health equity

Federal Health Policy Update for February 16

The following is the latest health policy news from the federal government for February 6-16. Some of the language used below is taken directly from government documents. No Surprises Act A federal judge in Texas has vacated parts of a regulation governing the arbitration process that is a major aspect of implementation of the No Surprises Act. In his ruling, the judge found that the arbitration process unfairly favored payers over providers, most notably by placing undue emphasis on the qualified payment amount (QPA) that is a major part of the arbitration process. The decision explains that “The Court first [...]

iqtsupport2023-02-16T17:02:31-05:00February 16, 2023|Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, COVID-19, health equity, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare post-acute care, Medicare regulations|

COVID Drugs Experiencing Arguably Inequitable Distribution

The distribution of COVID-19 drugs could be exhibit A in the argument that inadequate access to care is a major social determinant of health. At least that’s a conclusion that might be drawn based on a new CDC study. According to a new Centers for Disease Control and Prevention analysis, the rate at which COVID-19 drug therapies are being distributed “…were lowest in high vulnerability zip codes, despite these zip codes having the largest number of dispensing sites.” The study observes that “The COVID-19 pandemic has highlighted and exacerbated long-standing inequities in the social determinants of health.” Despite this, federal [...]

iqtsupport2022-06-23T06:00:43-04:00June 23, 2022|COVID-19, social determinants of health|

Federal Health Policy Update for Thursday, April 21

The following is the latest health policy news from the federal government as of 2:45 p.m. on Thursday, April 21. Some of the language used below is taken directly from government documents. Proposed FY 2023 Medicare Inpatient Prospective Payment System Regulation CMS has published its proposed FY 2023 Medicare inpatient prospective payment system regulation outlining how it envisions paying hospitals for the inpatient care they provide to Medicare patients in the coming fiscal year. Highlights of the proposed regulation include: A proposed 3.2 percent increase in inpatient rates and a 0.7 percent increase in LTCH rates. A $654 million cut [...]

iqtsupport2022-04-21T17:30:19-04:00April 21, 2022|Centers for Medicare & Medicaid Services, COVID-19, health equity, hospitals, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicare, Medicare regulations, Medicare reimbursement policy, Telehealth|

Federal Health Policy Update for Thursday, April 14

The following is the latest health policy news from the federal government as of 1:15 p.m. on Thursday, April 14. Some of the language used below is taken directly from government documents. Public Health Emergency Renewed HHS Secretary Xavier Becerra has extended the COVID-19 public health emergency for another 90 days effective April 16. White House In response to an executive order President Biden issued on his first day in office titled “Advancing Racial Equity and Support for Underserved Communities Through the Federal Government,” 90 federal agencies and cabinet departments have released equity action plans that lay out more than [...]

iqtsupport2022-04-14T18:51:21-04:00April 14, 2022|Centers for Medicare & Medicaid Services, COVID-19, health equity, MACPAC, Medicaid, Medicaid and CHIP Payment and Access Commission, Medicaid regulations, Medicare, Medicare post-acute care, Medicare regulations, Medicare reimbursement policy, MedPAC|

MedPAC Meets

The government agency that advises Congress on Medicare payment matters met publicly in Washington, D.C. last week. During the virtual meeting, members of the Medicare Payment Advisory Commission discussed: addressing high prices of drugs covered under Medicare Part B initial findings from MedPAC's analysis of Part D data on drug rebates and discounts segmentation in the stand-alone Part D prescription drug plan market leveraging Medicare policies to address social determinants of health an approach to streamline and harmonize Medicare’s portfolio of alternative payment models aligning fee-for-service payment rates across ambulatory settings MedPAC is an independent congressional agency that advises Congress [...]

iqtsupport2022-04-12T06:00:14-04:00April 12, 2022|Alternative payment models, Medicare, MedPAC|

Medicaid as a Tool for Addressing Racial Health Inequities

Medicaid can be an important tool for addressing racial health inequities, the Kaiser Family Foundation suggests in a new issue brief. Among the measures involving Medicaid that might be undertaken to address racial health inequities and addressing social determinants of health, the brief suggests (in words taken directly from the issue brief): One significant action that would help close coverage disparities for people of color is adoption of the ACA Medicaid expansion in the 12 non-expansion states. Other expansions of Medicaid eligibility could also address racial disparities in coverage and access to care. Making it easier for eligible people to [...]

iqtsupport2022-03-25T06:00:31-04:00March 25, 2022|Affordable Care Act, Centers for Medicare & Medicaid Services, Congress, COVID-19, health equity, Medicaid, Medicaid managed care, Medicaid regulations|

Hospitals, Insurers, City Government Launch Health Equity Effort

The pursuit of health equity is the subject of a new collaboration between health systems, health insurers, and a big city government. The new effort, dubbed “Accelerate Health Equity,” will seek to bring “…together organizations across the region to produce tangible improvement in health inequities, and ultimately achieve measurable, positive changes in health outcomes in Philadelphia.” Among the participants in the endeavor are AmeriHealth Caritas, Children’s Hospital of Philadelphia, the City of Philadelphia, Drexel University, Independence Blue Cross, Jefferson Health, Main Line Health, Penn Medicine, Philadelphia College of Osteopathic Medicine, Temple Health, and Trinity Health Mid-Atlantic. The group envisions its [...]

iqtsupport2022-03-24T06:00:51-04:00March 24, 2022|health equity, Pennsylvania|

AHRQ Publishes Health Equity Report

The federal Agency for Healthcare Research and Quality has published its annual report on health care disparities. The report, “National Healthcare Quality and Disparities Report,” is mandated by Congress “… to provide a comprehensive overview of the quality of healthcare received by the general U.S. population and disparities in care experienced by different racial and socioeconomic groups.” Find the report here.

iqtsupport2022-01-19T06:00:38-05:00January 19, 2022|health equity|

Federal Health Policy Update for Monday, January 3

The following is the latest health policy news from the federal government as of 2:45 p.m. on Monday, January 3. Some of the language used below is taken directly from government documents. The White House President Biden has issued a memorandum to the Secretary of Health and Human Services, the Secretary of Homeland Security, and the Administrator of the Federal Emergency Management Agency on maximizing assistance to respond to COVID-⁠19. Among other things, the memorandum calls for FEMA to provide emergency and disaster assistance, to establish or expand COVID-19 testing sites at the request of state governments, and to underwrite the [...]

iqtsupport2022-01-03T17:34:54-05:00January 3, 2022|Alternative payment models, Center for Medicare and Medicaid Innovation, Centers for Medicare & Medicaid Services, CMMI, Coronavirus, COVID-19, MACPAC, Medicare reimbursement policy, MedPAC|

Changes Coming in Innovation Center Payment Models

Future Medicare payment models will probably feature less risk for participants and a greater emphasis on health equity. At least that is the vision shared by Centers for Medicare & Medicaid Services chief operating officer Jon Blum during a recent conference. While not backing away from including risk in future value-based purchasing models, CMS and the Center for Medicare and Medicaid Innovation Center will probably propose fewer full-risk models, which the agency fears favor wealthier providers that can afford to shoulder more risk to begin with, and a greater focus on reporting race and ethnicity data among future model participants [...]

iqtsupport2021-10-05T06:00:24-04:00October 5, 2021|Alternative payment models, Center for Medicare and Medicaid Innovation, CMMI|