Uncategorized

Feds Pursue Next Regs for Surprise Billing Law

In their continuing effort to implement the complex No Surprises Act, the 2020 law that seeks to prevent consumers from receiving surprise medical bills, federal regulators are now turning their attention to how providers and payers should inform insured individuals about the costs they may incur for procedures and purchases. Specifically, the federal agencies with jurisdiction over the law and its implementation – the Department of Health and Human Services, the federal Office of Personnel Management, the Internal Revenue Service, the Department of the Treasury, the Department of Labor, and the Employee Benefits Security Administration – have issued a request [...]

iqtsupport2022-09-22T13:00:58-04:00September 22, 2022|Uncategorized|

Hospital Financial Woes Continue and Will Persist

The immediate financial future for many hospitals is bleak, according to a new study. The study, by the health care management consulting company Kaufman Hall, concludes that “Margins remain depressed relative to pre-pandemic levels.” “More than half of hospitals are projected to have negative margins through 2022.” “Expenses are significantly elevated from pre-pandemic levels.” “Hospitals have faced a profound financial toll.” “Ultimately, U.S. hospitals are likely to face billions of dollars in losses in 2022 under both optimistic and pessimistic." The study cites the COVID-19 pandemic and inflation among the leading causes of hospitals’ financial distress. Learn more from the [...]

iqtsupport2022-09-21T06:00:06-04:00September 21, 2022|Uncategorized|

DeBrunner Partner Recognized by Publication

City and State Pennsylvania has named DeBrunner & Associates’ Michael Chirieleison one of its “2022 Health Care Power 100.” Since taking over the reins of DeBrunner & Associates’ Pennsylvania health care consulting, government relations, and advocacy practice, Mike has pushed the firm in new directions. From a mostly hospital-oriented practice, Mike and his team of policy, data, and lobbying professionals have moved boldly into biopharmaceuticals, long-term care, substance use services, and more. In recent years the firm has scored a number of successes, including the successful pursuit of legislation to increase state funding for skilled nursing facilities that care for [...]

iqtsupport2022-05-03T14:29:58-04:00May 3, 2022|Uncategorized|

Feds Plan for End of Aid for Certain COVID Services

As of March 22, 2022 at 11:59 p.m. (eastern) the HRSA COVID-19 Uninsured Program will stop accepting claims for testing and treatment due to lack of funds and on April 5, 2022 at 11:59 p.m. (eastern) the HRSA COVID-19 Uninsured Program and COVID-19 Coverage Assistance Fund will stop accepting vaccination claims due to a lack of funds. Today, the Department of Health and Human Services’ Health Resources and Services Administration (HRSA), which runs the Provider Relief Fund program, has provided additional information about this significant change in federal COVID policy with the publication of two new documents: HRSA COVID-19 Uninsured [...]

iqtsupport2022-03-17T16:03:40-04:00March 17, 2022|Uncategorized|

Surprise Billing Ban: Now the Hard Part Begins

Congress’s passage of a ban on surprise medical bills came after years of debate on the issue and was still somewhat of a surprise. But in hindsight, passing the ban may end up being the easy part. Now, federal officials need to develop regulations that will flesh out the ban, define terms, establish new processes, and more, and every indication is that this will be no less difficult than developing and passing legislation. According to Politico, lobbying on future regulations has already begun, with providers, consumer advocates, insurers, and even private equity interests vying to ensure that their needs are [...]

iqtsupport2021-05-03T06:00:45-04:00May 3, 2021|Uncategorized|

Health Care Reportedly Out of Biden American Families Plan

President Biden’s soon-to-be-introduced “American Families Plan” proposal apparently will not include a major health care component. The New York Times reports that The plan will not include an up to $700 billion effort to expand health coverage or reduce government spending on prescription drugs. Officials have decided to instead pursue health care as a separate initiative… Learn more about what is expected from the American Families Plan – and what is not expected – in the New York Times article “Biden Will Seek Tax Increase on Rich to Fund Child Care and Education.”

iqtsupport2021-04-26T13:00:22-04:00April 26, 2021|Uncategorized|

Earmarks Expected to Return

After a ten-year absence, congressional earmarks appear to be on their way back. Earmarks – special budget items chosen by members of Congress specifically for their districts – were banned in 2011 but now, members of the House have voted to revive them, citing the oft-used rationale that members of Congress are more qualified to choose projects for their districts than federal bureaucrats. In addition, it is widely thought that earmarks can help build bipartisan support for challenging legislation. Amid concern about the possibility of increasing federal spending at a time of rising deficits, the Senate still has not agreed [...]

iqtsupport2021-03-23T06:00:28-04:00March 23, 2021|Uncategorized|

Bundled Payments Produce Savings Among Privately Insured

Bundled payments for a limited number of surgical procedures produced a savings of 10.7 percent among privately insured patients according to a study by the RAND Corporation. For the study, participants working for self-insured employers who received three types of surgery – total knee and hip replacement, spinal fusion, and bariatric weight-loss procedures – were offered the opportunity to have those procedures without cost-sharing in exchange for undergoing surgery by specific providers that agreed to accept a bundled payment for the procedure and 30 days of post-surgical care. The result was a savings of 10.7 percent in costs, 85 percent [...]

iqtsupport2021-03-04T06:00:43-05:00March 4, 2021|Uncategorized|

The New Administration’s Health Care Team

Becker’s Hospital Review has published a list of 35 officials who are currently part of the Biden administration’s health care team. Some are staff, some are appointments awaiting Senate confirmation, and some are serving on an interim basis until permanent replacements can be chosen and/or confirmed. The list includes links to information about each individual. See the list here.

iqtsupport2021-02-09T06:00:09-05:00February 9, 2021|Uncategorized|

Coronavirus Update for Monday, February 1

The following is the latest COVID-19 information from the federal government as of 2:30 p.m. on Monday, February 1. Centers for Medicare & Medicaid Services CMS has compiled resources and materials to help providers share important and relevant information about the COVID-19 vaccine with the people they serve. These resources include: CMS’s COVID-19 Partner Resources Page the HHS COVID Education Campaign page the CDC Resources for Health Care Providers Page CMS’s COVID-19 Provider Toolkit CMS’s FAQ on Medicare fee-for-service billing Resources for Medicare beneficiaries about coverage for COVID-19 vaccines CMS has updated its list of hospitals approved to participate in [...]

iqtsupport2021-02-02T06:00:00-05:00February 2, 2021|Coronavirus, COVID-19, Uncategorized|