues in the Medicare program as well, [...]
The following is the latest health policy news from the federal government for October 13-19. Some of the language used below is taken directly from government documents. Congress At this moment there is still no Speaker of the House of Representatives. After 20 and then 22 House Republicans voted against Rep. Jim Jordan (R-Ohio) on Tuesday and Wednesday this week, Mr. Jordan has joined others, including senior Democrats, in supporting a plan to expand the powers of the temporary speaker, Rep. Patrick McHenry (R-NC). Mr. Jordan remains the speaker designee, an option that will enable him to continue to seek [...]
The following is the latest health policy news from the federal government for October 6-12. Some of the language used below is taken directly from government documents. No Surprises Act CMS has reopened the federal independent dispute resolution (IDR) portal for the initiation ofnew single disputes, including single disputes involving bundled payment arrangements, but parties still cannot initiate new disputes involving air ambulance services and batched disputes for air ambulance and non-air ambulance items and services. IDR portal functionalities related to previously initiated batched disputes also are unavailable. Learn more about this action from this CMS announcement, which includes an [...]
The federal Drug Enforcement Administration has extended the authority of qualified health care providers to prescribe controlled substances via telehealth through the end of 2024. This authorization originated as a temporary measure in response to the COVID-19 public health emergency and this is its second extension since the end of the formal public health emergency. The DEA says it intends to promulgate new remote prescribing standards by the fall of 2024. Without the extension, the authority would have expired on November 11. Learn more about this DEA decision, why it was made, and what to expect next from this Federal [...]
The following is the latest health policy news from the federal government for September 22-28. Some of the language used below is taken directly from government documents. The White House President Biden has signed H.R. 2544, the Securing the U.S. Organ Procurement and Transplantation Network Act, which provides for awarding multiple grants, contracts, or cooperative agreements to operate the Organ Procurement and Transplantation Network. Congress Congressional leaders have not come to agreement on how to avert a federal government shutdown this weekend. While Senate leaders introduced a continuing resolution that would fund the government through November 17, that bill has [...]
The following is the latest health policy news from the federal government for August 4-10. Some of the language used below is taken directly from government documents. Centers for Medicare & Medicaid Services CMS has temporarily suspended the federal Independent Dispute Resolution process, which adjudicates problems involving surprise medical bills, in the wake of a federal court ruling that found some of the process’s underlying regulations invalid. CMS has directed the certified Independent Dispute Resolution entities to pause all dispute resolution activities. As a result, providers and insurers temporarily cannot initiate new disputes. Learn more from this CMS notice. CMS [...]