Policy Updates

Coronavirus Update for Tuesday, March 2

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Tuesday, March 2. White House The White House has posted a transcript of the March 1 press briefing provided by its COVID-19 response team and public health officials.   Department of Health and Human Services HHS has announced a new round of appointments to positions in the department.  The new appointees are: Office of the Secretary Rachel Pryor, Counselor for Health Policy Office of the Assistant Secretary for Public Affairs Florence Elizabeth “Beth” Lynk, Deputy Assistant Secretary for Public Affairs (Health Care) Office of [...]

2021-03-03T08:34:08-05:00March 3, 2021|Coronavirus, COVID-19|

Coronavirus Update for Friday, February 26

The following is the latest COVID-19 information from the federal government as of 2:30 on Friday, February 26. Congress The House Budget Committee has passed a COVID-19 relief bill.  The following is a summary of the bill’s major spending, how it differs from the previous proposals submitted to the Budget Committee by other House committees, and what the bill does not do.   Major Spending Categories The bill, which calls for $1.9 trillion in federal spending and tax credits, proposes: $350 billion for emergency aid to states, local, and tribal governments. $195 billion for state governments, with most of it [...]

2021-03-01T06:00:45-05:00March 1, 2021|Coronavirus, COVID-19|

Medicare Pays Far More Than Medicaid for Brand-Name Drugs

Medicare pays three times as much for brand-name drugs at retail pharmacies as Medicaid and two-and-a-half times more for specialty drugs, according to a new analysis by the Congressional Budget Office. The vast difference occurs because of how drug prices are established for the two programs.  Under Medicare Part D, individual payers and manufacturers negotiate prices based on commercial market conditions while for Medicaid, federal law requires manufacturers to provide rebates. Learn more about the differences between Medicare and Medicaid prescription drug prices, how and why those differences occur, and their implications in the CBO report “A Comparison of Brand-Name [...]

2021-02-26T06:00:54-05:00February 26, 2021|Medicaid, Medicare|

Coronavirus Update for Thursday, February 25

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Thursday, February 25. The White House President Biden has extended the declaration of a national health emergency because of COVID-19. The White House announced a new effort to make masks more available in communities hard hit by the pandemic.  The administration will deliver more than 25 million masks to more than 1300 community health centers and 60,000 food pantries and soup kitchens. The White House COVID-19 response team and public health officials held a press briefing on Monday, February 22.  See a transcript of [...]

2021-02-26T06:00:24-05:00February 26, 2021|Coronavirus, COVID-19|

ACA Medicaid Expansion Cut Young Adult Uninsurance in Half

The number of uninsured young adults fell nearly 50 percent after the Affordable Care Act authorized states to expand their Medicaid programs, a new study has found. According to the Urban Institute, the uninsured rate among people between the ages of 19 and 25 fell from 30.2 percent to 16 percent between 2011 and 2018, with most of the decline coming between 2013 and 2016, when the first round of states expanded their Medicaid programs. The decline in the rate of uninsured young adults mirrored declines in the overall U.S. uninsured rate, which fell from 27.7 percent to 11.3 percent [...]

2021-02-25T13:00:37-05:00February 25, 2021|Affordable Care Act, Medicaid|

Hospitals Starting to Comply With Price Transparency Requirement

One out of every three hospitals is in full compliance with a federal mandate to post payer rates publicly and transparently. And many others are partially in compliance with the federal requirement that took effect on January . Full compliance requires that the postings are machine-readable and include payer-negotiated rates for 300 “shoppable services.”  2000 of 6000 hospitals are already meeting four of five federal criteria and about 20 percent appear to be on their way to doing so. Hospitals began working to comply with the new federal mandate when their attempt to block it in court failed. Learn more [...]

2021-02-25T06:00:47-05:00February 25, 2021|hospitals|

GAO Looks at “Medicaid in Times of Crisis”

The federal government often turns to Medicaid to address problems, mitigate damage, and serve vulnerable populations, especially in times of crisis. In a new issue brief, the U.S. Government Accountability Office looks at examples of how states and the federal government have turned to Medicaid in times of crisis and some of the policy considerations underlying those actions.  Find these examples in the new GAO report “Medicaid in Times of Crisis.”

2021-02-24T13:00:53-05:00February 24, 2021|Medicaid|

Administration Continues Dismantling Medicaid Work Requirements

A week after announcing that it was withdrawing permission for states to implement approved Medicaid work requirements and would no longer entertain applications to introduce such programs, the Biden administration has asked the U.S. Supreme Court to cancel arguments next month on the legality of such requirements. As reported in SCOTUSblog, That argument is no longer necessary, Biden’s acting solicitor general, Elizabeth Prelogar, told the justices in a seven-page motion on Monday.  The Biden administration has “preliminarily determined” that work requirements do not serve Medicaid’s goals, Prelogar wrote. Arkansas, one of the two states involved in the case, maintains that [...]

2021-02-24T06:00:14-05:00February 24, 2021|Medicaid|

Coronavirus Update for Monday, February 22

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Monday, February 22. Centers for Medicare & Medicaid Services CMS has updated its FAQ on Medicare COVID-19 billing issues with 13 new questions addressing vaccines, monoclonal antibody treatments, and ambulatory surgery centers functioning as acute-care hospitals during the public health emergency.  The questions, all labeled “2/19/2021,” can be found on pages 27-28, 135-137, and 152-153. Department of Health and Human Services HHS has updated its Provider Relief Fund FAQ with an updated question about how applicants should set up an account of behalf of [...]

2021-02-23T06:00:19-05:00February 23, 2021|Coronavirus, COVID-19|

Coronavirus Update for Friday, February 19

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Friday, February 19. The White House The White House announced that it is increasing the vaccine supply sent weekly to states to 13.5 million doses a week.  This is a 57 percent increase over weekly shipments a month ago.   Centers for Medicare & Medicaid Services CMS has updated its “COVID-19 Vaccines and Monoclonal Antibodies” web page.  The page includes: information about Medicare Part B payments for COVID-19 and certain monoclonal antibodies during the public health emergency information about payment allowances and effective dates [...]

2021-02-22T06:00:58-05:00February 22, 2021|Coronavirus, COVID-19|
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