Policy Updates

Federal Health Policy Update for Tuesday, June 21

The following is the latest health policy news from the federal government as of 2:45 p.m. on Tuesday, June 21. Some of the language used below is taken directly from government documents. Centers for Medicare & Medicaid Services The Supreme Court has ruled that CMS acted inappropriately when it reduced 340B payments to hospitals. In a unanimous decision, the court found that the law creating the program gives the federal government two ways to set 340B payments for outpatient drugs for qualified providers and that the manner in which CMS cut those payments in 2018 followed neither. Learn more from [...]

iqtsupport2022-06-21T17:24:52-04:00June 21, 2022|340b, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, COVID-19, Medicaid, Medicare, Medicare regulations, Medicare reimbursement policy, MedPAC|

Providers Say They Need More Time to Comply With Surprise Bill Requirement

Health care providers say they need more time to comply with the federal surprise billing law’s requirement that they supply certain patients with good-faith estimates of the potential charges they are likely to incur for medical procedures. Preparing such estimates for self-insured, uninsured, and other requesting patients is far more difficult and time-consuming than policy-makers thought it would be, provider groups insist, and they also note that there currently is no automated means of producing such estimates within the time limits imposed by the No Surprises Act, which was signed into law in late 2020. The requirement is scheduled to [...]

iqtsupport2022-06-17T06:00:48-04:00June 17, 2022|Centers for Medicare & Medicaid Services|

Supreme Court Rejects 340B Payment Cuts

The federal government had no business cutting section 340B payments to hospitals in the manner it did, the Supreme Court has ruled. In an unanimous decision, the court found that the law creating the program gives the federal government two ways to set 340B payments for outpatient drugs for qualified providers and that the manner in which the Department of Health and Human Services cut those payments in 2018 followed neither. Hospital groups estimate that the 340B payment cut amounted to about $1.6 billion annually. Learn more about the high court ruling in the Healthcare Dive article “Hospitals win SCOTUS [...]

iqtsupport2022-06-16T06:00:11-04:00June 16, 2022|340b|

Using Medicaid Money to Pay the Rent?

Some people think the time has come for Medicaid to help pay for housing for the homeless in the name of health and health equity. “In the last decade Medicaid has inched toward acknowledging the interconnectedness of housing and health,” the New York Times reports, adding that “It has encouraged more state Medicaid programs to cover housing-related costs like furniture or security deposits – basically everything except paying the rent.” In addition, most conversations about social determinants of health identify housing insecurity as a major obstacle to good health and health equity. The Bush and Obama administrations invested in creating [...]

iqtsupport2022-06-15T11:24:04-04:00June 15, 2022|health equity, Medicaid, Medicaid and homelessness, social determinants of health|

Feds Getting Serious About Hospital Price Transparency

After warning many hospitals that they were not in compliance with a 2019 requirement that they post their prices on the internet, the Centers for Medicare & Medicaid Services has now fined two hospitals for failing to do so. Policy-makers and advocates have been warning for some time that too many hospitals were not complying with the requirement: a JAMA report found that within six to nine months of the requirement’s implementation only six percent of 5200 hospitals met the requirement and a later review conducted by patient advocates found only 14 percent of 1000 hospitals surveyed in compliance. Eventually [...]

iqtsupport2022-06-14T14:34:45-04:00June 14, 2022|Centers for Medicare & Medicaid Services|

Federal Health Policy Update for Monday, June 13

The following is the latest health policy news from the federal government as of 2:30 p.m. on Monday, June 13. Some of the language used below is taken directly from government documents. White House The White House has issued a fact sheet outlining its plan for administering COVID-19 vaccines to children under the age of five. Find the fact sheet here. The White House also held a background call with the press to discuss this plan; go here to see a transcript of that call. The White House COVID-19 response team has held a briefing for the press to discuss [...]

iqtsupport2022-06-13T17:03:53-04:00June 13, 2022|Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC, Telehealth|

Federal Health Policy Update for Friday, June 3

The following is the latest health policy news from the federal government as of 2:30 p.m. on Friday, June 3. Some of the language used below is taken directly from government documents. White House The White House COVID-19 response coordinator and press secretary have held a briefing on the latest in the federal response to COVID-19. Find a transcript of that briefing here. Centers for Medicare & Medicaid Services HHS and CMS are notifying states that they now have an additional year – through March 31, 2025 – to use funding made available by the American Rescue Plan to enhance, [...]

iqtsupport2022-06-03T16:49:10-04:00June 3, 2022|Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, Medicare, Telehealth|

Federal Health Policy Update for Friday, May 20

The following is the latest health policy news from the federal government as of 2:15 p.m. on Friday, May 20. Some of the language used below is taken directly from government documents. White House The White House has announced that U.S. households may now order an additional eight free home COVID-19 tests at COVIDTests.gov. Learn more from this White House fact sheet. White House COVID-19 and public health officials have held a COVID-19 briefing. Find a transcript of the briefing here and the slides presented during the briefing here. Centers for Medicare & Medicaid Services CMS has published a new [...]

iqtsupport2022-05-20T17:13:05-04:00May 20, 2022|Centers for Medicare & Medicaid Services, COVID-19, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare|

States Not Spending COVID Disparity Money

The $2.25 billion distributed to the states and 58 large city and county health departments by the Centers for Disease Control and Prevention in May of 2021 was intended for use in addressing COVID-related disparities and helping underserved communities that had been hit hard by the pandemic. But a year later relatively little of that money has been spent. State and local officials cite lack of staff, slow local appropriations processes, lack of ties to community-based non-profits, and inadequate public health infrastructure among the reasons for their failure to spend more of the money. As a result, Missouri has not [...]

iqtsupport2022-05-18T14:20:51-04:00May 18, 2022|COVID-19|

Federal Health Policy Update for Thursday, May 12

The following is the latest health policy news from the federal government as 2:30 p.m. on Thursday, May 12. Some of the language used below is taken directly from government documents. Provider Relief Fund HHS’s Health Resources and Services Administration (HRSA) has released $450 million in American Rescue Plan grants to rural health care providers. Go here to find the updated database of rural grant recipients. Department of Health and Human Services HHS Secretary Xavier Becerra and CMS Administrator Chiquita Brooks-LaSure have written to the nation’s governors about some of the challenges states will face when the COVID-19 public health [...]

iqtsupport2022-05-12T16:41:48-04:00May 12, 2022|Centers for Medicare & Medicaid Services, COVID-19, Medicaid, Medicaid regulations, Medicare, Medicare regulations, Telehealth|