Policy Updates

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|

2019 Change in Public Charge Rule to Disappear

Shortly after taking office the Biden administration stopped enforcing 2019 changes in the so-called public charge rule and now the Supreme Court has agreed to a Justice Department request to dismiss an upcoming case challenging that rule. The public charge rule, as updated in 2019, calls for all legal immigrants enrolled in Medicaid and certain other safety-net programs to be designated public charges and denied access to permanent U.S. residency and green card status. Hospitals feared that the revised rule would have a chilling effect on the willingness of some legal citizens and legal non-citizens to seek out government health [...]

iqtsupport2021-03-16T06:00:01-04:00March 16, 2021|Medicaid|

Coronavirus Update for Friday, March 12

The following is the latest COVID-19 information from the federal government as of 3:30 p.m. on Friday, March 12. White House President Biden announced his administration’s objective of making every American eligible for a COVID-19 vaccine by May 1. See a fact sheet about the announcement. The White House has posted a transcript of the March 12 press briefing provided by its COVID-19 response team and public health officials. President Biden will nominate Melanie Egorin to serve as HHS’s Assistant Secretary for Legislation. Department of Health and Human Services HHS announced that an additional 700 health centers supported by the [...]

iqtsupport2021-03-15T06:00:48-04:00March 15, 2021|Coronavirus, COVID-19|

Coronavirus Update for Thursday, March 11

The following is the latest COVID-19 information from the federal government as of 2:45 p.m. on Thursday, March 11. White House The White House has posted a transcript of the March 10 press briefing provided by its COVID-19 response team and public health officials. Centers for Medicare & Medicaid Services CMS has updated its guidance on nursing home visitation, easing current restrictions. According to the updated guidance, facilities should permit responsible indoor visitation at all times and for all residents, regardless of vaccination status of the resident or visitor, except under specific, defined circumstances. The updated guidance also emphasizes that “compassionate [...]

iqtsupport2021-03-12T06:00:04-05:00March 12, 2021|Coronavirus, COVID-19|