Policy Updates

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|

CMS Reconsidering Medicare Payment Models

Five Medicare alternative payment models previously slated for implementation are being delayed, cancelled, or reconsidered. The five APMs whose futures are not clear are: The Community Health Access and Rural Transformation Model ACO Track Primary Care First Kidney Care Choices Geographic Direct Contracting Part D Payment Modernization Model Learn more about the Centers for Medicare & Medicaid Services’ latest actions on these models in the Becker’s Hospital Review article “5 CMS payment models that are under review, delayed.”

iqtsupport2021-04-26T06:00:47-04:00April 26, 2021|ACO, Alternative payment models, Centers for Medicare & Medicaid Services, Medicare, Medicare reimbursement policy|

Federal Health Policy Update for Thursday, April 22

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 22. Department of Health and Human Services COVID-19 HHS’s Office of the Assistant Secretary for Preparedness and Response has published a new edition of its online publication The Exchange. The issue focuses on the work of hospital allied and supportive care providers during COVID-19 and is divided into three subjects: COVID-19 and acute hospital care, home care, and hospice; the role of allied health care professionals; and engineering and environmental support during COVID-19. For each subject the issue directs readers to [...]

iqtsupport2021-04-22T17:30:26-04:00April 22, 2021|Coronavirus, COVID-19, Medicare, Medicare regulations|

Feds Rescind Texas Medicaid Waiver

A federal Medicaid waiver approved for the state of Texas in the waning days of the Trump administration has been rescinded by the Biden administration. The waiver called for spending as much as $100 billion for health care for low-income Texans over the next ten years. Officially, the Centers for Medicare & Medicaid Services revoked the waiver on technical grounds, maintaining that the agency “… erred in exempting the state from the normal public notice process – a critical priority for soliciting stakeholder feedback and ensuring public awareness.” The Washington Post, however, reports that according to two unnamed federal health [...]

iqtsupport2021-04-22T06:00:32-04:00April 22, 2021|Affordable Care Act, Centers for Medicare & Medicaid Services, Medicaid|

Federal Health Policy Update for Tuesday, April 20

The following is the latest health policy news from the federal government as of 3:00 p.m. on Tuesday, April 20. Congress This afternoon Senator John Cornyn (R-TX) put a hold on the president’s nomination of Chiquita Brooks-LaSure to be CMS administrator in response to the administration’s decision to revoke a Medicaid waiver the previous administration granted to his state. The White House COVID-19 The White House has posted a transcript of the April 19 press briefing provided by its COVID-19 response team and public health officials. Centers for Medicare & Medicaid Services COVID-19 CMS has issued section 1135 waivers to Colorado, Maine, [...]

iqtsupport2021-04-20T17:08:52-04:00April 20, 2021|Congress, COVID-19, MACPAC, Medicare|

Medicaid Changes Coming?

In office only three months, it appears the new administration has its sights set on expanding Medicaid. According to the Washington Post, Medicaid expansion could be in the works in several areas, including: elimination of work requirements Medicaid expansion in more states extended coverage for women who give birth increased funding for home-based care easier enrollment processes increased coverage for recent immigrants and prisoners Learn more about possible Medicaid changes to come in the Washington Post article “Trump tried to shrink Medicaid. Here's how Biden will try to expand it."

iqtsupport2021-04-20T06:00:09-04:00April 20, 2021|Medicaid|

Health Policy Update for Friday, April 16

The following is the latest health policy news from the federal government as of 2:45 p.m. on Friday, April 16. The White House COVID-19 The White House announced $1.7 billion in new federal spending from the American Rescue Plan to help states and other jurisdictions improve their detection, monitoring, and mitigation of COVID-19 variants. This $1.7 billion includes $1 billion to expand genomic sequencing; $400 million to support innovation initiatives, including the launch of new innovative Centers of Excellence in Genomic Epidemiology; and $300 million to build and support a National Bioinformatics Infrastructure.The first pool of funding will be distributed [...]

iqtsupport2021-04-17T10:18:11-04:00April 17, 2021|Coronavirus, COVID-19|

Medicaid Coverage “Cliff” Poses Threat to Low-Income Medicare Beneficiaries

Nearly one-third of Medicare beneficiaries do not meet the criteria for Medicaid eligibility but have so little income that they are unlikely to be able to afford their share of their Medicare costs, such as co-pays and deductibles. This is known as the “Medicaid coverage cliff,” and Becker’s Hospital Review, drawing from a recent study published in the journal Health Affairs, takes a brief look at what the Medicaid cliff is and how it may affect the well-being of those affected by this cliff. Learn more in the Becker’s Hospital Review article “5 things to know about the Medicaid coverage [...]

iqtsupport2021-04-16T06:00:43-04:00April 16, 2021|Medicaid, Medicare|

Federal Health Policy Update for Wednesday, April 14

The following is the latest health policy news from the federal government as of 2:45 p.m. on Wednesday, April 14. Temporary Halt to Use of the Johnson & Johnson Janssen Vaccine The White House held a press briefing on Tuesday, April 13 during which the White House press secretary, its COVID-19 response coordinator, and Dr. Anthony Fauci discussed the decision to halt administration of the Johnson & Johnson (Janssen) vaccine until its safety can be further examined. Learn more from a transcript of that briefing. Representatives of the FDA and CDC briefed the news media on the situation involving the [...]

iqtsupport2021-04-14T17:11:09-04:00April 14, 2021|Coronavirus, COVID-19, Medicaid, Medicare|

MACPAC Meets

The Medicaid and CHIP Payment and Access Commission met for two days last week in Washington, D.C. The following is MACPAC’s own summary of the sessions. MACPAC kicked off its April meeting with a review of a draft chapter for the June 2021 report to Congress and recommendations on addressing high-cost specialty drugs. Since 2017, the Commission has been working to identify potential models that could help states address the challenges of high prices. The presentation focused on drugs that have been approved by the U.S. Food and Drug Administration (FDA) under the accelerated approval pathway. Such approvals are based [...]

iqtsupport2021-04-14T06:00:46-04:00April 14, 2021|MACPAC, Medicaid, Medicaid regulations|