Policy Updates

Some Patients May Safely Leave Nursing Homes Faster, Study Finds

Some patients can be safely discharged from skilled nursing facilities faster than they currently are, a new study has found. And not just a day or two, either: as much as a week or more. The study focused on patients who had been in SNFs for about 20 days – the point at which Medicare beneficiaries begin shouldering a portion of the cost of their nursing care. Discharging some of these patients a week early, the study found, did not affect rehospitalization by day 28 for 98 percent of the patients discharged around day 20. The study, its authors assert, [...]

iqtsupport2021-05-05T06:00:18-04:00May 5, 2021|Medicare post-acute care|

Federal Health Policy Update for Monday, May 3

The following is the latest health policy news from the federal government as of 3:15 p.m. on Monday, May 3. Some of the language used below is taken directly from government documents. The White House COVID-19 The White House has posted a transcript of the April 30 press briefing provided by its COVID-19 response team and public health officials. Department of Health and Human Services COVID-19 HHS and its Health Resources & Services Administration (HRSA) have announced a new program to cover the costs of administering COVID-19 vaccines for patients enrolled in health plans that either do not cover vaccination [...]

iqtsupport2021-05-03T17:28:49-04:00May 3, 2021|Coronavirus, COVID-19|

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|

Federal Health Policy Update for Thursday, April 29

The following is the latest health policy news from the federal government as of 2:30 p.m. on Thursday, April 29. Some of the language used below is taken directly from government documents. The White House COVID-19 The White House has posted a transcript of the April 27 press briefing provided by its COVID-19 response team and public health officials. Health Policy News Speaking before a joint session of Congress, President Biden on Wednesday night formally presented his proposed American Families Plan. In general, the plan defers action on most health care matters to other, separate legislation, but it does call for [...]

iqtsupport2021-04-29T17:06:18-04:00April 29, 2021|Coronavirus, COVID-19, Medicare disproportionate share, Medicare DSH, Medicare post-acute care, Medicare reimbursement policy|

Federal Health Policy Update for Tuesday, April 27

The following is the latest health policy news from the federal government as of 3:00 p.m. on Tuesday, April 27. The White House COVID-19 The White House has posted a transcript of the April 23 press briefing provided by its COVID-19 response team and public health officials. Health Policy News The White House has nominated Miriam Delphin-Rittmon to serve as Assistant Secretary for Mental Health and Substance Use in the Department of Health and Human Services. The nomination is subject to Senate confirmation. Congress The New Democrat Coalition is a group of 94 mostly centrist Democrats working to bridge the gap [...]

iqtsupport2021-04-27T22:25:58-04:00April 27, 2021|Congress, Coronavirus, COVID-19, Medicaid, Medicare|

Some Insurers Phasing Out Free COVID-19 Care

Some insurers that waived member costs for treatment for COVID-19 are beginning to reintroduce deductibles, co-payments, and other costs associated with treating the virus. Waiving such costs was always voluntary and not imposed by the federal government. As a result, insurers face no limits on the restoration of their members’ share of care costs. Vaccines and most tests remain available without cost. Learn more about how consumer costs for COVID-19 care came to be waived by insurers and how they are now on path to restoration for those covered by some insurers, and likely more insurers in the coming months, [...]

iqtsupport2021-04-27T13:00:59-04:00April 27, 2021|Coronavirus, COVID-19|

Has the White House Lost Faith in the Johnson & Johnson Vaccine?

Between the issues that resulted in a brief federal pause in the administration of Johnson & Johnson’s Janssen COVID-19 vaccine and production problems plaguing the company’s production contractor, the Biden administration is not necessarily counting on the vaccine in the future. According to Politico, “…privately, frustrated senior health officials have largely written off the shot, according to seven people with knowledge of the matter.” In addition, “… the chaos has disappointed the Biden team, which once argued that the company’s one-dose vaccine would be central to turning the tide of the pandemic. Instead, the administration has concluded that the company [...]

iqtsupport2021-04-27T06:00:13-04:00April 27, 2021|Coronavirus, COVID-19|

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|