Policy Updates

A Bump in the Road for Telehealth?

Maybe. A new study suggests that telehealth follow-up may not be ideal after a visit to the hospital emergency department. According to a study based on a very limited scope of ED cases, … telehealth follow-up was associated with 28.3 more repeated ED encounters and 10.6 more return hospital admissions per 1000 patients compared with in-person follow-up. Further, … telehealth follow-up visits after ED encounters were associated with higher rates of repeated hospital visits even after controlling for presentation acuity, comorbidities, and sociodemographic factors. Learn more about how the study was conducted and what it found in the JAMA Network [...]

iqtsupport2022-11-01T06:00:07-04:00November 1, 2022|Telehealth|

Federal Health Policy Update for October 27

The following is the latest health policy news from the federal government for the week of October 21 to October 27. Some of the language used below is taken directly from government documents. 340B Responding to a federal court ruling that the federal government has shortchanged hospitals in its payments for 340B-covered prescription drugs, CMS has announced how it will compensate hospitals for its underpayments – at least for the 2023 fiscal year. According to CMS, it “…will apply the default rate (generally ASP plus 6%) to 340B-acquired drugs for the rest of the year. CMS also will reprocess claims [...]

iqtsupport2022-10-27T17:06:24-04:00October 27, 2022|340b, Center for Medicare and Medicaid Innovation, CMMI, COVID-19, Medicaid, Medicaid regulations for long-term care, Medicare, Medicare reimbursement policy, MedPAC, post-acute care|

Results of Annual Survey of State Medicaid Programs

The Kaiser Family Foundation has published the results of its annual survey of state Medicaid programs for the 2022 and 2023 fiscal years. Among the survey’s findings (in language taken directly from the Kaiser report): More than 3/4 of states that contract with MCOs [managed care organizations] enroll ≥75% of all beneficiaries in MCOs Some states reported newly implementing or expanding MCO programs States also report continued use of other service delivery and payment system reforms Two-thirds of states are using strategies to improve race, ethnicity, and language data About one-quarter of states are tying MCO financial incentives to health [...]

iqtsupport2022-10-27T06:00:07-04:00October 27, 2022|COVID-19, Medicaid, Medicaid long-term services and supports, Medicaid managed care, social determinants of health, Telehealth|

Hospitals to Continue to Face Staffing Challenges

While the number of health care employment openings is now declining and fewer health care workers are leaving their jobs, non-profit hospitals can expect to continue facing staffing challenges in the near future. At least that’s what Fitch Ratings says in a new report. “Despite some relief of late, U.S. not-for-profit hospitals are in for several challenging months with healthcare and social assistance job vacancies still high against a backdrop of low unemployment, according to Fitch Ratings in its labor dashboard for the sector,” the report said. Learn more from this Fitch Ratings news release.

iqtsupport2022-10-26T06:00:17-04:00October 26, 2022|hospitals|

FEDERAL HEALTH POLICY UPDATE FOR OCTOBER 20

The following is the latest health policy news from the federal government for the week of October 14 to October 20. Some of the language used below is taken directly from government documents. White House President Biden has signed an executive order on lowering prescription drug costs. The order directs HHS to consider additional actions to further drive down prescription drug costs, encourages it to pursue such actions through its Center for Medicare and Medicaid Innovation (CMMI), and directs HHS to submit a formal report within 90 days outlining any plans to use CMMI’s authority to lower drug costs and [...]

iqtsupport2022-10-20T17:01:23-04:00October 20, 2022|Centers for Medicare & Medicaid Services, CMMI, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid and housing, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

COVID Pandemic: It’s Over? It’s Not?

An average of 400 daily COVID-related deaths. The potential loss of access to telehealth services. The need to redetermine Medicaid eligibility for people who benefited from the loosening of eligibility standards under the 2020 Family First Coronavirus Response Act. The upcoming commercialization of COVID vaccines. A promise to the nation’s governors of 60 days’ advance notice. These are among the reasons the federal government recently extended the declaration of the COVID-19 public health emergency for another 90 days. Becker’s Hospital Review takes a closer look at these and other reasons for the public health emergency’s extension in the article “HHS [...]

iqtsupport2022-10-18T06:00:47-04:00October 18, 2022|COVID-19|

Feds Taking the Long View on Monkeypox

Federal health officials are increasingly looking at monkeypox as a long-term challenge that may periodically create short-term crises. The number of monkeypox cases is not increasing exponentially and appears large confined to limited, defined communities and may eventually spread more like a sexually transmitted disease than a pandemic-style threat. In addition, as time passes more at-risk individuals are likely to receive vaccines to gain protection against the infection. Meanwhile, efforts continue to find more effective ways to treat the disease. Monkeypox has long been common in some countries and its presence in the U.S. suggests that it is likely to [...]

iqtsupport2022-10-17T06:00:49-04:00October 17, 2022|Uncategorized|

FEDERAL HEALTH POLICY UPDATE FOR OCTOBER 13

The following is the latest health policy news from the federal government for the week of October 7 to October 13. Some of the language used below is taken directly from government documents. Public Health Emergency Declaration HHS Secretary Becerra has renewed the COVID-19 Public Health Emergency declaration. This renewal does not provide the promised 60-day notice of the PHE’s end, so for now, the current declaration is set expire on January 11, 2023. We will continue to update you on any changes to the PHE timeline. You can view the PHE renewal here. White House The White House COVID-19 [...]

iqtsupport2022-10-13T17:14:18-04:00October 13, 2022|Centers for Medicare & Medicaid Services, COVID-19, Medicare, Medicare reimbursement policy, MedPAC, Telehealth|

How Many Will Lose Medicaid Coverage?

When the COVID-19 public health emergency ends, millions of Americans are expected to lose Medicaid coverage. With the public health emergency winding down, states will be permitted to evaluate recipients’ continued Medicaid eligibility and, in many cases, declare ineligible many who currently are enrolled in the program. But how many people will lose their Medicaid coverage? The National Association of Medicaid Directors summarizes estimates from the Urban Institute, the Kaiser Family Foundation, and the Department of Health and Human Services on how many people will lose their Medicaid coverage in its blog entry “The Unwinding: Making Sense of Statistics.”

iqtsupport2022-10-12T14:34:14-04:00October 12, 2022|Medicaid|

Federal Health Policy Update for October 6

The following is the latest health policy news from the federal government for the week of September 26 to October 6. Some of the language used below is taken directly from government documents. 340B HHS must immediately end its significant cut in reimbursement for 340B-covered prescription drugs provided on an outpatient basis to eligible patients, a federal court has ruled, writing that “The prospective portion of the 2022 reimbursement rate shall be vacated because it is defective and because vacating this portion of the 2022 OPPS Rule will not cause substantial disruption” and that “HHS should not be allowed to [...]

iqtsupport2022-10-06T17:42:49-04:00October 6, 2022|340b, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, Medicaid, Medicare, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|