Policy Updates

Federal Health Policy Update for Wednesday, March 24

Beginning today, DeBrunner & Associates is expanding its regular updates to encompass a broader scope of federal health policy endeavors to include other matters of importance to providers. Feel free to share this newsletter with others in your organization or to send us the email addresses of those you think might be interested and we will send it directly to them. The following is the latest such information from the federal government as of 2:45 p.m. on Wednesday, March 24. Congress The temporary delay of implementation of the Medicare two percent sequester expires at the end of the month and [...]

iqtsupport2021-03-25T08:51:40-04:00March 25, 2021|Affordable Care Act, Coronavirus, COVID-19|

New Medicare Policy May Save Money for Government But Cost Patients More

A new Medicare policy expected to save money for the federal government may end up doing so at the expense of Medicare beneficiaries who may find themselves faced with costs that Medicare previously paid. Under the new policy, selected procedures that Medicare once authorized only when performed on an inpatient basis can now be performed on an outpatient basis. The underlying rationale for the policy, which took effect on January 1 and will be phased in over the next three years, is that such an approach should foster competition and possibly lower Medicare costs. But some of those procedures still [...]

iqtsupport2021-03-25T06:00:40-04:00March 25, 2021|Medicare reimbursement policy|

COVID Drives Major Increase in PA Medicaid Enrollment

Medicaid enrollment in Pennsylvania has risen nearly 14 percent in the past year as rising unemployment resulting from COVID-19 drives people to turn to the state for health insurance. As a result, Pennsylvania has added nearly 400,000 people to its Medicaid rolls in the past year. Today, 3.2 million Pennsylvanians are enrolled in the state’s program, although among them are approximately 250,000 who would have been dropped from the program except for a federal requirement that the state not drop people from the program in exchange for a major increase in federal aid for the state’s program. As a result [...]

iqtsupport2021-03-24T06:00:12-04:00March 24, 2021|Pennsylvania Medicaid|

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|

Coronavirus Update for Friday, March 19

The following is the latest COVID-19 information from the federal government as of 3:00 p.m. on Friday, March 19. White House The White House has posted a transcript of the March 17 press briefing provided by its COVID-19 response team and public health officials. During the briefing, White House officials noted that under to the American Rescue Plan (the COVID-19 relief bill), the federal government will now cover 100 percent of the cost for Medicaid and children’s health insurance beneficiaries to get vaccinated. Provider Relief Fund The “reporting requirements and auditing” page of the Provider Relief web site has been [...]

iqtsupport2021-03-22T06:00:51-04:00March 22, 2021|Coronavirus, COVID-19|

MedPAC: Go Slow on Expanding Medicare Telehealth

MedPAC wants Medicare to test the impact of telehealth on health care under non-COVID-19 conditions before moving forward with expanding the tool’s use in the Medicare population. In a news release accompanying its recently released annual report to Congress on Medicare payment policy, the Medicare Payment Advisory Commission writes that In the report, we present a policy option for expanded coverage for Medicare telehealth policy after the PHE is over. Under the policy option, policymakers should temporarily continue some of the telehealth expansions for a limited duration of time (e.g., one to two years after the PHE) to gather more [...]

iqtsupport2021-03-19T13:00:08-04:00March 19, 2021|Medicare, Medicare reimbursement policy, Telehealth|

MedPAC Offers 2022 Rate Recommendations

MedPAC has recommended modest pay increases for some health care providers and no increases for others in its annual report on Medicare payment policy to Congress. In the report, the Medicare Payment Advisory Commission recommends the following changes in Medicare rates for 2022: 2% increase for Medicare inpatient and outpatient services 2% increase for long-term-care hospitals no increase for doctors and other medical professionals no increases for ambulatory surgical centers, outpatient dialysis facilities, skilled nursing facilities, and hospices 5% reductions for home health agencies and inpatient rehabilitation facilities While MedPAC’s recommendations to Congress are not binding on the administration, its [...]

iqtsupport2021-03-18T13:00:08-04:00March 18, 2021|Medicare, Medicare reimbursement policy, MedPAC|

House to Consider Extending Medicare Sequester Delay

The moratorium on the two percent sequestration of Medicare payments could be extended under a bill the House may consider this week. If adopted, the bill would extend the sequester delay for nine months, providing financial relief that many health care providers seek as they continue to deal with the financial challenges posed by COVID-19. The sequester delay was implemented early in the pandemic as a means of providing additional Medicare revenue to hospitals and other health care providers at a time when many people were delaying seeking medical attention out of fear of contracting COVID-19. Without action by Congress, [...]

iqtsupport2021-03-18T06:00:49-04:00March 18, 2021|Medicare, Medicare cuts, Medicare reimbursement policy|

Coronavirus Update for Tuesday, March 16

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Tuesday, March 16. White House The White House has posted a transcript of the March 15 press briefing provided by its COVID-19 response team and public health officials. During the briefing, White House officials noted that under to the American Rescue Plan (the COVID-19 relief bill), the federal government will now cover 100 percent of the cost for Medicaid and children’s health insurance beneficiaries to get vaccinated. Centers for Medicare & Medicaid Services CMS announced that it is increasing Medicare payments for administering COVID-19 [...]

iqtsupport2021-03-17T06:00:56-04:00March 17, 2021|Coronavirus, COVID-19|

Medicaid Work Requirements on the Way Out?

Medicaid work requirements appear to be going away in the wake of the Supreme Court agreeing to a Biden administration request to postpone arguments in a case brought by the Trump administration seeking to reverse previous court rulings blocking implementation of such requirements. To date, 12 states have received federal approval to implement Medicaid work requirements although only one such effort, in Arkansas, ever got off the ground. All of the efforts eventually stalled in the face of legal challenges and administrative obstacles. Upon taking office, the Biden administration informed the 12 states that it was considering withdrawing their approvals [...]

iqtsupport2021-03-16T13:00:38-04:00March 16, 2021|Medicaid, Medicaid regulations|